Which symptom reflects anosognosia?

Anosognosia refers to a condition where a person is unaware of their own illness or deficits. It typically occurs in individuals who have experienced brain injury, stroke, or neurological disorders, affecting their ability to acknowledge their impairments. The key feature of anosognosia is the lack of awareness of deficits, meaning individuals may not recognize or understand that they have a problem that requires attention.

In this context, having poor awareness of deficits accurately captures the essence of anosognosia. Individuals with this symptom may confidently assert that they are functioning normally, even when their actions clearly indicate cognitive or physical limitations. This profound lack of insight can complicate treatment because it can hinder a person's ability to engage with rehabilitation or support services effectively.

The other options do not align with the concept of anosognosia. Increased awareness of deficits would indicate a clear understanding of one's condition, which contrasts with the essence of anosognosia. Intermittent speech difficulties and repetitive behaviors may be associated with various disorders but do not specifically indicate a lack of awareness regarding one's impairments. Thus, the selection of poor awareness of deficits directly relates to the core characteristic of anosognosia.