Is talking out loud in a stream of consciousness manner related to bipolar or anxiety? I have been doing it more and more lately though it's gone on over a year. It's just been recently I have caught myself doing it in the middle of Wal-mart, not at home when I'm alone. Now I do it at home with H and my daughter, and the thoughts I speak out loud are usually very mundane, boring thoughts no one would even want to hear.