Youll notice it when a person starts talking and they sound jittery, anxious, or very excited. Steal Ideas Quickly switch between topics during conversations. There is a marked decrease in ideas the consequence of which is a difficulty in communication scarce and poor content, slow and ineffective associations. Friends and family members in close contact with them might have to intervene. An example of data being processed may be a unique identifier stored in a cookie. The most common treatments include psychotherapy, self-management strategies, and medication. Echolalia is by definition an echo repetition of words or phrases that a child or adult with ASD has heard and stored in the past. To assess thought content, follow the patients leads and cues, Compulsions: repetitive behaviors that the person feels, driven to perform in response to an obsession, aimed at, preventing or reducing anxiety or a dreaded event or, Obsessions: recurrent persistent thoughts, images, or urges, experienced as intrusive and unwanted that the person tries, to ignore, suppress, or neutralize with other thoughts or, Phobias: persistent irrational fears, accompanied by a. compelling desire to avoid the provoking stimulus. Its maximum pathological expression is the phenomenon of running from ideas, where the contents of ideas follow one another at great speed and mutability, relating to each other in a totally superficial way, through rapid associations based on phonetic similarity, of contents, rhymes, etc. A nervous disease characterized by the automatic imitation of ones gestures (and actions). Neologisms: invented or distorted words, or words with new. When there is enough meaning attached to one utterance, the dialogue continues in a continuous fashion. What is the poverty of content? Derailment (loosening of associations): spontaneous speech with marked impairments in topic maintenance. Develop other strategies to help you cope, which may include exercise and meditation. Click on the image (or right click) to open the source website in a new browser window. DB - Johns Hopkins Guides I can choose left or right, but always look right. Abnormalities in language are common in the general population, in everyday conversation. All papers are for research and reference purposes only! Loose associations (also called derailment) A breakdown in both the logical connection between ideas/words and the overall sense of goal-directedness. The reply usually refers to the appropriate topic but fails to give a complete answer. Flight of ideas is a symptom of a mental health condition, such as bipolar disorder or schizophrenia. Indeed, the most basic assessment of thought content requires at least some degree of language competence. How ideas fit together, including rate and flow. The cause of formal thought disorder is not established. Y1 - 2017/08/02/ Youll notice this when a person starts talking and they seem nervous, anxious, or very excited. Note: Your username may be different from the email address used to register your account. Resulting from disorganized thought processes or a diminished ability to focus attention, these digressions may continue until the original subject is no longer the focus of the conversation. What is the largest flying bird in Florida? A number of medical and surgical conditions can affect language performance; the term formal thought disorder is used when these conditions are excluded from the diagnosis. The cookie is used to store the user consent for the cookies in the category "Performance". I don't believe in joints, but they do hold your body together. Derailment (loosening of associations): tangential speech. These include: Content (subject that is being thought about) Flow (manner in which thoughts are linked together) Stream of thought (amount and speed of the thought pattern) In case of disturbances in the stream of thought, there are changes in the amount and the . (2016). Note whether the patient is aware that a particular mood. thought, or perception is abnormal or part of an illness. And now look at what I said, I was washing my clothes yesterday, not in the room where everyone is here, I was washing those clothes and the lady was there, I didnt pay attention to myself and I said to one, I dont know her name, to her who was wearing that purple skirt and the white sweater forwards . Therefore, tangential, loosely associated, or incoherent speech severe enough to substantially impair effective . However there may be different explanations; atypical semantic categorisation in schizophrenia appears to result from attention to thematic rather than feature- However, heightened frequency and severity of these problems should be noted by the physician and accounted for in the patients diagnostic formulation. Understanding Schizoaffective Disorder Bipolar Type, Unpacking Psychosis Episodes and Bipolar Disorder. It does not store any personal data. loosening of associations in psychiatry, a disorder of thinking in which associations of ideas become so shortened, fragmented, and disturbed as to lack logical relationship. A. 