Modern Decadence

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Pressure of speech is a hallmark of mania and is often seen during manic periods in patients with bipolar disorder. The pace of the speech indicates an underlying thought disorder known as “flight of ideas” where the information going through the person’s head is so fast that it is difficult to follow their train of thought.

People with schizophrenia , as well as anyone experiencing extreme anxiety, may also exhibit pressure of speech. Pressure of speech usually refers to the improperly verbalized speech which is a feature of hypomanic and manic illness.