Poor thinking

Introduction The so-called thinking disorder refers to the abnormality in the amount and speed of thinking association activity. The clinical manifestations of thinking disorders are diverse. Lack of thinking: the number of associations is reduced and the concept is poor. There is nothing to think about in the hollow cavity of the brain. The content is monotonous, the answer is simple, and it is also seen in brain organic mental disorders and mental retardation.

Cause

More common in schizophrenia or brain organic dementia. Serious patients can also answer questions without knowing. Seen in the simple or late stage of schizophrenia, mental decline, brain organic mental disorders and mental retardation.

Lack of thinking is a symptom, not a disease. Generally seen in dementia state of schizophrenia or organic mental disorder.

Therefore, as long as schizophrenia or neuropathy is controlled, such symptoms will definitely reduce or disappear.

Pay attention to adjusting the mood of a reasonable sleep, it is important to pay attention to active exercise.

an examination

Related inspection

EEG examination of brain CT

These symptoms are similar in appearance and slow in thinking, but they are fundamentally different. Its main features are: emptiness of ideas, lack of concepts and vocabulary, often no clear response to general inquiry, or simply answering do not understand or nothing, and usually do not take the initiative to speak. The patient feels that his brain is empty, there is nothing to think about, and there is nothing to say. But the patient is indifferent to it.

Differential diagnosis

(1) Thinking and running: Lenovo's speed is increasing, the number is increasing, and the content is rich and vivid. The number of speeches increased, the speed of speech increased, the voice was loud, the mouth was overwhelming, and the mouth was lingering, and the articles were exported and written. It can be seen in mania, and it can also be seen in the manic state of toxic psychosis.

(2) Slow thinking: Lenovo's speed is slowing down, the number is decreasing, and Lenovo is difficult. The brain becomes stupid, the reaction is slow, the speech is less, the speed is slow, the sound is low, and the expression is simple. Seen in depression.

(3) Relaxation of thinking: the thinking is sloppy. It means that Lenovo's content is loose, lacks the theme, and there is a lack of connection between one problem and another. It is manifested in the fact that the patient speaks or writes when he or she writes, and the answer to the question is not relevant, making the examiner feel that the conversation is difficult.

(4) The breakdown of thinking: the break between associations between concepts, the lack of internal connection between the various conceptual contents of establishing associations. There was no connection between the upper and lower tense, and it became a pile of statements. The answer was not asked. It was mainly seen in schizophrenia.

(5) Inconsistent thinking: the concept and concept are lost. The patient does not have a structurally complete independent sentence, and the word is not connected. Seen in the state of , state, nightmare state, etc.

(6) Pathological description: The thoughts are twisted and twisted, and the association branches are too many, and the speed is slow. Speaking when answering questions, sticking to unimportant details, dragging the water, mainly in patients with epilepsy and other organic brain damage, can also be seen in schizophrenia.

(7) Thinking viscosity: It means that association is not easy to develop, showing obvious inertia, and always entangled in the same problem. Common in epilepsy, dementia or schizophrenia.

(8) Interrupted thinking: The patient felt that the brain was blank at the time. The patient suddenly paused while speaking, and the content was not the original topic. Mainly seen in schizophrenia.

(9) Imitating words: stereotyped the words of other people around. Found in organic mental disorders, schizophrenia tension.

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