  Attitude was cooperative.  Appearance showed fair hygiene and grooming.  Psychomotor behavior showed restlessness.  No EPS or TD was noted.  Affect was restricted.  Mood remained anxious and speech was pressured.  Thoughts remained tangential, and the patient endorsed paranoid delusions.  The patient denied auditory hallucinations.  The patient denied suicidal or homicidal ideation, was oriented to person and place.  Overall, insight into her illness remained impaired.