3. Racing thoughts and speech
Certain people think and speak faster than others, but in manic episodes racing thoughts and speech are perceived as more than normal because thoughts cannot be quieted down and they flow like an aggressive river without any restraint to the point that it takes over the patient’s consciousness and impair their normal social behaviours.
In severe cases, racing thoughts may even affect the patient’s ability to fall asleep, and in most cases, it leads to express their thoughts verbally without apparent connection and common sense. Manic patients jump from one topic to another, and they become unable to hold a conversation topic for a long time. In some cases, their symptoms are associated with psychosis, but this is not a cause of racing thoughts.