Paranoia in Bipolar Disorder

Lack of reality testing is a common symptom of psychosis. People who have psychotic episodes often have trouble distinguishing between fantasy and reality.

Some physical and mental health problems, such as bipolar disease, may legitimately lead to psychosis. Fortunately, psychotic episodes may be treated. Knowing you have psychosis may help you get the therapy and support you need.

A mental disorder or bipolar disorder

Psychosis is not an illness in and of itself, but a symptom of a larger problem. Hallucinations and delusions are possible symptoms of psychosis.

A person with bipolar illness may sometimes exhibit psychotic symptoms. This is typical during a manic or depressive episode of extreme severity.

Despite the common association of psychosis with mental health disorders like schizophrenia and bipolar disorder, there are other physiological illnesses and reasons that might bring on the same symptoms.

It's also possible to develop hallucinations and delusions because of −

  • cystic or malignant tumour of the brain

  • mental decline, such as that caused by Alzheimer's illness

  • Neurological disorders include epilepsy, Parkinson's disease, and Huntington's disease.

  • Alzheimer's disease, schizophrenia, and other brain-affecting STIs

  • malaria

  • Sclerosis Multiple (MS)

  • The Stroke

Affective symptoms of bipolar disorder

Some people with bipolar illness experience psychosis during either manic or depressed periods. Mania makes it more prevalent, however.

Some people's conception of psychosis is that it involves a dramatic and unexpected disconnection from reality. However, the onset of psychosis is often gradual.

Some of the first signs of psychosis are &mius;

  • poor academic or professional results

  • a disregard for personal cleanliness that is out of the ordinary

  • Having a Hard Time Talking

  • Irregular Focusing

  • absence of companionship

  • unreasonable scepticism of other people

  • less showing of feelings

  • anxiety

When bipolar illness is present, psychotic symptoms may emerge, such as −


When a person is having a hallucination episode, they are having an experience that is only real to them. They could experience paranormal phenomena like hearing voices or seeing objects that aren't physically there.


Delusions are unwavering faith in something that isn't true, real, or likely to occur.

Grandiose delusions are possible. This person thinks they are unbeatable because of their extraordinary abilities or capabilities. Manic episodes in people with bipolar disease can include delusions of grandeur.

Paranoid delusions are a possible side effect of major depression in people with bipolar illness. They could start to worry that they are the targets of an attack on either their person or their possessions.

ideas and words that are jumbled or illogical

People with psychosis often think illogically. Their words may be jumbled or they may speak too quickly to understand. They may jump around from topic to topic, making it difficult to follow what they are trying to say.

Failure to recognize

Many persons with psychosis don't realize their actions don't match up with reality.

It's possible that they won't realize that nobody else is having the same experiences they are, or that their hallucinations and delusions aren't genuine.

Psychosis Subtypes

People with bipolar illness may have two distinct varieties (or aspects) of psychosis: mood congruent and mood incongruent. This indicates that your symptoms are either coherent with your mood just before a manic or depressive episode (they mirror or enhance your mood) or incongruent with your mood during the event itself (incongruent).

Sometimes both characteristics may appear simultaneously in a single episode.

Psychosis that is in line with one's mood

In most cases of bipolar disorder psychosis, the patient's mood is consistent with their symptoms. This suggests that your current episode of bipolar illness is reflected in your delusions or hallucinations (mania or depression).

Depression might cause you to feel guilty or inadequate. Delusions of grandeur are a common symptom of a manic episode.

Disjointed mood and psychosis

When your symptoms don't match your mood, it's called mood incongruence.

Hearing voices or having delusions that you are under someone else's control are symptoms of this kind of psychosis. It's also common to lack the guilty feelings and other unpleasant emotions associated with sadness.

There may be a greater degree of severity associated with emotional dissonance. People with bipolar illness and mood incongruent psychosis are more likely to need hospitalization.

Is it known what triggers psychosis in people with bipolar disorder?

In bipolar disorder, the actual origin of psychosis is unknown. However, there are a few things we know that may have a role in a person's susceptibility to psychosis −

  • Deprivation of sleep − Sleep disruptions have been linked to a worse quality of life for those with bipolar illness and may precipitate worsening of symptoms.

  • Sex − women who suffer from bipolar I illness are at an elevated risk for postpartum mania and psychosis.

  • Hormones − Hormones may have a role in the development of psychosis in bipolar illness, given the links between psychosis and delivery and the onset of symptoms during puberty.

  • Cannabis − People with bipolar illness are more likely to consume cannabis than any other substance. Multiple studies have shown a correlation between heavy cannabis usage and an increased chance of developing psychotic symptoms.

  • Genetic Differences − There may be genetic distinctions between those with schizophrenia and bipolar disorder, as has been hypothesized.

Bipolar Disorder and Psychosis Treatment

One study found that patients with bipolar illness who had experienced psychosis found that a holistic approach was the most helpful.

Because of this, it's possible that your therapy might benefit from including −

  • Keeping track of your episodes of psychosis on a calendar or planner, noting your environment, nutrition, and activities before and after each episode

  • having someone you can talk to or ask for advice from if you feel like you're having an episode or are experiencing the first signs of one.

  • Keeping away from alcohol, which has been shown to exacerbate the symptoms of bipolar illness and may be the cause of mania and psychosis.

  • establishing a wellness routine that consists of regular sleep, taking prescription medicines as directed, eating a whole foods diet, and engaging in healthy social activities.

  • the practice of making time for the things that help you maintain your equilibrium, whether they a custom-made music, a movie, some exercise, or whatever generally makes you giggle.