My speech and writing is significantly impacted by episodes of mania and psychosis. I will do most of the things on the list, the one that sticks out the most is clanging although it's not the most significant. I remember getting pissed because I was trying to flip out on another patient during my last psychotic episode in the hospital for getting a song stuck in my head and what came out was "Is it permission to put brains pains in worms?" just as an example. Pissed me off more when my staff person told the other person "oh she's just being silly."