During a psychotic episode in a person with bipolar disorder, their thoughts and perceptions may become significantly altered and distorted. It's important to note that the experience can vary widely from person to person, and the severity and specific symptoms may differ depending on the individual and the phase of their bipolar disorder.
Bipolar disorder is characterized by periods of depression and periods of mania or hypomania (less severe form of mania). A psychotic episode can occur during the manic or depressive phase of bipolar disorder. When it happens during a manic episode, it is referred to as "manic psychosis," and during a depressive episode, it is called "depressive psychosis."
Here's a glimpse into what may go on in the mind of a person with bipolar during a psychotic episode:
Delusions: The person may experience strong, fixed beliefs that are not based in reality. These delusions can be grandiose (e.g., believing they have special powers, are exceptionally talented, or have a unique mission) or paranoid (e.g., feeling persecuted or believing that others are plotting against them).
Hallucinations: They may have sensory experiences that are not real, such as hearing voices, seeing things that are not there (visual hallucinations), or feeling things that don't exist (tactile hallucinations).
Disorganized thinking: Their thoughts may become fragmented, making it challenging to maintain coherent conversations or follow a logical sequence of ideas.
Heightened emotions: Emotions may be intensified, leading to extreme mood swings and unpredictability.
Impulsivity: During a manic psychotic episode, the person may engage in risky behaviors without thinking about the consequences, which can further exacerbate the situation.
Confusion: There may be difficulties in distinguishing between reality and their altered perceptions, leading to a state of confusion and disorientation.
Agitation or withdrawal: The person might display restlessness, irritability, or increased energy levels, or they may withdraw from social interactions altogether.
Deterioration of self-care: As the episode progresses, they may neglect self-care activities such as eating, sleeping, and personal hygiene.
It's important to remember that a psychotic episode is a serious medical condition and requires immediate professional intervention. If you suspect that someone is experiencing a psychotic episode, it's crucial to seek help from a qualified mental health professional or take the person to the nearest emergency department for assessment and treatment. With proper care and treatment, people experiencing a psychotic episode can find relief from their symptoms and stabilize their condition.