Pressured Speech in Bipolar Disorder – Causes, Symptoms & Treatment

What is pressured speech in bipolar disorder?

Pressured speech is a common disorder in people having Bipolar Disorder. This is a symptom of several mental health conditions altogether. There is an extreme need to share thoughts, ideas, or comments if a person is having pressured speech. It’s considered as a part of mania. The words will spill out rapidly which may be jumbled. And doesn’t stop at any appropriate intervals.

Due to such a rapid and even frantic speed during the pressured speech, it becomes difficult to understand what is being said. Therefore carrying out conversations is not possible with people with pressured speech. This is so because the person with pressured speech doesn’t stop for long enough for another person to understand and speak.

pressured speedch in bipolar disorder

Bipolar mania symptoms

Some of the potential causes of pressured speech include schizophrenia, some forms of anxiety, dementia, stroke as well as bipolar depression. Some other underlying causes may be the use of certain drugs, such as cocaine, methamphetamine, or even phencyclidine (PCP).

In all the cases mentioned above, pressured speech may be present with some or all of the following. The symptoms to watch out for in pressured speech are as follows:

  • rapid speech which is difficult to understand due to no pause
  • speech louder than appropriate volume for the situation
  • inability to stop speaking and to allow others to speak their mind
  • speech occurrence about inappropriate things at inappropriate times at work, home, school etc.
  • having a sense of urgency to say about your thoughts
  • an unclear or disorganized thought process while speaking
  • speaking out numerous ideas at once having no connection to each other
  • includes rhymes as well as jokes while speaking
  • difficulty to convey your thoughts as they are coming too fast

While talking to people with pressured speech, it may not possible to stop them from talking or slow down their speed. This episode may continue for at least an hour or more.

Cycles of mania and depressive moods are experienced by people with bipolar mania. The time required by an individual to cycle through the moods vary from person to person.

Some of the additional symptoms of bipolar disorder while the period of mania may include:

  • inflated self-worth or delusions of grandeur
  • reckless or risky behavior
  • decreased need or ability to sleep i.e. insomnia
  • elevated mood
  • exaggerated optimism
  • feeling anxious or jittery
  • not able to focus
  • restlessness

Pressured speech in Bipolar disorder causes

Pressured speech is the ultimate result of rapid thoughts, mania or a manic episode as is not a disease or disorder in itself. Rather, it’s a symptom of some underlying disorder. Bipolar can be a result of any physical change in the brain or it may be genetic. Which means you may be more likely to have it if any of your close relatives has bipolar mania.

It is unlikely for a person with bipolar disorder to experience any issues related to the pressured speech during their depressive cycle. The brain can usually prioritize thoughts based on their importance to the situation.

A person having bipolar disorder may face difficulty while processing these thoughts. This means irrelevant thoughts may appear pressing, as soon as they enter the mind. People having bipolar disorder spend most of their time thinking about unrelated things. They even experience an enormous number of thoughts at once.

Some people having bipolar depression are more prone to hyperactivity during the cycles of mania. These thoughts arrive faster along with an increased intensity. It is hard to tell the people around them, about their feeling and emotions they are going through.

The person may feel pressured to get the thoughts out, as quickly as possible, and share what is on their mind. These outpouring of thoughts results in pressured speech.

Bipolar depression treatment

As pressured speech is a symptom and not a condition itself, it is important to address its root cause. It can’t be treated or cured directly. Pressured speech is a symptom of mania which is usually associated with bipolar mania. Therefore, the doctor usually focuses on treating the bipolar depression.

Pressured speech and bipolar disorder, both are characterized as mental illnesses and should be treated by a psychiatrist. A psychiatrist is a medical doctor who is specialized in mental health conditions.

In case of bipolar disorder, a person may experience some difficulty getting a diagnosis. It’s not uncommon for a person with bipolar disorder to be treated by several different doctors before getting correctly diagnosed.

Once diagnosed successfully, then the  person can learn to manage their condition by their own. This can be done with a combination of medication and psychotherapy. These treatments is used depending on the symptoms and needs of the person.

Bipolar disorder medications

The main way to manage bipolar disorder and its symptoms, including pressured speech, is to take your prescribed medications regularly on time.

