circumstantial speech
A thought disorder characterized by indirect, overly detailed communication that eventually reaches the intended point.
Full Definition
Circumstantial speech is a form of disordered thinking and communication where an individual provides excessive, unnecessary detail and takes indirect routes to reach their intended point, but ultimately does arrive at the goal of their communication. Unlike tangential speech, the speaker maintains the thread of the conversation and eventually reaches the intended conclusion, though the path taken is circuitous and often frustrating for listeners. This symptom is commonly observed in various psychiatric conditions including mania, anxiety disorders, and certain personality disorders, and can significantly impact therapeutic communication and daily functioning.
Usage
Usage note: Distinguish from tangential speech, which does not reach the intended point.
In Context
- "The patient demonstrated circumstantial speech when asked about medication compliance, providing extensive details about daily routines before confirming adherence." — Mental status examination
- "During group therapy, the facilitator redirected patients showing circumstantial speech to maintain session focus." — Group therapy note