This is a great question and one I don't know the answer to for myself, but am trying to figure out. I get jumbled, distractible, quickly moving and unorganized thoughts sometimes. I also get fast, panicky thoughts sometimes. I don't know if these are racing thoughts as in something you'd see with bipolar disorder, or just a symptom of anxiety, or the way my brain always kind of functions, sometimes made worse by mood/anxiety, but maybe more of an underlying attention issue or a busy mind at baseline. My therapist thinks almost all of my issues are anxiety related, but I can't figure out if a mood state is making my thoughts race and increasing anxiety, or if anxiety is making my thoughts race and making me irritable, etc.