logorrhea
Pronunciation: log-oh-REE-ah
Excessive, rapid, and often incoherent speech that is difficult to interrupt.
Full Definition
Logorrhea, also known as pressured speech, is characterized by an abnormal increase in the amount and rate of speech production. The speech is typically rapid, excessive, and difficult to interrupt, often accompanied by a subjective feeling of pressure to keep talking. This symptom is commonly seen in manic episodes of bipolar disorder, hypomanic episodes, and certain psychotic conditions. Unlike normal talkativeness, logorrhea involves speech that may be tangential, circumstantial, or flight of ideas. The content may become increasingly disorganized as the speech continues, making communication challenging for both patient and clinician.
Usage
Usage note: Prefer 'pressured speech' in clinical documentation as it's more widely recognized.
In Context
- "The patient exhibited logorrhea during the interview, making it difficult to conduct a structured assessment." — Mental status examination
- "Logorrhea resolved significantly following mood stabilizer initiation, allowing for more effective therapeutic communication." — Progress note