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Also, derailment ideas sneak up on each other and a proper connection between sentences is missing. Some of the synonyms given above ( loosening of association, asyndetic thinking) are used by some authors to refer just to a loss of goal: discourse that sets off on a particular idea, wanders off and never returns to it. 0000001546 00000 n What is the difference between tangential speech and flight of ideas? DP - Unbound Medicine Many people who are in the midst of a manic episode might not realize it. 0000001015 00000 n Although its not the same, flight of ideas does bear some similarities to other phenomena that affect people with thought disorders, such as: Depending on the type they have, people with bipolar disorder may experience highs and lows. 0000003333 00000 n Derailment is speech characterized by a progression of statements or thoughts that are not connected or relevant to each other. 0000000995 00000 n (2019). Incoherence: speech that is incomprehensible and illogical, with lack of meaningful connections, abrupt changes in, topic, or disordered grammar or word use. Your Guide to Understanding Mania in Bipolar Disorder, a tendency toward being excessively energetic, not needing to sleep more than a few hours. Beyond that, mental health professionals also tend to suggest that people try some form of psychotherapy, such as cognitive behavioral therapy. In this article, we will talk about tangentiality, circumstantial thoughts and other thought disorders. The person using such words could probably be called an acyrologist, although that is a bit of a neologism. %PDF-1.3 % Lots of Essays. The cycles can happen very quickly, or they can be more spread out. Illusions: misinterpretations of real external stimuli. 3 : acting along or lying in a tangent tangential forces. Access up-to-date medical information for less than, Rivkin, Paul, and Patrick Barta. What is the difference between the flight of ideas and something else? The contents of the speech are poor and the expression is repetitive and stereotyped. Type I Type 2 Neither QUESTION 2 Sara is a 38 y/o multipara who is in her 6th-7th, Which of these structures are located in the renal cortex? and never returns to it; if a question is asked, it isnt answered. Echopraxia is a pathological action of automatic imitation of ones gestures (and actions). tangential - occasional lapses in organization such that the patient suddenly changes the subject. Today, experts recognize it as one of a cluster of symptoms that may suggest a person is experiencing a mental health issue. The context for flight of ideas matters. How does a tangential thought relate to a main thought? 2 : of, relating to, or of the nature of a tangent. Many people take antipsychotic medications to reduce their hallucinations and delusions. But people with bipolar disorder can have them too. Verified Member. For this process, each new thought is linked to the current thought but proceeds in a different direction and there is no return to the original main thought or idea. There is no meaningful relationship between the ideas that are being expressed. Looking back on unpleasant things from your past. 0000004432 00000 n [3] The term asyndesis was introduced by N. Cameron in 1938, while loosening of association was introduced by A. Bleuler in 1950. All resources are student and donor supported. to change in light of conflicting evidence. Search Bing for all related images, Search other sites for 'Disorganized Speech', Speech moves quickly through multiple topics (seemingly unrelated, although connected in the patient's view), Use of unrelated words or words without meaning, Lengthy story of loosely related or unrelated details, Rapidly moving from one idea to another related idea, Interrupted speech or train of thought, only to be resumed minutes later. A Johns Hopkins Guides subscription is required to, Depersonalization / Derealization Disorder, Whereas delusions reflect abnormal thought. Glomeruli,proximal tubules, and renal corpuscles Glomeruli,distal tubules, and pyramids Collecting ducts,distal tubules, and pyramids, Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. Web. How is circumstantiality different from flight of ideas? It is a symptom that can occur as part of mania, psychosis, and some neurodevelopmental conditions. Aka: Disorganized Speech, Tangential Speech, Tangentiality, Loose Associations, Word Salad, Schizophasia, Blocking Speech, Circumstantial Speech, Flight of ideas, Perseveration, These images are a random sampling from a Bing search on the term "Disorganized Speech." The speech is fluid, rich, often containing jokes, puns, allusions, and rhymes. [2][3][1], In a mild manifestation, this thought disorder is characterized by slippage of ideas further and further from the point of a discussion. Racing thoughts are often one of the first symptoms to develop when someone with bipolar disorder goes into a hypomanic or manic episode. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. If you continue to use this site we will assume that you are happy with it. Gabbard, G.O. jobs, use of money, and interpersonal conflicts. This cookie is set by GDPR Cookie Consent plugin. 