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Racing thoughts refers to the rapid thought patterns that often occur in manic, hypomanic, or mixed episodes.While racing thoughts are most commonly described in people with bipolar disorder and sleep apnea, they are also common with anxiety disorders, obsessive–compulsive disorder (OCD), and other psychiatric disorders such as attention deficit hyperactivity disorder (ADHD).
Pressure of speech (or pressured speech) is a speech fast and frenetic (i.e., mainly without pauses), including some irregularities in loudness and rhythm or some degrees of circumstantiality; it is hard to interpret and expresses a feeling/affect of emergency.
Milligan was capable of creating light-hearted humour and outrageous ideas, despite his manic state. Finding laughter served as motivation to remedy a depressed mental state and effectively function as self-medication. [10] This process has been described as a safeguard against the formation of hopelessness and subsequent depression. [29]
People with bipolar disorder often have other co-existing psychiatric conditions such as anxiety (present in about 71% of people with bipolar disorder), substance abuse (56%), personality disorders (36%) and attention deficit hyperactivity disorder (10–20%) which can add to the burden of illness and worsen the prognosis. [24]
In depressed clients, often the positive characteristics of other people are exaggerated, and their negative characteristics are understated. Catastrophizing is a form of magnification where one gives greater weight to the worst possible outcome, however unlikely, or experiences a situation as unbearable or impossible when it is just uncomfortable.
People who are clinically depressed may experience intrusive thoughts more intensely and view them as evidence that they are worthless or sinful people. The suicidal thoughts that are common in depression must be distinguished from intrusive thoughts, because suicidal thoughts—unlike harmless sexual, aggressive, or religious thoughts—can be ...