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Soupe du jour
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Default Jan 21, 2022 at 09:48 AM
  #1
I found a most interesting journal article at NON-NEUROGENIC LANGUAGE DISORDERS: A Preliminary Classification that may interest some people here.

Has anyone else ever noted (or had others note) any speech or writing irregularities during bipolar episodes? These may include the typical rapid speech of hypomania/mania, but also other notable differences from stable mood communication patterns. And some possibly occurring during depression or high anxiety periods. The article noted provides several examples within its Table 2: Glossary of Pertinent Speech and Language Terms. Bipolar disorder was specifically referenced a few times in the article.

My interest in non-neurogenic language disorders/disturbances has existed for a while, as I've experienced several when hypomanic, manic, and mixed (most often), as well as in panicked states. Rapid speech and increased voice volume? Absolutely, but also:
  • Atypical grammar errors of various types
  • Periods of stuttering
  • Clanging - sometimes
  • Repetition of words/phrases and even portions of stories and statements
  • Eliminated words in speech
  • Forgotten words
  • Mistaken uses of words
  • Oral and written rhyming and rhythm tendencies in communication
  • Unusual intonation/stress or even sing song style in speaking
  • Vocal outbursts of strange sounds, song, or out of nowhere words/phrases
The above does not include other communication issues related specifically to disinhibition/impulsivity.

With severe depression, my communication had at times been affected by cognitive deficits in various ways. Memory recall issues, blankness of mind, etc.

Does anyone else relate to any of the above? Or experienced other non-neurogenic language disturbances during episodes?

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Default Jan 22, 2022 at 11:27 AM
  #2
I have. Errors I usually wouldn't make (they're very very rare for me normally), not being able to find the right words, or saying things I don't mean. Vocal outbursts as well (sometimes when I'm getting hypomanic I wonder if I have Tourette or something). And being very unsure of the meaning of words/sentences or whether they make sense at all. I'm not sure if these things are just due to the chaos in my head or the overwhelming thoughts/feelings, fatigue during depressive episodes, or something else.
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Default Jan 22, 2022 at 12:01 PM
  #3
Thanks for sharing about some of your experiences, FluffyDinosaur. I think these types of symptoms are ones not often mentioned, but can still be part of the disorder. I do realize that we all display symptoms differently and don't all share the same ones.

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* Lamictal (lamotrigine) 150 mg
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* Seroquel IR (quetiapine IR) 50 mg
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Default Jan 24, 2022 at 04:40 PM
  #4
I used to have a decently extensive vocabulary. I was proud of my ability to study words and remember their meanings. Now I have a very difficult time with word recall, and it's almost impossible for me to remember the meaning of a new word - or a word I've used for years. I generally attribute the problem to many years of taking Klonopin - but who knows.

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Default Jan 25, 2022 at 06:05 AM
  #5
Yeah, I'm sorry I didn't contribute more, Soupe, I really do think it's an interesting topic. I'd love to hear other peoples' experiences.
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Default Jan 25, 2022 at 03:09 PM
  #6
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."

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Default Jan 26, 2022 at 05:06 AM
  #7
@Sapien, I can certainly believe the situation you described as what I call a "brain quirk" relating to severe bipolar episodes. Strange statements certainly came out of my mouth, some I barely remember but have been repeated to me. It's a shame the staff person seemed to mock your statement. Perhaps they were just ignorant or afraid what you said might be misinterpreted by the other patient.

I often wonder how related these occurrences are to forms of seizures. In fact, I once had a psychiatrist-neurologist tell me there is a possibility. I'm not really referring to convulsive types, but focal types where people are still conscious. Truth is, extreme episodes are chaos in the brain, in my view. I wrote a touch on this subject in my blog a couple years back. Speech dysfunction was one of several mentioned. Anyone interested can see that post at Interesting similarities/links between bipolar disorder & other conditions | My Journeys Beyond Bipolar Disorder Unfortunately, comments to that post are lost. They all disappeared when I imported it into a new blog from an old one.

