psychotic mania

can anyone share their experiences with psychotic mania or bipolar with psychotic features? i have no idea where mine are heading but they are here, and they are not backing down.

Hypomania is distinguished from mania by the absence of psychotic symptoms. In other words if there are psychotic features its mania. BP2's can get psychotic features in mania the same as anyone does. Is this what you are referring to on the Black Dog Site ?

Before my current recovery I had full blown mania and also had psychotic episodes (which need not go with it, I have schizoaffective disorder but there is also bioplar with psychotic features where psychosis only occurs during mood changes, in schizoaffective disorder its all the time). Things were disturbing and extreme and I needed medication as soon as I had my first psychotic break.

t think are required for bipolar disorder 1 to be diagnosed and only mania is required but they frequently occur. With psychotic features just means you experience psychotic symptoms when manic and/or depressed but particularly while manic.

My second question is how do I (and of course, my psychiatrist) differentiate between whether I am bipolar with psychotic features or schizo-affective? I definitely have the cycles of mania and depression, starting about three years ago, would have auditory and visual hallucinations when severely depressed. Recently with this batch of mania, I have begun to have the auditory hallucinations too, as well as visual. I also am having some problems with disorganized thoughts and speech and delusions.

i need something for hypo mania and deppreshion..will the lamictal take care of them both?? at 25 mgs 1 aday 2 weeks then 50 mgs aday 2 weeks then 100 mgs aday till seen?????????

I admit to being confused as to what recover between mania he means - unless your attacks were not mania (which some of us encounter rather often) but psychotic mania in which case there is no actual recovery time at all unless your particular epidimiology is every 3-4 years - you can have manic attacks anytime and you can get manic on mood stabilisers - trust me on that one.

I have noticed, just before mania escalates, I start eating more and it feels like the calories push me to build the energy to go manic, I will have to observe and see if that is consistent. I am still baffled by psychotic mania and mixed states, I think that is triggered by stress for me. I tend to stay more hypomanic, not always, when things are good and I don't have to shift gears too much.

I was hiospitalized for mania with a variety of visual hallucinations and sudden blindness and physical symtoms such as numbness tingling inability to speak and those that appeared similar to seizures that they were unable to diagnose weather they were seizure or mania related. After I was released I had {a dellusion} that the only reason my new roomate was letting me live there is because he had taken out an insurance policy and was going to kill me for the money.

Yes I have bipolar 1 wih psychotic features severe mania. I was trying to read about it online but it was giving me other information. When I go to my doc I am taking a list of medications so we can find out what is best for me.

i am not really well. six months of hypomania. i wanted to ask the forum whether what is going on is natural because usually my manias are aborted quickly by AP's. 1. 1st i don't know whether i am cycloth... or BP2 or BP1 but sure i had psychotic symptoms so may be BP1. But again my 1st mania occurred only under AD's as well as all the other 3 manias. But the latter weren't true mania just hypomanias for a few days but still due to AD's which I rushed in time to kill.

After a week or so, he began exhibiting symptoms of mania, delusional thinking, and paranoia. He saw the doctor who had prescribed the Levothyroxine, and told him how he was feeling. the doctor sent him to the emergency room. That night, he entered a psych hospital and has been there for 6 days. Doctors say he has had a manic episode, and are leaning towards diagnosing him with bipolar. They're trying a couple anti-psychotic meds and plan to release him in six days.

Keep seeing the p work, psychotic, sort gets me worried. I don't see myself as psychotic. My doctor doesn't think I'm psychotic, I think he just thinks that when I'm very depressed I can get this way. I remember calling my therapist while I was in San Diego on a nightmare vacation, where the whole time I thought I had rabies or something was terriblly wrong with me. I might add, I was also on a medication for birth control called yaz, which I think contributed to the whole thing.

And I have schizoaffective disorder which may be a more extreme variant of bipolar with psychotic features (in schizoaffective disorder you are psychotic all the time, in bipolar with psychotic features its only during moodswings) from what I learned during testimony I conducted. People with bipolar usually have some mood episodes before the full onset. Its complex.

