I have had the nearly extreme version of word salad many times. Just most of the time I sound coherent. I also have neologisms. I described that in another post, it just means creating new words that don't make sense to others. I also have saying the wrong word for things, but that is more like a memory problem for me. Some people say I have loosening of associations. Most of the time I write better than I talk. There are times where they both are equal. I just am all over the place. But 99% of the time I write nicely. I went to my psychologist today and for some reason she was absolutely sure that I am having a manic episode, just based on how I looked and talked. Huh? I just don't understand it. It is because I am actually depressed. I am hopeless. But yet laughing at every little thing at the same time. I wonder if its actually a mixed episode, having features of both. My doctor also notices that I sometimes do have a thought disorder based on the way I speak. Other times I am at the other extreme because I speak at autism conferences and pray I am not having an episode at the time (because if I am having one, it might not always be coherent, or if coherent just really fast pressure of speech). The problem is that I haven't had an autism conference that I spoke at in a long, long time so I am losing my speaking ability. I also was in Toastmasters awhile ago and I quit that.