In the client’s response, a good understanding of language could be found.
However, this is not related to disease.
It displays the client’s strong ability to use language.
The client differentiated physical activity from physical education, stating that the latter is an "undertaking." In school and group activities, the two can be compared quite conspicuously.
The fact that she says she likes physical exercise but not physical education may have to do with her lack of self confidence.