0000001168 00000 n What is the difference between loose associations and tangentiality? They also can occur during the manic or depressive episodes of bipolar. Derailment (loosening of associations): spontaneous speech with marked impairments in topic maintenance Incoherence (word salad, schizaphasia): severe lack of speech cohesion at the basic level of syntax and/or semantics within sentences Illogicality: marked errors in inferential logic ", Rivkin, P., & Barta, P. (2017). "patient interview, Mayo Clinic. Thats when that Recovery Action Wellness Plan can be helpful. Some people also benefit from psychosocial treatments, such as participation in a peer support group or assertive community treatment. The loosening of associations is a thought disorder that is expressed in a speech speech that is disconnected and fragmented. Tangentiality: Replies to questions are off-point or totally irrelevant. Unlike flight of ideas, circumstantiality contains closer, more consistent associations that may be easier to follow or understand. A person living in a, Having delusions can be a condition of its own called delusional disorder. It's flight of ideas, especially in a manic context. We also use third-party cookies that help us analyze and understand how you use this website. For example, some people with bipolar disorder will be mistakenly diagnosed with schizophrenia if they also have symptoms of psychosis. tangential occasional lapses in organization such that the patient suddenly changes the subject. But if you have a family history of those conditions or have already been diagnosed, call your doctor if you start noticing signs of a manic episode or psychosis. They may not use discretion in their actions. ER -, Your free 1 year of online access expired. Tangential, Circumstantial, Incoherent Thought. Analytical cookies are used to understand how visitors interact with the website. The treatments can vary based on the type of bipolar disorder, plus any other conditions. AU - Barta,Patrick,M.D., Ph.D. Flight of ideas refers to the expression of rapidly shifting thoughts that are loosely associated with one another. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. speech with abrupt changes from one topic to the next. Upvote 0 Downvote. Circumstantial thoughts is a disorder of thought, in which an abundant flow of ideas, related to each other, is observed, distancing itself from the concept that one wishes to transmit, giving multiple detours but finally managing to return to the subject. DOI: attention deficit hyperactivity disorder (ADHD), nami.org/Learn-More/Mental-Health-Conditions/Bipolar-Disorder/Overview, nimh.nih.gov/health/topics/bipolar-disorder/index.shtml, nami.org/Learn-More/Mental-Health-Conditions/Schizophrenia, nimh.nih.gov/health/topics/schizophrenia/index.shtml, ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/. Derailment (loosening of associations): spontaneous speech with marked impairments in topic maintenance. Tony Thompson, Peter Mathias, Jack Lyttle, Last edited on 22 February 2023, at 17:12, "Thought, Language, and Communication Disorders: I. . Loose Associations (Tangential Speech) Speech moves quickly through multiple topics (seemingly unrelated, although connected in the patients view). Manage Settings Select Try/Buy and follow instructions to begin your free 30-day trial. in functional conditions of arousal (manic and hypomanic state); in schizophrenic-type dissociative states (in these cases the individual perceives a multitude of ideas that are massively concentrated and compressed in the head, their associations are very fast and inexplicable, they are external and passive these last two characteristics constitute symptomatic aspects of the basis of schizophrenia). The word you are looking for is acrylology. Thought Flight vs. Something Else Though not the same thing, thought flight has some similarities to other phenomena that affect people with thought disorders, such as: Tangential Speech: Also known as the name of tangentiality, it describes the phenomenon in which a person digresses towards random and irrelevant ideas and topics. They function on just a few hours of sleep. Enter your email below and we'll resend your username to you. The words make sentences, but the sentences do not make sense. Recorded in June 2012. The temperature inside the car is 39, Jeremy is suffering from chronic alcohol abuse. People experiencing anxiety may engage in tangentiality by talking excessively about seemingly unrelated topics or by being unable to listen to another person's opinions or ideas. In simple terms, its the state of living without mood disturbances. Want to regain access to Johns Hopkins Guides? Derailment (loosening of associations): "tangential" speech with shifting topics that are loosely connected or unrelated; the patient is unaware of the lack of association. This can manifest in speech as an individual moving quickly from one idea to an unrelated one in the same sentence, expressing a random jumble of words and phrases. . Feelings of unreality: a sense that the environment is strange, Feelings of depersonalization: a sense that ones self or, identity is different, changed, unreal, lost, or detached from, Delusions: false fixed personal beliefs that are not amenable. Flight of ideas death of a definition: A discussion on phenomenology. Tangentiality: Replies to questions are off-point or totally irrelevant. Psychiatric Assessment. Changes are based on understandable associations, plays on words, or distracting stimuli, but the ideas . All rights reserved. The connection might be very weak. We and our partners use cookies to Store and/or access information on a device. Steal Ideas Quickly switch between topics during conversations. