What is a key feature of pressured speech?

Pressured speech is indeed characterized by a rapid pace and a lack of pauses, which is a hallmark of this phenomenon. Individuals exhibiting pressured speech tend to speak urgently, as if they feel a compulsion to express their thoughts without interruption. This feature can be particularly prominent during manic or hypomanic episodes in conditions such as bipolar disorder, where the individual may have an abundance of ideas and emotions that compel them to communicate quickly. The rapid speech may also convey a sense of excitement or urgency, which is distinct from a methodical and well-paced delivery commonly associated with structured communication.

The other choices do not accurately describe pressured speech. For instance, methodical and well-paced speech suggests control and clarity, which contrasts with the urgency present in pressured speech. While depressive episodes can affect speech, pressured speech specifically is more associated with elevated mood states rather than depression. Additionally, a monotone delivery implies a flat affect and a slow speech pattern, which is the opposite of the rapid and animated nature typical of pressured speech.