Psychosis in bipolar disorder (BD) is characterized by the presence of either delusions or hallucinations or both[1]. It is well known that over half of the patients with BD develop psychotic symptoms during their lifetimes[2,3]. Psychotic symptoms are more frequent in bipolar than in unipolar depression[3-5].
The known maladaptive types of coping mechanisms, or negative coping skills, evident in BD patients are “… rumination, catastrophism, self-blame, substance use, risk-taking, behavioral disengagement, problem-direct coping, venting of emotions, or mental disengagement” (Apaydin & Atagun, 2018).
Psychosis is a loss of contact with reality. It usually includes: Delusions: False beliefs about what is taking place or who one is. Hallucinations: Seeing or hearing things that aren't there.
Schizophrenia: Criterion A lists the five key symptoms of psychotic disorders: 1) delusions, 2) hallucinations, 3) disorganized speech, 4) disorganized or catatonic behavior, and 5) negative symptoms.
There are five such domains: hallucinations, delusions, disorganized thought (speech), disorganized or abnormal motor behavior (including catatonia), and negative symptoms.
The phrase “bipolar meltdown” could refer to a bipolar person having a manic episode or being in a depressed state. These conditions could cause them to lose control of their emotions and have trouble managing them.
Delusions of grandeur: Believing that you're famous or publicly important or that you're a god. Delusional jealousy: Believing that your spouse or partner is being unfaithful when they are not. Persecutory or paranoid delusions: Suspecting that you are being followed, spied on, secretly listened to, or the like.
Bipolar delusions are a part of psychosis, which involves losing contact with reality. Bipolar disorder delusions occur in both manic and depressive mood episodes and are typical in individuals with bipolar disorder.
For example, the belief, I am unlovable, may be driving the conditional rule, If I am thin, then I will be loved by others, which may drive obsessive thinking about one's appearance, excessive exercise, or disordered eating habits.
What Causes Maladaptive Behavior? The causes of maladaptive behaviors vary significantly. They can include personal history, learned behaviors, problematic thinking patterns, and emotional dysregulation issues. Difficulties with anxiety often cause maladaptive behaviors, too.
These mood episodes cause symptoms that last a week or two, or sometimes longer. During an episode, the symptoms last every day for most of the day. Feelings are intense and happen with changes in behavior, energy levels, or activity levels that are noticeable to others.
Answer questions honestly. But don't argue or debate with a person during a manic episode. Avoid intense conversation. Don't take comments or behavior personally.
It's common for someone with bipolar disorder to hurt and offend their partner. When someone is first diagnosed, there are often relationship issues that need to be addressed. Couples counseling can help you: Understand that there's an illness involved in the hurtful behavior.
It's also a symptom of mental health conditions and commonly occurs in the presence of bipolar disorder, borderline personality disorder, and other personality disorders.
Talking rapidly, sudden changes in topic, or “leaps of logic.” Having more energy than usual, especially if needing little sleep. Being intensely focused, or finding it hard to focus. Involuntary facial movements, such as twitches or mouthing.
Anger and irritability are common symptoms of bipolar disorder. While anger is a normal response that many people feel at moments in their life, a person with bipolar disorder will be more vulnerable to impulsive and often irrational outbursts.
The role of delusions in schizophrenia psychopathology
The fundamental symptoms, which are virtually present through all the course of the disorder (7), are also known as the famous Bleuler's four A's: Alogia, Autism, Ambivalence, and Affect blunting (8).
The typical course of a psychotic episode can be thought of as having three phases: Prodrome Phase, Acute Phase, and Recovery Phase.
First episode psychosis (FEP) is defined as the first time a person outwardly shows symptoms of psychosis. When patients with FEP become aware of their problems, they show distress and confusion, ruminate their symptoms, and have interpersonal problems caused by enhanced sensitivity (1).