Coherent Speech in Medicine / Internal Medicine — 28yo Man | Psychiatry | SMLE Q#1441
SMLE Question #1441
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 28-year-old man reports 3 weeks of repeatedly staring to the right and speaking as if someone is present. He points to an empty corner and says he sees his mother there, although she died 2 years ago. He states the image appears and disappears several times daily and that others cannot see it. Family confirms no one is present. He is oriented, with coherent speech and no prominent mood symptoms. Which term best describes this symptom?
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