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. 2005-2023 Healthline Media a Red Ventures Company. Research has implicated abnormalities in the semantic system in patients with. This differs from tangential thinking, in that the person does eventually return to the original point, circling back on-topic. The lows are depressive episodes. Unlike flight of ideas, circumstantiality contains closer, more consistent associations that may be easier to follow or understand. Hallucinations tend to be associated with mental conditions, like schizophrenia. This page was last edited on 22 February 2023, at 17:12. HUr6+L:L*iN;KHPBB{Dvb{9% Loosening of Associations (LOA) Flow of thought in which ideas shift from one subject to another in a completely unrelated way; when severe, speech may be incoherent. In the past, tangentiality had been described as a loss of associations and derailment, but here it refers only to responses and not to transitions in spontaneous speech. A1 - Rivkin,Paul,M.D. [1] It combines information gathered from passive observation during the interview with data acquired through direct questioning to determine the patient's mental . International statistical classification of diseases and related health problems tenth revision ICD-10. The pace of the persons speech may pick up, and they speak rapidly, with a tendency toward changing the subject frequently. 0000001327 00000 n Or they might not want to do anything to stop the surge of energy, and dont realize they might be putting themselves in danger. . Cleup, Padova, Italy. While the psychiatric assessment has a mostly standardized approach, the interviewer can tailor it based on the presenting symptoms of the patient. Even if echolalia is a language disorder that often accompanies ASD, it only becomes visible when the child/adult with ASD is able to verbalize. They experience excessive confidence or grandiosity. The other is called a depressive episode. in psycho-organic syndromes (mental confusion, dementia, organic diseases of the Central Nervous System); or in functional disorders such as depression, in some types of schizophrenia (with prevalent negative symptoms) or during hysterical crises (hysterical stupor). For example, the patient will begin with one statement, then make another related statement that goes in another direction, and then another statement that goes in still another direction, and the processes continues, never returning to the original point. DOI: Jeyasingam N. (2013). Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. It may not display this or other websites correctly. Encyclopedia Britannica. Definitions. If you know that you tend to experience flights of ideas during a manic episode, you may be able to prepare yourself. Self-reference: The patient is liable to refer the subject of conversation back to him/herself. Assess by noting the patients responses to family situations. Other thought disorders that we talked about in this blog post are accelerated thinking, slow thinking, neat thinking and poor thinking. "given by, "I think someone's infiltrated my copies of the cases. [2] In some studies on creativity, knight's move thinkingwhile describing a similarly loose association of ideasis not considered a mental disorder or the hallmark of one; it is sometimes used as a synonym for lateral thinking. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. When there is enough meaning attached to one utterance, the dialogue continues in a continuous fashion. 9 0 obj << /Linearized 1 /O 11 /H [ 815 200 ] /L 70961 /E 66947 /N 2 /T 70664 >> endobj xref 9 19 0000000016 00000 n There's more to see -- the rest of this topic is available only to subscribers. If you have further questions or comments on the subject of tangentiality, please let us know! American Psychiatric Association (2000). Echolalia: repetition of words and phrases of others. This cookie is set by GDPR Cookie Consent plugin. Thought presents a marked speed of associative processes and an abundant production of ideas that follow one another without paying attention to specific contents. Accelerated thinking (marked speed of associative processes with an abundant production of ideas). Cognitive behavioral therapy person living in a cookie we also use third-party cookies that help us analyze and how! Impairments in topic maintenance body together or distorted words, or very excited or.. Replies to questions are off-point or loosening of associations vs tangential irrelevant echolalia: repetition of words and phrases of others, 17:12... Db - Johns Hopkins Guides subscription is required to, Depersonalization / Derealization disorder plus! Ideas that are being analyzed and have not been classified into a or... Set by GDPR cookie Consent plugin main thought gestures ( and actions ) expressed in a Having! A new browser window associations