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Default Jan 26, 2022 at 05:49 AM
  #8
Hmm, this I admit is purely speculative, but my adoptive dad was bipolar. Not sure if type 1 or 2, but he collapsed one night several years ago and had a seizure, got taken to hospital and was talking really strangely to my mum on the phone from there the next day, before we picked him up. I can’t remember exactly, but I think that was just before the only really obvious hypomanic episode I witnessed, which led to him being sectioned for a few weeks.
I didn’t actually know he was bipolar until after he died - it wasn’t discussed, but I knew there was *something* going on with him.
I’m not bipolar myself, but reading these posts is still helpful for me, to help make sense of things that have happened.
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Default Jan 26, 2022 at 07:45 AM
  #9
Quote:
Originally Posted by RoxanneToto View Post
Hmm, this I admit is purely speculative, but my adoptive dad was bipolar. Not sure if type 1 or 2, but he collapsed one night several years ago and had a seizure, got taken to hospital and was talking really strangely to my mum on the phone from there the next day, before we picked him up. I can’t remember exactly, but I think that was just before the only really obvious hypomanic episode I witnessed, which led to him being sectioned for a few weeks.
I didn’t actually know he was bipolar until after he died - it wasn’t discussed, but I knew there was *something* going on with him.
I’m not bipolar myself, but reading these posts is still helpful for me, to help make sense of things that have happened.
Thanks for sharing this story, @RoxanneToto. I can certainly believe this happening. Such stories are not very common, but far from unheard of. It's a strange mysterious connection that I think has perplexed many psychiatrists. I had three that suspected a connection between my bipolar disorder and Simple Partial seizures. I've got to admit that though my bipolar disorder type 1 is a certainty, the seizure dx remains "not definitive". These symptoms I experienced were not constants in my bipolar disorder, though. I've long since had many bipolar episodes without "odd" additional symptoms, or at least none as notable as during an approximately three year period in my mid to late 30s. Since an anticonvulsant moodstabilizer (carbamazepine ER) seemed to end or ease that period, we moved on from it. Actually, I did mostly. My old psychiatrist was disappointed that I refused further testing for it. They wanted me to stay in the hospital for a 6-day EEG, removing most of my medications. My husband and I decided to refuse.

I'm sorry about the loss of your adoptive dad. I lost my mom prematurely, too.

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Dx: Bipolar type 1

Psych Medications:
* Tegretol XR (carbamazepine ER) 800 mg
* Lamictal (lamotrigine) 150 mg
* Seroquel XR (quetiapine ER) 600 mg
* Seroquel IR (quetiapine IR) 50 mg
* Lyrica (pregabalin) 100 mg
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Default Jan 26, 2022 at 08:02 AM
  #10
Thank you, @Soupe du jour. I will admit I didn’t really like him much, but my feelings towards him are still complicated even now he’s gone. I’m sorry to hear you lost your mum, too.
Yes, the mental and physical health/symptom connection can be very complex. Perhaps the seizures are separate but exacerbate bipolar symptoms at times, or if they happen to coincide with episodes? Again, I’m just speculating, I’m not an expert by any stretch of the imagination
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Default Jan 26, 2022 at 02:48 PM
  #11
When I’m depressed listening to me is like listening to a radio with a lot of static. I stop mid thought, hel…me…Nam… my volume is also low and mumbling. On the other hand when manic I repeat a lot and do the sing song rhyme thing and use my hands often signing for emphasis. I’m pretty focused usually on trees or environmental issues.

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Default Jan 26, 2022 at 07:06 PM
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My vocabulary definately changes when manic; aside from pressured speech/thinking. I start swearing a whole lot. F this F that. When I am stable I very rarely swear.
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Default Jan 27, 2022 at 05:28 AM
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Originally Posted by neverending View Post
My vocabulary definately changes when manic; aside from pressured speech/thinking. I start swearing a whole lot. F this F that. When I am stable I very rarely swear.

Yes, I think a lot of us experience a type of Jekyll and Hyde situation. I do, too.

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Dx: Bipolar type 1

Psych Medications:
* Tegretol XR (carbamazepine ER) 800 mg
* Lamictal (lamotrigine) 150 mg
* Seroquel XR (quetiapine ER) 600 mg
* Seroquel IR (quetiapine IR) 50 mg
* Lyrica (pregabalin) 100 mg
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