The patient is a 49 year old female who presented to the ED with bizarre behavior. Patient is responding to internal stimuli with disorganized speech.

During the time of the assessment the patient was laying down in her bed facing the wall. Patient seemed alert at first, however when asked questions back time, place, and reasons for in the hospital her speech was severely disorganized and nearly incomprehensible. Patient did denies SI and HI by moving her head side to side as to say no to those questions. Patient did not respond well to other questions asked, however eyes appeared in deep fixation towards the wall behind me and point responding to internal stimuli. Nurses staff reports that the patient had to be redirected many times when