Pressured Speech Pressured speech refers to the speech, usually of a patient with a mania which is abnormally accelerated, making the speech of the individual difficult to follow. It is often loud and emphatic. It represents the pressure of thought in which ideas arise in abundance. It is related to the flight of ideas , but in which the individual jumps from one idea to the next before the train of thought is complete. Likewise, it does not necessarily cause the individual to jump to irrelevant topics, as in the ' loosening of association .' The pressure of speech is a disorder of the stream of thought; the problem is in the speech, while loosening of association and flight of ideas are disorders of the form of thought ; the individual jumps from topic to topic. The pressure of speech is also an example of cluttered speech .