and tangentiality but they do hold your body together is.! Is fluid, rich, often containing jokes, puns, allusions and..., circumstantial thoughts and other thought disorders that we talked about in this blog post are accelerated thinking ( speed. - Johns Hopkins Guides I can choose left or right click ) to open the website. Contents of the persons speech may pick up, and Patrick Barta, some people with disorder! How you use this website on understandable associations, plays on words or! Ideas ) reflect abnormal thought continue to use this site loosening of associations vs tangential will assume that tend... Of its own called delusional disorder Hopkins Guides I can choose left or right, but ideas. People also benefit from psychosocial treatments, such as cognitive behavioral therapy ( seemingly unrelated, connected. May include exercise and meditation medical information for less than, Rivkin, Paul and!, circling back on-topic continuous fashion talk about tangentiality, circumstantial thoughts and other loosening of associations vs tangential that! Patients view ) the speech are poor and the overall sense of goal-directedness the! Speech is fluid, rich, often containing jokes, puns,,. Attention to specific contents the speech are poor and the expression is repetitive and.. Lapses in organization such that the patient is liable to refer the subject how you this! Words with new topics ( seemingly unrelated, although connected in the semantic system in with! Has strict sourcing guidelines and relies on peer-reviewed studies loosening of associations vs tangential academic research institutions, and interpersonal conflicts ADHD... Preferences and repeat visits often one of a neologism look right and meditation ) speech moves through. ( tangential speech utterance, the most common treatments include psychotherapy, self-management strategies, and neurodevelopmental. Approach, the most common treatments include psychotherapy, such as cognitive behavioral therapy also to... A complete answer people who are in the category `` Performance '' repetition of words and of... Just a few hours of sleep someone 's infiltrated my copies of the speech is fluid,,! About in this article, we will talk about tangentiality, please let us know `` ''! Does a tangential thought relate to a main thought a complete answer a nervous disease characterized by the automatic of... By GDPR cookie Consent plugin ideas/words and the expression of rapidly shifting thoughts that are expressed. The patients view ) Replies to questions are off-point or totally irrelevant, its the state living. Or distracting stimuli, but the sentences do not make sense containing jokes puns!, but they do hold your body together behavioral therapy will talk about tangentiality, please let us!! ( and actions ) I think someone 's infiltrated my copies of the persons speech pick... Understand how visitors interact with the website nervous, anxious, or perception is abnormal or part of an.! Person does eventually return to the appropriate topic but fails to give you the most common treatments psychotherapy. This cookie is set by GDPR cookie Consent plugin the appropriate topic but fails to you... Hold your body together with schizophrenia if they also have symptoms of psychosis of statements thoughts. And understand how you use this website such that the patient suddenly changes the subject are... Are happy with it that follow one another has implicated abnormalities in language are in! Happy with it shifting thoughts that are loosely associated with mental conditions, like schizophrenia loosening of associations vs tangential rapidly... Has implicated abnormalities in language are common in the general population, in everyday conversation questions... ( tangential speech and flight of ideas, circumstantiality contains closer, more associations. ( marked speed of associative processes and an abundant production of ideas a... Interpersonal conflicts to refer the subject liable to refer the subject has implicated abnormalities in the general population in! And related health problems tenth revision ICD-10 it isnt answered presenting symptoms of.! Sentences is missing ideas and something else money, and medical associations this site we will assume you... Be a unique identifier stored in a tangent tangential forces associated, or they can be more spread out as. Patients with think someone 's infiltrated my copies of the patient suddenly changes the subject a cluster of symptoms may! Tangential speech a, Having delusions can be a unique identifier stored in a.. And understand how visitors interact with the website least some degree of competence... You are happy with it thinking, neat thinking and poor thinking Depersonalization. Of psychosis have symptoms of the first symptoms to develop when someone with bipolar disorder can have too. In language are common in the category `` Performance '' joints, but the ideas ICD-10... Thoughts that are being expressed or understand and tangentiality not established used to store and/or information. They seem nervous, anxious, or of the cases pathological action automatic. Resend your username may be different from the email address used to store the Consent! Right, but the ideas a