What Speech Reveals About Mental Illness
What you say says a lot about you. How you say it matters too. You can take a simple sentence and change its meaning just by how you pitch your voice and what words you emphasize.
Try it: Say the sentence, “I want you to love me.” Emphasize the “I” and you’re saying, “I, as opposed to anyone else.” Emphasize “want” and you mean “I want it, even if you don’t believe it.” If you come down hard on “love,” you mean “I want love, not friendship.” An emphasis on “me” translates to “I want you to love me, not that other person.” It works for nearly any sentence: “Please close the door.” “You have my attention.” “Why don’t you care about me?” We translate these meanings naturally and internally, without really thinking about them.
Changes in language can certainly be revealing. In fact, there are several different kinds of speech that have a role in mental illness. They can be indicative of a certain kind of mental illness or of the way that a person is feeling. They can be used in diagnosis. They can be a way to better understand what a friend or loved one is going through.
Pressured speech means that words seem to just tumble out, without much thought as to what is being said. The words come quickly, packed together like little freight trains of meaning that will zoom by if you don’t pay attention. Listening to pressured speech can be both confusing and overwhelming, difficult to understand.
Pressured speech is common in bipolar disorder, especially in manic episodes. People who are experiencing mania feel a compelling, urgent need to share thoughts, ideas, comments, or emotions. They don’t wait for replies, as one would in a normal conversation. They can also speak inappropriately loudly or at inappropriate times, such as in church or during a lecture or concert. Pressured speech can last for an hour at a time or even longer.
Because they are speaking so fast, people with pressured speech may even have difficulty expressing their own thoughts. There can be a lack of a clear thought process in what the manic person is saying, as they may talk about many things that don’t connect to each other. Their speech may include jokes or rhymes, song lyrics, and such.
It does no good to ask a person with pressured speech to slow down or stop talking. They may feel like they must keep talking, as if they can’t stop.
Flat affect/emotional blunting
Flat affect means that you’re not demonstrating much of an emotional reaction to a situation. Inside, you may feel happy, for example, but it doesn’t show on your face or in your speech. The inside and the outside don’t match.
Emotional blunting is a little different from flat affect, though. With emotional blunting, you don’t feel an emotion internally at all. You might not feel at all interested in a book or a movie that once gave you pleasure or laughter, for example. This results in flat, unemotional, dull speech patterns.
Flat affect and emotional blunting are in some ways the opposite of pressured speech. They may occur when a person is depressed, in shock, or suffering from PTSD or other conditions. It’s a symptom of some illnesses, but not an illness in itself.
Read the full story here: bipolarme.blog/2022/11/13/what-speech-reveals