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Yes, manic episodes can be linked to psychosis. Psychosis is a term used to describe a mental state where a person loses touch with reality. During a manic episode, individuals with bipolar disorder may experience symptoms of psychosis, which can include:

  1. Delusions: False beliefs that are firmly held despite evidence to the contrary. For example, a person might believe they have superpowers or possess an extraordinary talent.

  2. Hallucinations: Perceiving things that are not present in reality. This can involve seeing, hearing, feeling, smelling, or tasting things that others cannot perceive. Auditory hallucinations (hearing voices) are the most common in bipolar psychosis.

  3. Disorganized thinking: People experiencing psychosis may have trouble organizing their thoughts or maintaining a logical flow of ideas.

  4. Paranoia: Feeling excessively suspicious or fearful of others, believing that they are being watched, followed, or plotted against.

It's important to note that not all individuals with bipolar disorder will experience psychosis during manic episodes. Psychosis is more commonly associated with severe manic episodes, but it can also occur during depressive episodes in some cases.

When psychosis is present, it's crucial to seek medical attention promptly. Psychosis can be distressing, confusing, and potentially dangerous for the person experiencing it and those around them. Proper diagnosis and treatment, including medication and therapy, can help manage both the manic symptoms and psychosis, reducing the risk of harm and improving the individual's overall well-being.

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