Flight of ideas

I and depressive symptoms. Hypomanic symptoms include inflated self-esteem or grandiosity (non-delusional), decreased need for sleep, pressure of speech, flight of ideas, distractibility, and increased involvement in goal-directed activities, not causing severe impairment in social or occupational functioning or requiring hospitalization. Psychotic features are not found in cyclothymic disorder.1... 

Flight of ideas A nearly continuous flow of rapid speech and thought that jumps from topic to topic, usually with topics loosely connected. 

Increased talkativeness, garrulousness and pressure of speech flight of ideas racing thoughts. 

Cocaine causes profound mental stimulation, behaviorally evidenced by increased talkativeness and activity, flight of ideas, euphoria, and inflated self-esteem. Fatigue is offset and there is a reduced need for sleep. Supression of appetite also occurs. 

The diagnosis of mania is made on the basis of clinical history plus a mental state examination. Key features of mania include elevated, expansive or irritable mood accompanied by hyperactivity, pressure of speech, flight of ideas, grandiosity, hyposomnia and distractibility. Such episodes may alternate with severe depression, hence the term "bipolar illness", which is clinically similar to that seen in patients with "unipolar depression". In such cases, the mood can range from sadness to profound melancholia with feelings of guilt, anxiety, apprehension and suicidal ideation accompanied by anhedonia (lack of interest in work, food, sex, etc.). 

More talkative than usual or pressure to keep talking Flight of ideas or subjective experience that thoughts are racing Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli)... 

Flight of ideas is an almost continuous flow of accelerated speech with abrupt changes from one topic to another, at times so pronounced that it becomes incomprehensible. These ideas are usually based on understandable associations, distracting stimuli, or plays on words. 

Schizophrenia-related disorders, such as schizophreniform disorder, can closely mimic an acute exacerbation of mania. Attention to premorbid personal and family history may help differentiate them from mood disorders. A definitive diagnosis may not be possible, however, until the course of the illness is followed for a period of time. Clinical clues include the propensity of bipolar manics (in contrast to schizophrenics) to demonstrate pressured speech, flight of ideas, grandiosity, and overinclusive thinking. Hallucinations are less common than delusions in both mania and depression, with delusions normally taking on the qualities of expansivity, hyperreligiosity, or grandiosity. Delusions are also relatively less fixed than in schizophrenia. 

In Table 9-4, scores on each item are presented during the manic phase and again after recovery with lithium therapy. Janowsky et al. ( 40) concluded that such behaviors are not attributable to premorbid personality, but rather are as characteristic of a manic episode as classic symptom changes (e.g., euphoria, flight of ideas, over-talkativeness, and grandiosity). Further, the pattern of interpersonal interactions occurred only when a patient was in a manic phase, and improved with lithium therapy. 

QUALITATIVE COMMENTS (with 8 mg, orally) "There was a very mild visual distortion, and a prominent vertigo without nausea. In the second hour there is still some enhancement of visual detail, but I am not endowed with the flight of ideas of philosophical concepts as with psilocin. I am rapidly subsiding and I am able to eat normally. Residual insomnia lasted eight hours."... 

In any case, it is easy to understand how something like membrane stabilization could help neurons be more temperate, and how a more temperate brain could more easily resist its own tendency to go wild. In clinical terms this means that such indulgences as flights of ideas, pressured speech, buying sprees, sexual promiscuity, drug taking, and manic psychosis will be less likely. 

Flight of ideas or subjective experience that thoughts are racing. 

A 38-year-old Chinese man responded to risperidone monotherapy for 2 weeks after 19 years of resistance to typical neuroleptic drugs. Three days later he lost his medicine and 2 days later his auditory hallucinations and persecutory delusions recurred. Meanwhile, vivid manic symptoms (such as heightened mood, irritability, reduced need for sleep, hyperactivity, pressured speech, flight of ideas, and grandiosity) emerged for the first time throughout the history of his illness. 

Racing thoughts, or flight of ideas (jumping from one thought to another)... 

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