Counseling and Family Therapy Center

Counseling and Family Therapy Center We offer individualized counseling. We specialize in PTSD, Depression, Anxiety, Substance abuse, etc.

Today’s topic: Disorganized BehaviorPsychosis can affect more than what a person thinks or hears. It can also affect how...
06/12/2026

Today’s topic: Disorganized Behavior

Psychosis can affect more than what a person thinks or hears. It can also affect how they behave.

Disorganized behavior refers to actions that seem unusual, unpredictable, or difficult to understand in the context of a situation. A person may have trouble organizing daily activities, completing tasks, or behaving in ways that match their environment.

Examples might include:
• Wearing inappropriate clothing for the weather
• Difficulty completing routine activities
• Moving from task to task without a clear goal
• Appearing confused about what to do next
• Behaviors that seem odd or out of context

When thinking becomes disorganized, behavior can become disorganized as well. This can make work, school, relationships, and self-care more difficult.

It’s important to remember that disorganized behavior is not laziness, defiance, or a lack of intelligence. It is a symptom that can occur in psychotic disorders and other conditions that affect thinking and perception.

Psychosis is not a diagnosis. It is a group of symptoms that can occur in several mental health and medical conditions.

Tomorrow: Negative Symptoms

Today’s Topic: Incoherent Speech “Word Salad”Incoherent speech, sometimes called “word salad,” occurs when words are com...
06/11/2026

Today’s Topic: Incoherent Speech “Word Salad”

Incoherent speech, sometimes called “word salad,” occurs when words are combined in a way that makes little or no logical sense. Unlike loose associations, where connections between ideas become difficult to follow, incoherent speech may be so disorganized that the overall meaning cannot be understood.

Examples might include:

Sentences that contain unrelated words or phrases

Speech that lacks understandable meaning

Responses that do not logically connect to the conversation

Language that becomes impossible for others to interpret

Incoherent speech is considered a severe form of disorganized thinking and may be seen in psychotic disorders such as schizophrenia and during severe episodes of mental illness.

It is important to remember that this is a symptom of a medical and psychological condition—not a sign of intelligence, effort, or character.

Understanding symptoms like incoherent speech helps reduce stigma and encourages compassion toward those experiencing serious mental health challenges.

DSM-5-TR identifies disorganized speech, including severe forms of incoherence, as a core symptom of psychotic disorders.

Today’s topic: Disorganized ThinkingDisorganized thinking is a disturbance in the organization and processing of thought...
06/10/2026

Today’s topic: Disorganized Thinking

Disorganized thinking is a disturbance in the organization and processing of thoughts that is often inferred from a person’s speech and communication. Individuals may have difficulty organizing ideas logically, making it challenging for others to follow their train of thought.

According to the DSM-5-TR, disorganized thinking is one of the core symptoms commonly observed in psychotic disorders. It may appear as difficulty staying on topic, shifting between ideas in ways that are hard to follow, or expressing thoughts that lack clear organization.

Examples may include:

* Frequently changing topics without clear connections
* Providing answers that are only loosely related to the question
* Difficulty maintaining a logical flow of conversation
* Speech that becomes increasingly difficult to understand

Disorganized thinking is not a sign of low intelligence or a lack of effort. It reflects changes in how the brain is organizing and processing information.

Understanding symptoms like disorganized thinking helps reduce stigma and encourages compassion for individuals experiencing psychosis and other serious mental health conditions.

Counseling & Family Therapy Center
Education. Understanding. Hope.

Today’s topic: Pressured SpeechPressured speech is a pattern of speaking that is unusually rapid, intense, and difficult...
06/09/2026

Today’s topic: Pressured Speech

Pressured speech is a pattern of speaking that is unusually rapid, intense, and difficult to interrupt. A person may feel driven to keep talking, often speaking louder or faster than usual.

Others may notice that the person moves quickly from one idea to another, has difficulty pausing, or continues talking even when others are struggling to keep up with the conversation.

Pressured speech is commonly seen during manic or hypomanic episodes and may occur alongside increased energy, decreased need for sleep, racing thoughts, and heightened activity levels.

Pressured speech is a symptom, not a personality trait or character flaw. The individual is often experiencing an internal sense of urgency that makes it difficult to slow down or organize their thoughts at a typical pace.

Understanding symptoms helps reduce stigma and encourages compassion for those experiencing mental health challenges.

This post is for educational purposes only and is not intended to diagnose any mental health condition.

DSM-5-TR Reference: Pressured speech is included among the characteristic symptoms associated with manic episodes and is often described as speech that is rapid, difficult to interrupt, and driven by an increased flow of ideas.

06/06/2026

The Harrison 150 Gala is ready to go. If you don’t have Tickets), be sure you come at 7:30 and take advantage of the fun outdoor games pickleball swimming pool putting contest co****le contest and sweet treats from Sweet honey. The Country Club is celebrating 100 years and they want to open up their outdoor space for the community to enjoy tonight at 7:30. Rain or shine we are going to have a great time.

06/06/2026

Our VID, (Very Important Diva), Roni Combs, recently had the opportunity to share the story of how she and Kris decided to take a leap of faith and go into business for themselves with the Harrison Chamber of Commerce.

