During a mental health evaluation, which behavior would suggest that the client may be experiencing a delusion of reference?

Believing that they are being monitored by the media is a classic example of a delusion of reference. In this type of delusion, individuals hold the false belief that external events, comments, or the behavior of others are directly related to themselves or have a personal significance. The idea that one is being surveilled or that the media is focused on them specifically highlights the belief that they are central to events usually unrelated to them, which is characteristic of this delusional disorder.

In contrast, lack of motivation is often associated with negative symptoms of psychosis and does not directly express a personal belief tied to external events. Similarly, reporting vivid auditory hallucinations and demonstrating disorganized speech are indicative of psychotic experiences but do not specifically suggest a delusion of reference. Both of these conditions showcase different aspects of psychosis and do not point to the belief in personal significance regarding external monitoring or messages.