Appearance & Behavior: Disheveled, poor hygiene, minimal eye contact.

Speech: Rapid, pressured, and often tangential.

Thought Process: Disorganized and illogical. She believes the TV is sending her special messages from God and that her food is being poisoned by "energy waves."

Perception: Admits to hearing voices that comment on her actions and tell her she is "the chosen one”.

Insight/Judgment: Poor. She does not believe she is ill and insists she does not need help. She has not eaten in two days because of the delusion about poisoned food.