pressured speech
Rapid, excessive, and difficult-to-interrupt speech pattern commonly associated with manic or hypomanic episodes.
Full Definition
Pressured speech is a speech pattern characterized by an increased rate and amount of verbal output that is often loud, rapid, and difficult to interrupt. The speech typically reflects an underlying acceleration of thought processes and is commonly observed in manic or hypomanic episodes of bipolar disorder. Patients with pressured speech often feel compelled to continue talking and may become agitated if interrupted. This symptom can also occur in other conditions such as ADHD, substance intoxication, or severe anxiety disorders. The content may remain coherent despite the rapid delivery, distinguishing it from disorganized speech patterns seen in psychotic disorders.
Usage
Usage note: Document specific characteristics such as rate, volume, and interruptibility.
In Context
- "The patient demonstrated pressured speech throughout the interview, making it difficult to obtain a complete history." — Psychiatric evaluation
- "Pressured speech decreased significantly following initiation of mood stabilizer therapy." — Treatment response note