Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

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How is pressured speech defined in the DSM-5?

  1. Speech lacking coherence or relevance

  2. Speech that is increased in amount, accelerated, and difficult to interrupt

  3. Speech characterized by excessive pauses and hesitations

  4. Speech that is unusually quiet or slow

The correct answer is: Speech that is increased in amount, accelerated, and difficult to interrupt

Pressured speech is defined in the DSM-5 as speech that is increased in amount, accelerated, and difficult to interrupt. This characteristic is often observed in individuals experiencing manic episodes, particularly within the context of bipolar disorder. The intensity and urgency in pressured speech signal an overwhelming drive to communicate, frequently resulting in rapid shifts in topics and a sense of urgency that the listener may find challenging to follow. This definition reflects the symptomatic presentation of certain mood disorders and helps differentiate pressured speech from other communication patterns. For instance, while other forms of speech may have pauses or be characterized by slowness, these do not encompass the essence of pressured speech. It specifically highlights the increased volume and speed of speech, marking it as a significant feature in clinical assessments.

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