Racing thoughts refers to the rapid thought patterns that often occur in manic, hypomanic, or mixed episodes. While racing thoughts are most commonly described in people with bipolar disorder and sleep apnea, they are also common with anxiety disorders, obsessive–compulsive disorder (OCD), and other psychiatric disorders such as attention deficit hyperactivity disorder (ADHD). Racing thoughts are also associated with sleep deprivation,[1] hyperthyroidism,[2] and the use of amphetamines.