Bipolar Disorder Symptoms Mania and Hypomania Flight of Ideas in Bipolar Disorder By Marcia Purse Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial process Updated on June 20, 2022 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print Kent Mathews Collection / Stone / Getty Images Table of Contents View All Table of Contents Causes of Flight of Ideas Other Types of Thought Disorders Treatment Frequently Asked Questions Flight of ideas is a symptom that involves rapid, erratic speech that switches quickly between thoughts and ideas. People who experience this symptom talk rapidly and jump from one topic to the next. While bipolar disorder is generally considered a mood disorder, symptoms can also include disorders of thought—particularly during manic episodes. People in a manic state may have difficulty filtering out meaningful versus non-meaningful input and may thus respond to their environment in surprising ways. When this happens, ordinary sensory input, such as the sound of traffic or blinking lights, may become severely distracting. As a result, people experiencing mania focus attention on nonessential information. During manic episodes, it is not unusual for bipolar people to experience "racing thoughts" and "flight of ideas." These two associated symptoms involve extremely rapid thought processes that sometimes leap from topic to topic at incredible speed. Racing thoughts and flight of ideas are also common symptoms of schizophrenia and some cases of ADHD. Most Common Symptoms of Bipolar Disorder Causes of Flight of Ideas Flight of ideas is not a condition. Instead, it is a symptom of bipolar mania. What Is Bipolar Mania? Mania is a period of excessively elevated mood that causes extreme shifts in mood as well as significant increases in behavior and energy levels. It is a hallmark symptom of bipolar disorder. Other factors that can play a role in flight of ideas include: Psychosis, which can occur with bipolar disorder, schizophrenia, or neurological conditions, including Parkinson's disease and Alzheimer's disease Schizophrenia Substances such as marijuana, which can cause psychosis and worsen the course of schizophrenia Bipolar Disorder vs. ADHD Other Types of Thought Disorders In addition to flight of ideas, other types of thought disorders can occur in bipolar disorder and other conditions. Some of these include: Tangential thinking: This involves having connected thoughts but straying far from the original topic and never coming back to the original idea or point.Racing thoughts: Such thoughts occur rapidly, feel uncontrollable, and are highly distracting. This symptom can occur with bipolar disorder and attention-deficit hyperactivity disorder (ADHD), anxiety, and obsessive-compulsive disorder. Thought blocking: This symptom involves a sudden halt in speech because a person forgets what they were talking about as if the idea has been blocked or removed from their mind.Loose thinking: This type of thinking involves having thoughts that are not connected and do not follow a logical train of thought.Circumstantial thinking: In this type of thought disorder, people will follow a series of connected ideas, straying far from the original topic before eventually returning to the original idea. Pressured Speech in Bipolar Disorder Treatment There is no specific treatment for flight of ideas, but treating the underlying condition can help with this symptom. The treatment that may help depends on the condition that an individual has been diagnosed with. Racing thoughts and flights of ideas may be relatively mild or quite severe. When the symptoms are mild, it may be possible to use simple calming techniques such as: Meditation: Meditation is a proven technique for self-calming Deep breathing exercises: The physical act of deep breathing can often calm both mind and body Guided visualization: Tapes are available to help refocus racing thoughts to calmer thoughts Distraction: Watching television or otherwise distracting one's mind from the racing thoughts Adequate sleep: There is an important connection between sleep and mental health Stress management: Reducing stress and using coping strategies may be helpful Understanding triggers: Recognizing triggers can help people avoid them or manage them more effectively When symptoms are very severe, however, the person experiencing the racing thoughts and flights of ideas will not be able to stop and focus on such exercises. In such cases, it is a good idea to consult a doctor who may be able to provide medication to lower anxiety and/or help manage a manic episode. Treatments for mania or psychosis may involve: Medications include mood stabilizers, antipsychotics, anxiolytics, antidepressants, or sleep medicationsPsychotherapy, including cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and group therapyElectroconvulsive therapySupport groups The 7 Best Online Bipolar Disorder Support Groups of 2021 Frequently Asked Questions What is an example of flight of ideas? While racing thoughts may or may not be expressed, flight of ideas involves continuous, rapid speech that changes focus from moment to moment based on association, distractions, or plays on words. Some of the time, it is possible to follow the person's leaps of logic (especially if you know the person well).Other times, the racing thoughts are so disorganized and chaotic that even a close friend or relative will find them confusing. For example:"I am hungry. Does my dog need to go for a walk? I wonder what the weather will be tomorrow. What is the purpose of life? I should learn to play canasta. My mom should lose some weight. Wait, I forgot to pick my kids up from school." What’s the difference between flight of ideas and racing thoughts? Racing thoughts occur rapidly and can be confusing and distressing. However, racing thoughts tend to follow a logical path and are connected. Racing thoughts are often a symptom of anxiety, and while they are common with mood and thought disorders, they also may occur in people who have no disorder but are in a stressed state.Typically, racing thoughts focus on a particular topic, often related to a stress-inducing event; for example:"My big test is tomorrow, but I don't know the information. I could know the information if I studied more but studying also makes me feel more stressed. If I'm more stressed I'll likely do poorly on the test but if I don't study I'll also do poorly and either way, I'm in trouble because this test is half my grade and if I fail I'll fail the class which means summer school and ..." What are symptoms of bipolar mania? Symptoms of bipolar mania include:Elevated moodImpaired judgmentChanges in thought patternsMood changesChanges in activity and energySpeech disruptions 6 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Psychological Association. Flight of ideas. Lake CR. Disorders of thought are severe mood disorders: The selective attention defect in mania challenges the kraepelinian dichotomy—A review. Schizophr Bull. 2008;34(1):109-117. doi:10.1093/schbul/sbm035 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC; 2013. Roche E, Creed L, MacMahon D, Brennan D, Clarke M. The epidemiology and associated phenomenology of formal thought disorder: A systematic review. Schizophr Bull. 2015;41(4):951-962. doi:10.1093/schbul/sbu129 Piguet C, Dayer A, Kosel M, Desseilles M, Vuilleumier P, Bertschy G. Phenomenology of racing and crowded thoughts in mood disorders: A theoretical reappraisal. J Affect Disord. 2010;121(3):189-198. doi:10.1016/j.jad.2009.05.006 Weiner L, Weibel S, De Sousa Gurgel W, et al. Measuring racing thoughts in healthy individuals: The Racing and Crowded Thoughts Questionnaire (RCTQ). Compr Psychiatry. 2018;82:37-44. doi:10.1016/j.comppsych.2018.01.006 By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? 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