What are bipolar psychotic statements?!


Question:

What are bipolar psychotic statements?

I heard that during a severe bipolar episode, that a person can say what are referred to as "psychotic statements". Is this true? What are these kind of statements exactly? thanks.


Answers:

"Psychotic statement" is a rather vague phrase, isn't it? Any mental health professional I've known would use the label "delusion" instead. Delusion means a false belief. It can be something distinctive to psychosis, such as a belief that words or songs on the radio or TV are messages directed intentionally at you. It can be a paranoid delusion about some neighbor having poisoned your food. It can be delusions of grandeur that manics have especially, making plans for business ventures that are not thought through, things like that.

Are you still wondering about mania causing delusions about a relationship? Delusions of grandeur come into play there even more than with foolish business plans.

Sometimes delusions go away when the psychosis lifts. Sometimes they don't. My father became psychotic due to medical problems after heart surgery. That cleared in a few days, but years later he could still describe his delusions about how he was being experimented on and at least halfway believe them. There's no definite rule about how valid things are that people say when psychotic any more than what people say when intoxicated. Either condition can produce ideas that are very distorted, yet have some truth to them. Those are things that the individual has to sort out when he or she is back to normal, assuming they can get back to normal. I don't think there's even a reliable way for a professional to say this statement means something and that one doesn't. All you can do is ask someone to be honest with you, and decide what you want to do accordingly.




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