Yes, it is possible for someone to have bipolar disorder with psychotic features without experiencing major depression. Bipolar disorder is a mood disorder characterized by cycles of mood swings that include episodes of mania or hypomania and episodes of depression. When psychotic symptoms, such as hallucinations or delusions, occur during either the manic or depressive phase of bipolar disorder, it is referred to as "bipolar disorder with psychotic features" or "bipolar disorder with psychosis."
The classic presentation of bipolar disorder involves alternating periods of elevated mood (mania or hypomania) and periods of depression. However, not all individuals with bipolar disorder will experience both manic and depressive episodes. Some may primarily have episodes of mania or hypomania without significant depression.
Bipolar disorder with psychotic features can manifest in different ways:
Bipolar disorder with psychotic features during manic episodes: This occurs when a person experiences symptoms of mania along with psychotic symptoms like grandiose delusions or hallucinations.
Bipolar disorder with psychotic features during depressive episodes: In this case, a person may experience symptoms of depression along with psychotic features such as depressive delusions or hallucinations related to their low mood.
Bipolar disorder with psychotic features during mixed episodes: Mixed episodes involve a combination of manic and depressive symptoms, and psychosis can occur during these episodes as well.
It's important to note that psychotic symptoms can significantly impact an individual's functioning and require prompt treatment. If you or someone you know is experiencing symptoms of bipolar disorder with psychotic features, it is essential to seek help from a mental health professional for an accurate diagnosis and appropriate treatment. Effective treatments, including medications and psychotherapy, can help manage symptoms and improve overall quality of life.