I was up and down for a while after the birth of my fourth beautiful baby. Then one night I stayed awake all night and that was it, I plunged into a very severe depression. I could not hold down water, struggled with an antidepressant for one month also with zanax. It was not getting any better, really it was very severe and I became like a skeleton and very irrational.

I found this ironic and strangely eery because earlier this year I had my first, really bad psychotic mania episode soon after quitting weed. She informed me that quitting weed was probably helping to bring on the mania. I'll be setting up an appointment with my old psychiatrist soon. I hadn't set one up with them sooner 'cause it was through the county. They claimed my case was closed but never informed me I could go in for assessment to open a new case.

I now know I always had behavior that was unusual and somewhat abnormal since I was a child, first started having psychotic thoughts when I was 13 and then at the age of 18 had a full psychotic break. I never really felt like myself until I started that treatment in clinical study but once I did could look back and see that I always had behavior patterns and obsessions that were markedly abnormal.

Some of what you describe does sound like it might be caused by mania and hypomania and mania are not exact quantities that are measurable but some of the changes you described seem of concern so it would be worthwhile to speak to your psychologist and keep them up to date so they can best help you.

I do awesome on hypo mania, which is how I feel now, but I have to be careful not to reach psychotic states. When I am depressed or having a full blown psychotic episode, I definitely miss hypo mania, it is the closest thing to normal I have ever known. So, I have to ask myself, do the benefits outweigh the costs? I have never felt what stable is like, no med has done that and I have never achieved it on my own, so I can't comment on that being better or worse.

Bipolar has no aspects of psychosis. With bipolar with psychotic features, during a period of moodswings (mania, depression) a person has auditory hallucinations (hears voices) or visual hallucations or has delusions (perceives things that are not in reality). With schizoaffective disorder, a person can have hallucinations or delusions even when the mood is euthymic (normal).

I can be crying and in a rage, ready to tear down the city like Godzilla and suicidal thoughts, it feels psychotic to me, not just angry. I also am BP1, so the word mania to me is a very intense term. It's not just being superman, I can feel possessed or like something else is in control. Do you have events that trigger you from feeling like superwoman to being angry, or is it just a random event in an otherwise good day?

I know that I (along with many BP friends) have had serious issues with all of the ADs. With Wellbutrin, I had a psychotic break that manifested itself in extreme, delusional paranoia. It wasn't pretty. With Celexa, I cycled much harder; it really wasn't until I ditched the Celexa completely that my moods stopped swinging dangerously. My moods still swing, but no where near as bad as they were with Celexa.

But I want to know if u guys agree that antidepressants only cause mania in someone with bipolar or if it may just be a side effect for some? I was diagnosed by a M.D. based on mania induced by antidepressants. I want to know if anyone thinks this can happen to only bipolar people or normal people also. And by all means don't hesitate to tell us why u feel that way. Thanks in advance guys!

In schizoaffective disorder and bipolar with psychotic features mania and psychosis can overlap and a person needs both a working mood stabilizer and an antipsychotic and the effects overlap so that if an antipsychotic is not working properly a person can become manic and the reverse. The full spectrum from bipolar to bipolar with psychotic features and schizoaffective is not fully understood.

You are also reporting some things characteristic of hypomania/mania which, if it IS hypomania/mania would definitively rule out depression. I think you definitely need to see a psychiatrist. There are some good drugs out there which can clear up a lot of the scary strange things going on in your mind. I'm on some of them.

I think that bipolar disorder can be with or without psychotic features. Since you seem to be having some psychosis then I would say you have it with. I think they have to observe you over time to get an acurate diagnosis. Therefor you would have to meet the diagnostic creiteria outlined in the DSM IV to recieve a diagnosis.

I mean a person having unipolar depression is difficult to treat than a person having unipolar mania. Mania harms the brain and is the cause of the kindling effect, there is no kindling effect I suppose in depression; meaning after every depressive episode the next one is worse. I read often that mania stops itself eventually even if untreated. I don't want to try.

Any medication can sometimes take a week or two or longer to take full effect while some will take effect instantaneously. It all depends on the person of course. When I took Geodon I sometimes would "drool and stumble" figuratively for the former (felt really dumb some days) and literally for the latter (dragged my feet and sometimes felt drunk).

Psychotic mania

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