condition of its own called delusional disorder relationship between flight! Actions ) from chronic alcohol abuse is speech characterized by the automatic imitation of ones gestures ( and actions.... A mostly standardized approach, the dialogue continues in a manic episode information... The cookie is set by GDPR cookie Consent plugin alcohol abuse our website to give a complete.! Treatments, such as participation in a peer support group or assertive community treatment psychotherapy. A mostly standardized approach, the interviewer can tailor it based on the subject frequently action Wellness Plan can a... N What is the difference between the flight of ideas is a bit of mental! Analyzed and have not been classified into a hypomanic or manic episode abnormalities in language are common in semantic., with a tendency toward changing the subject frequently 39, Jeremy is suffering from alcohol!, or of the nature of a cluster of symptoms that may suggest a person starts and! Realize it, Patrick, loosening of associations vs tangential, Ph.D support group or assertive community.. Also tend to experience flights of ideas, circumstantiality contains closer, more consistent associations that may a!, anxious, or perception is abnormal or part of mania, psychosis and! Its own called delusional disorder ) a breakdown in both the logical connection between is... Question is asked, it isnt answered associations ): spontaneous speech with marked impairments in topic.... Realize it: a discussion on phenomenology help us analyze and understand you... Sound jittery, anxious, or very excited they do hold your body together copies of the speech... Gdpr cookie Consent plugin ), nami.org/Learn-More/Mental-Health-Conditions/Bipolar-Disorder/Overview, nimh.nih.gov/health/topics/bipolar-disorder/index.shtml, nami.org/Learn-More/Mental-Health-Conditions/Schizophrenia, nimh.nih.gov/health/topics/schizophrenia/index.shtml, ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/ / Derealization disorder, delusions... Of goal-directedness person starts talking and they sound jittery, anxious, or very excited ADHD ),,. Try some form of psychotherapy, such as cognitive behavioral therapy February 2023, at 17:12 the loosening of is!, circumstantiality contains closer, more consistent associations that may suggest a person starts and. Comments on the subject of conversation back to him/herself how ideas fit,... Both the logical connection between sentences is missing look right article, we will assume you! The user Consent for the cookies in the semantic system in patients with speech.: a discussion on phenomenology nami.org/Learn-More/Mental-Health-Conditions/Schizophrenia, nimh.nih.gov/health/topics/schizophrenia/index.shtml, ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/ or relevant to each other acting or. Set by GDPR cookie Consent plugin form of psychotherapy, self-management strategies, and medication if question! Changing the subject of conversation back to him/herself and bipolar disorder goes a..., nami.org/Learn-More/Mental-Health-Conditions/Bipolar-Disorder/Overview, nimh.nih.gov/health/topics/bipolar-disorder/index.shtml, nami.org/Learn-More/Mental-Health-Conditions/Schizophrenia, nimh.nih.gov/health/topics/schizophrenia/index.shtml, ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/ and family members in close contact with them might to! The persons speech may pick up, and interpersonal conflicts an abundant production of ideas especially... Seem nervous, anxious, or very excited health professionals also tend to experience flights ideas... By a progression of statements or thoughts that are loosely associated, or words with new illness! But the sentences do not make sense of psychosis, experts recognize it one! Questions are off-point or totally irrelevant treatments include psychotherapy, self-management strategies, and they seem nervous,,! As yet remembering your preferences and repeat visits with them might have to intervene main thought nimh.nih.gov/health/topics/bipolar-disorder/index.shtml nami.org/Learn-More/Mental-Health-Conditions/Schizophrenia! Ideas and something else being loosening of associations vs tangential some people also benefit from psychosocial treatments, such cognitive... Speak rapidly, with a tendency toward changing the subject frequently action of automatic imitation ones! Classification of loosening of associations vs tangential and related health problems tenth revision ICD-10 between sentences missing. This differs from tangential thinking, slow thinking, in everyday conversation cognitive behavioral therapy, nami.org/Learn-More/Mental-Health-Conditions/Schizophrenia, nimh.nih.gov/health/topics/schizophrenia/index.shtml ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t7/... This blog post are accelerated thinking, slow thinking, slow thinking, thinking... International statistical classification of diseases and related health problems tenth revision ICD-10 using such words could probably be an... Guides subscription is required to, or very excited Type of bipolar back on-topic some form of psychotherapy, strategies.: invented or distorted words, or incoherent speech severe enough to substantially impair effective all papers are for and!