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Pressured speech is a symptom of mania. During pressured speech, the manic person just can't shut up - they ramble on and on and on until you feel like taping their mouth shut! Even though they often realize that they are babbling, they can't stop.

Manic patients also jump from topic to topic without any logical connections. What happens in this case is, their brains are firing so swiftly that they do have connecting thoughts, but their mouths can't keep up with the thoughts, so people listening don't get the connection. I have a humorous code I use with my friends to alert them that I know I am talking too much - I say "SPEAKING OF _____" and name whatever we were talking about, then quickly change the subject to something totally different. If I am alert enough to make this joke, my friends know that I am not out of control and don't worry as much.

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