Basically, there are three types of medications to help treat the bipolar disorder. These medications can help in reducing or eliminating pressured speech. The medications prescribed by your doctor may include:

  • antipsychotics, such as lithium carbonate
  • mood stabilizers, such as valproic acid or lithium
  • antidepressants, which are used the least
  • anti-anxiety medications

You may be prescribed one medication or a combination of more than one. It depends on your symptoms as well as the underlying cause.

Psychotherapy

A person with bipolar disorder should undergo counseling, as a regular part of their treatment. The key to success for a person with bipolar disorder is the counseling component of the treatment.

Similarly, a stable and supportive home environment directly affects the overall likelihood of success of treatment for a person with bipolar mania.

Psychotherapy will help reduce and better manage the symptoms of bipolar depression, including pressured speech. Your psychotherapy may include:

Alternative treatments

In some of the mood disorders, natural supplements, as well as alternative treatments, are used to compliment medications and ongoing therapy. However, it is yet not proved in any research that these alternatives can help in treating bipolar depression.

Before trying any natural or alternative treatment for the bipolar symptoms, consult your doctor. As some of the supplements may interfere with medications or increase their side effects.

Associated Conditions

Pressured speech can also be a symptom of other conditions besides bipolar mania. Pressured Speech can be a potential symptom for many disorders associated with periods of mania. This mental disorder has an association with a breakdown of the connectors between thoughts, emotions, as well as behaviors.

Pressured speech can be a symptom of various conditions which include:

  • bipolar disorder, the conditions associated with pressured speech
  • autism, when coupled with bipolar disorder
  • anxiety, with manic episodes or bipolar disorder
  • other mental health conditions having manic episodes
  • Schizophrenia

Schizophrenia patients sometimes experience delusions and even withdrawals from reality. They get jumbled thoughts which produce the symptoms, such as pressured speech.

Some other disorders associated with pressured speech include:

  • Attention deficit hyperactivity disorder (ADHD): The condition makes it difficult to focus and be organized in thoughts and actions. People having ADHD may experience frantic or fast-paced thinking, which can result in pressured speech.
  • Anxiety: This condition may cause a person to experience pressured speech if their anxiety results in being unable to explain something quickly. In response to the situation, their thoughts become rapid, uncontrollable.
  • Drug use: This habit may result in symptoms of pressured speech. Drugs responsible for pressured speech include stimulants, such as cocaine.

These disorders often require additional treatment to help a person manage their symptoms.

Complications

Pressured speech considered to be one of the most difficult symptoms of bipolar mania. The reason for this is, it’s difficult to control or stop when it happens. The fact is that pressured speech can be due to a variety of potential disorders. These complications may vary widely among individuals. It may have wide-ranging repercussions or complications in all aspects of life but none of them are as significant.

However, the underlying cause of this may have great implications affecting a person’s overall health and well-being.

Likeliness of experiencing periods of low self-esteem is more in a person with bipolar depression. Additionally, they are more likely to have suicidal tendencies or risk violent actions. In such cases, temporary hospitalization may be necessary.

At School

A person with pressured speech might interrupt teachers and take over the direction of the class. It becomes really difficult or impossible for the teacher to continue teaching in the class. Out of irritation, the child may be removed from class, punished, and it sometimes results in an inability to continue in a normal school atmosphere.

At Home

Pressured speech can affect the relationships and also those the person has relationships with. This may be due to their frequent mood changes. Regular communication with them is difficult and sometimes gets impossible. Stress and frustration are common if you live with someone having pressured speech. Break down of communication, sometimes leads to break down relationships as well.

At Work

The symptoms of pressured speech can show up at an inappropriate time. Such as in work situations like work meetings, clients or customers interactions, and interacting with coworkers. The conditions are so disruptive in the workplace that it may lead to disciplinary actions and even losing a job.

Such situations may also affect a person’s ability to maintain a steady career or job.

Outlook

Pressured speech is pretty manageable. Only if you stick to the treatment plan bipolar disorder, set out by your consulting doctor and psychotherapist. The main challenge is that as soon as they start feeling better, many people irregular with their medications and counseling sessions. This is so because they no longer feel the need of it. However, it’s important to continue your medications and therapy sessions even if you start feeling better.

If any adjustment is required in the treatment, then consult your doctor. Change your treatment only after the approval by a medical professional overseeing your care.

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Pressured Speech in Bipolar Disorder – Causes, Symptoms & Treatment
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