Inaudible self-talk

Introduction Onespeaking (alonespeaking) means that the patient speaks to himself and the content is difficult to hear. All kinds of mental illness can cause symptoms. This symptom is normal during childhood. Some patients are associated with hallucinations. Can be seen in various types of mental illness.

Cause

Common in schizophrenia, can also be seen in bipolar disorder, neurosis, mental retardation, dementia, mental disorders caused by psychoactive substances, reactive mental disorders.

an examination

Related inspection

Brain ultrasound examination of brain CT examination of brain MRI

Refers to the patient's self-talking without reason, the content is difficult to hear. It can be diagnosed based on this feature. Can be combined with EEG, CT or MRI. Pay attention to genetic testing. The Concise Psychiatric Rating Scale, the Wechsler Memory Test, the Wechsler Intelligence Test, the Minnesota Multiple Personality Test, the Zong's Depression Self-Assessment Scale and the Zong's Anxiety Self-Assessment Scale help to aid diagnosis.

Differential diagnosis

Introverted thinking means that patients are immersed in their own spiritual world with a clear consciousness. Only the patients themselves understand that others cannot understand at all, so that the patient's thinking is completely isolated from the real world. This is called unrealistic thinking. Or introverted thinking.

Aphasia refers to the partial loss of verbal function caused by focal brain damage. include:

(1) Broca aphasia: very little or slow speech, and laborious, unclear pronunciation, expressed in telegraph language, lack of articles, conjunctions, auxiliary verbs and intonation changes, no grammar, but better understanding. Aphasia is common in patients with damage to the lower part of the frontal cortex (ie, Broca area) such as hemorrhage, ischemia, infarction, and trauma. Clinically easy and inconsistent thinking, the patient's consciousness is clear, the grammatical incompleteness can still be achieved, and the inconsistency of thinking is the pile of words produced on the basis of consciousness disorder, can not express any meaning.

(2) Wernicke aphasia: speaking quickly and effortlessly. The grammar is basically correct, but the verbal content is empty, the words are wrong, and often accompanied by serious understanding ability defects. Common in the posterior part of the left hemisphere, patients with lesions in the proximal auditory cortex.

Mutation is a disorder in which there is no speech activity. Anyone asks but never says a word. Some patients can express their meaning by writing, acting, etc. The patient has no aphasia, the function of the vocal organ is normal, only the psychomotor inhibition or the functional inhibition of the speech motor area cortex. Found in schizophrenia tension, psychogenic stupor, depressive stupor, organic stupor state and snoring.

Refers to the patient's self-talking without reason, the content is difficult to hear. It can be diagnosed based on this feature.

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