In a manic episode associated with bipolar disorder, psychotic symptoms may occur in some individuals. It's essential to note that not everyone with bipolar disorder experiences psychosis during manic episodes. Psychotic symptoms can also be present in other mental health conditions, such as schizophrenia or schizoaffective disorder. If you or someone you know is experiencing these symptoms, it is crucial to seek professional help from a mental health provider for proper evaluation and treatment.
Typical psychotic symptoms that may be observed during a manic episode include:
Delusions: False beliefs that are not based on reality. For example, a person may believe they have superhuman abilities, possess special powers, or have an inflated sense of self-importance.
Hallucinations: Sensing things that are not present in reality. This can include hearing voices, seeing things that others cannot see, or feeling physical sensations that are not there.
Disorganized Thinking: Individuals may have difficulty maintaining a logical flow of thoughts or connecting ideas, leading to incoherent speech.
Paranoia: Feeling suspicious or fearful of others, even when there is no evidence to support these beliefs.
Grandiosity: Having an exaggerated sense of self-esteem, feeling invincible, or believing they have a special purpose or mission.
Agitation: Increased restlessness, irritability, or feelings of being on edge.
Impaired Judgment: Engaging in risky behaviors without recognizing potential consequences, such as excessive spending, reckless driving, or substance abuse.
Disrupted Sleep: Experiencing a decreased need for sleep, known as insomnia, or feeling rested after only a few hours of sleep.
It's essential to differentiate between psychosis and non-psychotic symptoms of mania. Non-psychotic symptoms of mania may include heightened energy, rapid speech, increased goal-directed activities, and an overall elevated mood.
Psychotic symptoms during a manic episode can be severe and may require immediate medical attention. If you or someone you know is experiencing these symptoms or exhibiting behaviors that indicate a manic episode, it is crucial to contact a healthcare professional or go to the nearest emergency room for evaluation and appropriate treatment.
Remember, early intervention and proper management can help reduce the severity and duration of manic episodes and associated psychotic symptoms.