Do all people with bipolar or any other mental illnesses suffer from a breakdown? I for one never had one. I was speaking to a social worker and he told me in my case it may because I have the support or maybe I have some sort of control that enables me to make it pass the days. He also seem surprise because I am not on meds. I told him they bring on any attacks and make them worst. So I just been going on a day to day basis.
Psychotic features are often present during the manic phase of bipolar I disorder. Aspects of psychosis may also manifest during extreme episodes of depression. They are also present in schizophrenia and schizoaffective disorder. These features include delusions (false ideas about what is taking place or who one is) and hallucinations (seeing or hearing things which aren't there).
As you can see those suffering from Bipolar I are more likely to suffer a psychotic episode than someone diagnosised with Bipolar II disorder.
This does not mean that all Bipolar I patients have psychotic episodes and that a Bipolar II personality cannot have a psychcotic episode.
There are too many factors involved to accurately determine who will and will not have an episode.
I'm diagnosised as Bipolar I with psychotic features but I'm not in a constant state of psychosis. Actually, most of the time I am not.
If you personnally hear or see things that aren't there, you definitely want to talk to your doctor, otherwise, I wouldn't concern myself with it.
I know I've thrown a lot of information at you and hope you find some of it helpful.
Let us know how you're doing and take care of yourself.
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