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alogia - sorry about the lenght of this

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element654

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For the last number of years I have been experiencing what could only be described as a form of thought disorder which seems to be some kind of thought poverty. I experience difficulties in thinking which result in difficulties in communicating verbally and in writing. I have been experiencing this for quite some time but it has gotten worse, to the point where it is beginning to affect me socially and in my working life.

The symptoms usually come across as a severe difficulty in talking to people and trying to emphasize what I want to say. I usually find it extremely difficult to converse with people and to make conversation simply as a result of not being able to think of something to say or not being able to communicate something which Im thinking of without confusing words or stumbling with words. I might often mix up the order of words in a sentence or pronounce the beginning of one word while meaning to say another word. For instance, I might say: “I like mood gusic” instead of: “I like good music”.

I have done a good bit of research on the internet and the only condition which I could find which matched my symptoms was Alogia. This defined is: “a disruption in thought process reflected in the person's speech. One form of alogia is poverty of speech. Impoverished speech is brief, limited, terse and generally emerges only in response to questions or prompts rather than flowing spontaneously. An impairment termed poverty of content occurs when the information or concepts that the individual is attempting to convey cannot be understood because of limitations in the method of communicating. The meaning behind the phrases is obscured or missing. Typically, in poverty of content, the person's speech, while comprehensible in terms of its orderliness of grammar and vocabulary, does not convey substantial meaning because the phrasing is overly concrete and literal or overly abstract and fanciful.”

another symptom which i experience is affective flattening which can be descirbed as: "unchanging facial expressions, poor or no eye contact, reduced body language and decreased spontaneous movements. A person experiencing affective flattening may stare vacantly into space and speak in a flat, toneless voice. Flat affect refers to the outward expression of emotion and not the inner experience." Both the affective flattening and the thought poverty are symptoms of depression and schizophraenia.

I visited a neurologist and after performing only a simple neurological test she assured me that I didn’t have any neurological condition and advised me to see a speech and language therapist although I don’t think that this is simply a speech defect. It goes far deeper than speech as it is something which affects my thought processes. I strongly believe that this is not a result of a lack of confidence or being too shy. I have always regarded myself as a confident person and yet I experience these symptoms around people I have known for years, including my family and friends who have noticed changes in me. I felt as though that these symptoms were a result of something neurological as I have constantly felt just physically unable to communicate verbally with people no matter how hard I tried simply because the thoughts which are usually transmitted in the form of speech are not present. even when im on my own and thinking to myself i experience very few thoughts and of the ones i do experience they usually lack richness and depth.

On occasion, the symptoms of the condition seem to go away and I am able to think more clearly, although this is becoming less and less frequent. Strangely, I find that alcohol and caffeine sometimes helps. The influences of these sometimes improve my thought processes and increase the variety and richness of thoughts which I experience. This makes it far easier to converse with people as I find it much easier to make up conversation and to talk more clearly and understandably.

However, I am able to communicate effectively in written communication, although a lot of the time it comes which a great deal of thought and preparation. Like when compared to speech i dont have to think of something to write down off the top of my head immediately

I would consider myself a healthy individual. I have no major medical history. I have never experienced any other neurological or psychological disorders or any
head injuries. I have done well academically and would consider myself of good intelligence. I have completed a degree in college.
Could you please suggest any thoughts or recommendations you may have on this condition. Do you think a brain cat scan might show up something which may be causing this?
 
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First i have to say, i'm no doctor, only going by what i gone threw.
My second schizophrenia attack where everything going nuts caused me to have these speech problems. So bad i couldn't talk at times or was forcing myself to talk as i was really just trying to spit out my words. It really scared me because i wasn't sure what was happening. I did read later it was a symtom of schizophrenia.
NOT saying you have schizophrenia! Only that i did go threw what your say/explaining to us.
Second, you made stated and also stated "I find that alcohol and caffeine sometimes helps.", sound like bp/chemical imbalance in the brain. These can and maybe also what is causing the above. I too have a chemical imbalance/bp where i drink as it helps me thinking and other issues. Mind you, there are meds out there to help for this, but in my case i can't take the meds as they trigger my schizophrenia. The drinking helps in alot of ways, yet is a unhealthy way to go, but in my case i don't have much choice. Reason it help, the doctor explain its the (spelling is bad on this one, lol) seratonin (chemical in the brain) that is lacking or brain is not producting and the drinking replaces it or i should say gives you what the brain is subpost to give you normally. I feel more normal mentaly drinking (not drunk) then without it. But, this is what the meds are subpost to do if i was able to take them. Also statement of depression (not normal depression, but chemical depression) of not feeling apart of or hard to explain. Your feeling alone, shy buy your not shy. Just things you stated sounds like depression/chemical imbalance.
A movie that seems to help me see clear on what i was going threw was "the Avator". Of corse it was just a movie, but that person showed signs of bp, ocd yet didn't seem schizophrenia, yet had symtoms of schizophrenia from his other illnesses.
All in all, see a doctor, all you may need is a med to correct some of these things.
God Bless, John
P.S. Be praying for you, smiling
 
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P.S. You asked about a catscan, not sure if thats the test or not, there is a test that shows the blood flow to the brain. This test showed in people with these illness the lack of blood flow to cerian parts of the brain which causes these symtoms. Not sure is its a catscan or a better test that shows more like a catscan.
But a word or warning, don't prolong going to a doctor about this as the problems can get worse and is best treated right away before the problem do get worse. The sooner the best if you just need a med you may get back to being normal. So i heard!
John
 
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Cat59

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The suggestion to see a Speech Therapist is not a bad one, because they can do detailed tests that can focus on where the problem lies in your communication. They don't just deal with the sounds people make when they talk, but with the whole process of communication, from the point in the brain at which it starts to the sounds that come out of your mouth. Their tests can pinpoint specific problems in your thought processes that may be causing this. Another option would be to see a specialist clinical neuropsychologist, who can do similar tests, but they are few and far between and may be expensive (I don't know where you are from and how you would access this.)
I would echo the advice to see another doctor too and I think that you could then discuss about a CT with them.
 
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