Speech intertwines and accelerates in a maniac who often talks with a loud voice and a flow that is difficult to interrupt. He may be angry when he opposes or stops him. Whispers or strikes. He casts humor with a joking conversation and an unnatural familiarity. He uses puns, hair, and spaghetti. He manipulates words. He may integrate several languages. He may sometimes sing or nod. Without speaking, and in parallel may be distracted in writing even on the walls.