flight of ideas
A thought disorder characterized by rapid succession of ideas with logical connections, commonly seen in manic episodes.
Full Definition
Flight of ideas is a formal thought disorder characterized by an accelerated flow of thought with rapid, continuous verbalization or speech. Unlike loose associations, the connections between ideas remain logical, though they may be superficial or based on sound similarities (clang associations). This symptom is most commonly observed during manic or hypomanic episodes in bipolar disorder but can also occur in other conditions such as ADHD, substance intoxication, or severe anxiety. The rapid pace of thought often makes it difficult for patients to complete their intended communication, and listeners may struggle to follow the rapid shifts in topic.
Usage
Usage note: Distinguish from 'loose associations' where logical connections are absent.
In Context
- "The patient exhibited classic flight of ideas, jumping rapidly between related topics during the interview." — Mental status examination
- "Flight of ideas resolved significantly after mood stabilizer adjustment." — Progress note