i’ve never seen or used this term before but it seems to fit. i’m using it to describe a state the patient reports as the inability (1) to think forward (2) the inability to take a congnative symbol (idea, picture, sound) and re-express it into an equivalent. this can be tested against the patient’s audio (hearing), achievement and intelligence tests. of course diagnosis due to successful therapy is very useful here as well.

on a further note, the patient wants to express some symptoms. he feels pressure “expanding outward” in his skull as if “the circuits are being forcibly rewired”. with all the seratonin controlling meds it’s no wonder that these sensations are present throughout his body. however his report of pressure in the base of his skull remains unexplained.

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