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This patient's affect is incongruent with the severe suicidal depression she is describing. At the same time, she has normal mobility and full range.
Incongruent: Patient's affect does not match the content of her speech
Full: Normal range of variability
Normal frequency of movement through her range of affect
This patient has a flat affect that is constricted in mobility but congruent with her mood.
Congruent: Content of speech matches thoughts
Flat: Absence or near absence of any signs of affective expression; monotonous voice, and face immobility
Constricted: Reduction in intensity of feeling tone, less severe than blunted affect but clearly reduced
This patient’s expansive affect ranges from tearful to angry and the speed that she moves from one to the other would be considered labile mobility. Her observed affect would be described as incongruent with her reported mood, “really good.”
Incongruent: Content of speech does not match thoughts
Expansive: Excessive range of variability
Labile: Rapid and abrupt changes in emotional feeling tone, unrelated to external stimuli