Psychosis is at its core being unable to recognize what parts of the world around you are real and what is fake. Generally, psychosis is characterized by a gradual but eventual break from reality. While most commonly associated with schizophrenia, this type of behavior can also be found in people who struggle with bipolar disorder. Those with bipolar may suffer from the hallucinations or delusions that come from psychosis during either their manic or depressive phases, although it is more common during the manic stage.
It is not 100% known why those with bipolar disorder may have psychosis as well, but it could be related to a genetic trait, brain structure or a chemical imbalance. The symptoms of the psychosis can start with things like diminished performance in school or work, building lack of personal hygiene, more and more difficulty communicating or concentrating.
These symptoms can build into more serious ones such as limiting social contact, constant suspicion of those around them, lack of emotion, and anxiety. These symptoms all cumulate into hallucinations, delusions, incoherent thoughts or speech and a general lack of awareness. You may notice that this person uses rapid speech and often has unconnected and irrational thoughts. They lose track of their thoughts quickly and often will abruptly change subjects without notice.
Hallucinations are at their core, things that someone experience through any or all of their senses but is wholly unnoticeable by those around them. A delusion, however, is an unshakeable belief that they will hold about something that is untrue. These can be positive and great things they believe about themselves, such as they have these fantastic superpowers, or they can be more paranoid delusions such as someone is always following them or out to get them.
Mood-incongruent psychosis is when the hallucinations or delusions that a person is experiencing are not related to their current feelings or beliefs. These behaviors will seem entirely out of place and tend to be more severe than the ones that come along with mood-congruent psychosis.
Those suffering from bipolar with mood-incongruent psychosis will often be prescribed different types of medications such as antidepressants, antipsychotics or mood stabilizers. Therapy will often consist of psychotherapy or electroconvulsive therapy.
Herrick Lipton is the CEO of New Horizon Counseling Center in New York and is also an advocate for mental health. For more information about Herrick or to get in touch with New Horizon Counseling Center for resources, please visit nhcc.us or call 718-845-2620.