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It is, however, more severe than circumstantial speech, in which the speaker wanders but eventually returns to the topic. [3] Some adults with right hemisphere brain damage may exhibit behavior that includes tangential speech. [4]
Circumstantial speech, also referred to as circumstantiality, is the result of a so-called "non-linear thought pattern" and occurs when the focus of a conversation drifts, but often comes back to the point. [1] In circumstantiality, apparently unnecessary details and seemingly irrelevant remarks cause a delay in getting to the point. [2]
Circumstantial thinking, or circumstantial speech, refers to a person being unable to answer a question without giving excessive, unnecessary detail. [15] This differs from tangential thinking, in that the person does eventually return to the original point, circling back on-topic.
A thought disorder (TD) is a disturbance in cognition which affects language, thought and communication. [1] [2] Psychiatric and psychological glossaries in 2015 and 2017 identified thought disorders as encompassing poverty of ideas, paralogia (a reasoning disorder characterized by expression of illogical or delusional thoughts), word salad, and delusions—all disturbances of thought content ...
[4] [5] Thought disorders' symptoms like flight of ideas can induce pressured speech, with some degrees of circumstantiality or tangential speech. [6] It is also a direct or indirect symptom of anxiety disorders, [7] attention deficit hyperactivity disorder (ADHD), [8] autism spectrum disorder, [9] and schizophrenia. [10]
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The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...