Pediatric mental health patients who have experienced a high level of psychological pain are often unable or unwilling to communicate feelings. This is referred to as:

1. Alexithymia.
2. Anhedonia.
3. Defiance.
4. Depersonalization.


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1. Alexithymia translates as "I have no words for my feelings," and occurs as the result of a high level of psychiatric pain, especially when the patient feels like he/she is unable or unwilling to communicate feelings.
2. Anhedonia is the lack of pleasure from an activity.
3. Defiance is open disobedience.
4. The patient is watching the act that he/she is doing and does not realize he/she is the cause.

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