Psychotic Symptoms Of Bipolar Disorder

By Sheila Wilson

Psychotic symptoms are hallucinations or delusions. A hallucination or delusion is a cognitive misperception of reality.

Though hallucinations are typically thought of as being visual, hallucinations can also be auditory, olfactory, or tactile. A person having an auditory hallucination may hear voices telling them to do things.

Delusions are thoughts that are not realistic. A person may have the delusion that their identity or purpose is supernatural. Paranoid delusions can be of being watched or monitored by the government or others.

Psychosis is a defining characteristic of a psychiatric disorder called schizophrenia. Psychotic symptoms can also occur due to severe depression or bipolar disorder.

With schizophrenia, the hallucinations and delusions may be of paranoia or being persecuted. Sometimes, the psychotic symptoms of schizophrenia can seem random.

Psychotic features of bipolar disorder are not as random as those that can be caused by schizophrenia. The psychotic symptoms of bipolar disorder are related to severe depression or mania.

Auditory hallucinations from a depressive episode can be voices telling the person to kill themselves. The person may have delusions that they have no choice but to commit suicide or that homicide will save the person from hell on earth and send the victim to heaven,

The euphoria and grandiosity of mania can cause psychotic symptoms of bipolar disorder. Psychotic symptoms of mania may cause the person to have delusions that they have superpowers, are immortal, or have been chosen by God.

Bipolar disorder and depression do not commonly cause psychotic symptoms. Most people living with these psychiatric conditions will never experience psychotic episodes.

Treatment for psychosis typically includes anti-psychotic medication such as Haldol. If the person is resistant to taking the medication regularly, Haldol injections may be prescribed. Often, a Haldol injection is only needed on a monthly basis.

The person may no longer experience psychotic symptoms once the bipolar disorder or depression is stabilized. The hallucinations and delusions are the person's reality at the time the psychotic symptoms are experienced. People experiencing psychotic episodes may become fearful of the psychosis. - 29881

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