In which condition does anxiety lead to disorganized thinking and poor reality testing?

Anxiety can significantly affect cognition and perception, especially in the context of schizophrenia. In this condition, individuals often experience disorganized thinking, which manifests as an inability to follow a coherent line of thought. This disorganization can be exacerbated by anxiety, leading to further impairments in reality testing.

Reality testing refers to the ability to differentiate between what is real and what is not, and in schizophrenia, this ability is often compromised. Individuals may have delusions or hallucinations, which can become more pronounced under stress or anxiety. Therefore, the connection between anxiety and disorganized thinking in schizophrenia is particularly pronounced.

In contrast, while neurosis and personality disorders may involve some level of disorganization, they do not typically result in the same degree of impaired reality testing as seen in schizophrenia. Depression may lead to cognitive impairments and difficulties in concentration, but it is not characterized by the same extent of disorganized thought patterns or reality testing issues. Thus, schizophrenia is the condition where anxiety correlates with significant disorganized thinking and poor reality testing.