Bipolar Disorder Symptoms Mania and Hypomania Racing Thoughts and 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 July 19, 2020 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 Amy Morin, LCSW, Editor-in-Chief Medically reviewed by Amy Morin, LCSW, Editor-in-Chief Facebook LinkedIn Twitter Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a psychotherapist, the author of the bestselling book "13 Things Mentally Strong People Don't Do," and the host of The Verywell Mind Podcast.For media or public speaking inquiries, contact Amy here. Learn about our Medical Review Board Print Verywell / Brianna Gilmartin Everyone occasionally experiences situations that cause their mind to race. Imagine that feeling amped up several notches and persisting without relief and you'll have an idea of what it's like to experience racing thoughts. This symptom often signals a hypomanic or manic episode in people living with bipolar disorder, although there are other possible causes. Characteristic Features Racing thoughts are more than just thinking fast. Rather, they are a rapid succession of thoughts that cannot be quieted and continue without restraint. They can progressively take over a person's functional consciousness and gallop out of control to a point where daily life can be affected. This symptom can become so severe that it interferes with the ability to sleep. When talking with someone experiencing racing thoughts, it's usually readily apparent because they not only speak at a rapid clip but also quickly jump from one topic to another. This outward manifestation of racing thoughts is called flight of ideas. Thus, racing thoughts and flight of ideas are two sides of the same coin. Racing thoughts might revolve around rhythms, almost like a broken record without sound. They might include a bar of music, a snippet of a conversation, a sentence in a book, or dialogue from a movie that repeats in one's mind. Importantly, racing thoughts do not involve hearing voices, a symptom associated with schizophrenia and other types of psychotic disorders. Racing Thoughts Racing thoughts are often one of the first symptoms to develop when someone with bipolar disorder is entering a hypomanic or manic episode. It can be—but is not always—a debilitating experience. Some people describe it as having excessive thoughts that move quickly, but with a sense of fluidity and pleasantness. In others, however, the experience can be jarring. Concentration can become increasingly difficult, and the inability to quiet the relentless onslaught of thoughts can prove unnerving and disruptive. It is not unusual to hear of people who need to play word games for an hour or two just to settle their thoughts enough to sleep. Racing thoughts and flight of ideas in the context of a hypomanic or manic episode are accompanied by other signs and symptoms that might include: Pressured speech Reduced need for sleep Persistently elevated or irritable mood Increased energy and restlessness Increased distractibility Grandiose thinking Risk-taking behavior Pre-Diagnosis People who experience hypomania—as opposed to full-blown mania—are typically able to maintain their daily functioning and, as such, often go undiagnosed until their first depressive episode occurs. So, racing thoughts and flight of ideas may predate a person being diagnosed with bipolar disorder, typically type II. Additionally, racing thoughts and flight of ideas that occur without the requisite number of accompanying symptoms to meet the criteria for a diagnosis of hypomania or mania may identify a person at risk for eventually developing bipolar disorder. This is sometimes referred to as a subthreshold bipolar disorder. Racing thoughts and flight of ideas accompanied by an elevated or irritable mood appear to increase an individual's risk for eventually developing the full-blown bipolar disorder, as reported in a study published in 2013 in the Journal of Affective Disorders. Other Considerations Racing thoughts and flight of ideas can occur with conditions other than bipolar disorder, including major depression and anxiety disorders. Certain drugs can also cause racing thoughts, such as methamphetamine and cocaine. Withdrawal from these drugs as well as opiates and heroin can also cause racing thoughts. While racing thoughts can be a symptom of a mental disorder, they are not specific to a particular illness. The accompanying signs, symptoms, mood, and behaviors help distinguish among the various possible causes of this symptom. Talk with your doctor if you experience racing thoughts, especially if they interfere with your ability to work, sleep, concentrate, or interact with others. Once the cause of your symptoms is identified, you can receive appropriate treatment. If you or a loved one are struggling with anxiety, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area. For more mental health resources, see our National Helpline Database. 4 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. Homish GG, Marshall D, Dubovsky SL, Leonard K. Predictors of later bipolar disorder in patients with subthreshold symptoms. J Affect Disord. 2013;144(1-2):129-33. doi:10.1016/j.jad.2012.06.020 What Are Bipolar Disorders? American Psychiatric Association. Reviewed January 2017. Bipolar Disorder. National Institute of Mental Health. Revised 2018. Correll CU, Hauser M, Penzner JB, et al. Type and duration of subsyndromal symptoms in youth with bipolar I disorder prior to their first manic episode. Bipolar Disord. 2014;16(5):478-92. doi:10.1111/bdi.12194 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? Thanks for your feedback! What is your feedback? 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