Pressure of Speech

Definition: Pressure of speech refers to a speech pattern characterized by rapid, accelerated, and excessive speech. It is often associated with a sense of urgency and an inability to control the pace of speaking.


The following characteristics are commonly observed in individuals with pressure of speech:

  • Rapid and pressured speech rate
  • Unintentional interruption of others
  • Loud and emphatic tone
  • Difficulty in pausing or taking turns while conversing
  • Jumping from one topic to another without logical transitions
  • Incomplete sentences or fragmented thoughts


Pressure of speech can be caused by a variety of factors, including:

  1. Psychiatric conditions, such as mania in bipolar disorder or anxiety disorders
  2. Neurological disorders, such as Parkinson’s disease or Tourette syndrome
  3. Side effects of certain medications, particularly stimulants
  4. Substance abuse, including excessive alcohol or drug use


The treatment of pressure of speech depends on the underlying cause. It may involve:

  1. Medication management for psychiatric or neurological conditions
  2. Psychotherapy to address underlying psychological issues
  3. Speech therapy to improve communication skills and pacing
  4. Support and education for individuals and their families