Pressured speech
Pressured speech is a symptom of several mental disorders, characterized by rapid, incessant talk that can be difficult to interrupt. It is often loud and includes a sense of urgency or even aggression.
Definition
Pressured speech is a term used in psychiatry to describe a patient's speech that is rapid, loud, and difficult to interrupt. It is often a symptom of mania or hypomania in bipolar disorder, but can also occur in other conditions such as schizophrenia, anxiety disorders, and certain personality disorders.
Symptoms
The main symptom of pressured speech is rapid, incessant talk that is difficult to interrupt. The person may speak loudly and with a sense of urgency, often jumping from one topic to another. They may also exhibit flight of ideas, where their thoughts and speech move rapidly from one idea to another, often with loose associations between ideas.
Causes
Pressured speech is most commonly associated with bipolar disorder, particularly during manic or hypomanic episodes. However, it can also occur in other mental health conditions, including schizophrenia, anxiety disorders, and certain personality disorders. It can also be a side effect of certain medications or substances, such as stimulants or corticosteroids.
Treatment
Treatment for pressured speech typically involves treating the underlying condition. This may involve psychotherapy, medication, or a combination of both. In some cases, hospitalization may be necessary if the person's behavior is putting them or others at risk.
See also
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Contributors: Prab R. Tumpati, MD