It has been a long and winding journey. One that started in school, led to careers in community mental health and agency work, then to private practice with Counseling & Family Therapy Center, and eventually to opening Psych Bike in historic downtown Harrison.

Along the way, that journey grew into something even bigger. A youth mountain bike team. The Harrison Composite Buffalo Riders, promoting mental fitness through cycling, and creating a community where everyone belongs.
We are grateful for everyone who has been part of this journey and we are excited about the future.

Today’s topic: Loose Associations (Derailment)Loose associations, sometimes called derailment, occur when a person’s tho...
06/05/2026

Today’s topic: Loose Associations (Derailment)

Loose associations, sometimes called derailment, occur when a person’s thoughts and speech move from one topic to another with only minimal or unclear connections between ideas.

The person may feel their thoughts are connected, but listeners often have difficulty following the conversation because the links between topics are weak or difficult to understand.

Example:

“I need to go to the grocery store. Groceries are getting expensive. Money causes stress. Stress can affect your heart. Hearts are on Valentine’s cards.”

Each statement relates in some way to the one before it, but the conversation gradually moves away from the original topic.

According to the DSM-5-TR, derailment is a type of disorganized thinking that may be observed through a person’s speech. It can occur in psychotic disorders such as schizophrenia and may significantly interfere with communication.

Loose associations are different from creativity, storytelling, or simply changing subjects during a conversation. The key feature is that the connections between ideas become increasingly difficult for others to understand.

Symptoms like loose associations can make communication challenging and may affect relationships, work, school, and daily functioning.

Psychosis affects more than perception. It can also affect how thoughts are organized and communicated.

Education reduces stigma. Understanding creates empathy.

06/03/2026

What does it take to build a career centered on helping others while creating lasting impact in your community?

Join us this Friday as Roni Combs shares her entrepreneurial journey, including the challenges, opportunities, and lessons that have shaped her success.

Whether you're a business owner, aspiring entrepreneur, or simply enjoy hearing inspiring stories from local leaders, this conversation is for you.

☕ Coffee, conversation, and community.
📅 Friday, June 5th
⏰ 8:00 AM
📍 Venue 121

Bring your questions and join us for an engaging morning of networking and inspiration!

Today’s topic: Thought BlockingHave you ever been talking and suddenly lost your train of thought completely?Not just fo...
06/03/2026

Today’s topic: Thought Blocking

Have you ever been talking and suddenly lost your train of thought completely?

Not just forgetting a word or becoming distracted—but feeling as though the thought simply disappeared?

This is called thought blocking.

Thought blocking occurs when a person’s train of thought is interrupted, resulting in a sudden pause in speaking or thinking. The individual may stop mid-sentence and be unable to recall what they were saying or thinking about moments earlier.

What it can look like:

👤 “I was going to the store to pick up some…”

(long pause)

👤 “I don’t know. I lost it.”

Or:

👤 “The reason I came here today is because…”

(stops speaking for several seconds)

👤 “I can’t remember what I was about to say.”

Thought Blocking vs. Everyday Forgetfulness

Everyone occasionally loses their train of thought.

Thought blocking is different because the interruption is often sudden, noticeable, and may occur repeatedly.

When Can Thought Blocking Occur?

Thought blocking can be seen in a variety of conditions, including:

• Psychotic disorders
• Severe mood disorders
• Neurological conditions
• Significant stress or anxiety
• Sleep deprivation
• Certain medical conditions or medication effects

Thought blocking by itself does not diagnose any specific mental health condition.

Why Does It Matter?

Changes in thinking and communication can provide important clues about a person’s mental, emotional, and physical health.

Paying attention to these symptoms helps clinicians better understand what someone may be experiencing and determine whether additional evaluation is needed.

💙 Education reduces stigma.
💙 Understanding creates compassion.

Counseling & Family Therapy Center
Providing evidence-based mental health education for our community.

Today’s topic: Flight of IdeasFlight of ideas is a pattern of thinking and speech in which a person’s thoughts move rapi...
06/02/2026

Today’s topic: Flight of Ideas

Flight of ideas is a pattern of thinking and speech in which a person’s thoughts move rapidly from one idea to another. The ideas are often connected, but the connections may become difficult for others to follow because the pace of thinking is so fast.

Flight of ideas is most commonly associated with manic and hypomanic episodes in Bipolar Disorders, though rapid shifts in thought and speech can occur in other conditions as well.

Example

“I need to clean the garage. Garages are expensive to build. Building costs keep going up. Inflation affects everything. The economy is confusing. I should learn more about investing.”

The thoughts remain loosely connected, but the conversation moves quickly from topic to topic before any one idea is fully developed.

What It May Look Like

Rapidly shifting topics

Increased talkativeness

Difficulty staying focused on one subject

Thoughts that seem to be moving faster than speech

Speech that may be difficult to interrupt

What It Is Not

Flight of ideas is not simply being creative, intelligent, excited, or having many interests.

The key feature is that the speed of thinking and topic changes begin to interfere with organized communication.

Why It Matters

Changes in thought processes and speech patterns can provide important information about a person’s mental state and may help clinicians identify symptoms associated with mood disorders and other mental health conditions.

Understanding symptoms helps reduce stigma and encourages people to seek appropriate support when needed.

Education reduces stigma. Understanding creates compassion.

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213 W. Rush Avenue
Harrison, AR
72601

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