Pressure of speech usually refers to the improperly verbalized speech which is a feature of hypomanic and manic illness. People with schizophrenia, as well as anyone experiencing extreme anxiety, may also exhibit pressure of speech. It is a hallmark of mania and is often seen in bipolar patients during manic periods. The speech produced, sometimes called pressured speech, is difficult to interrupt and may be too fast or too tangential for the listener to understand-it is an example of cluttered speech. Pressure of speech is a tendency to speak rapidly and frenziedly, as if motivated by an urgency not apparent to the listener.
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