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[quote=Anonymous]“This speech pattern is characteristic of disorganized thinking in psychotic disorders,” explains psychiatrist Michael Peterson, MD, PhD, an assistant professor in the department of psychiatry at the University of Wisconsin School of Medicine and Public Health in Madison. Dr. Peterson offers these examples of clang associations: “that boat hope floats” or “the train brain rained on me.” The words involved often have a rhyming, near-rhyming, or punning (choosing words based on double meanings) quality to them.

There are other types of language changes that may be present with bipolar symptoms in addition to clang associations, including:

Word salad. A jumble of words that are not apparently linked and may be hard to understand.
Disorganization. Jumping from one idea to another without transition.
Neologism. Making up words that have no meaning to anyone but the speaker.
Echolalia. Repeating others’ words or phrases.

Typically, if you spend time with a person who is becoming psychotic, you will notice that his language gets less sensible and understandable as his psychosis gets worse. He may not be aware that he is not making sense as he strings together clang associations or other unusual language associations. Eventually he may become totally incoherent or appear to be “speaking in tongues.” Rationalizing with him or trying to talk to him about what he is saying is not going to get you any clear answers. Instead, start seeking treatment for his bipolar symptoms as soon as you notice that his language is starting to fall apart.“

https://www.everydayhealth.com/bipolar-disorder/clang-associations-in-bipolar-disorder.aspx

This is a serious medical condition and needs (probably) intensive inpatient treatment and medication management. People who attend church and lead normal lives don’t have bi-polar disorder with psychotic features. [/quote]

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