Psychotic Bipolar Depression
[Home] [Bipolar News] [Bipolar Disorder] [Medications] [Treatments] [Bipolar Disorder/Job/School] [Disabilities] [Ask the Doctor] [Ask David] [Self-Injury] [Personal Stories] [Graham's Column] [Steven's Column] [Storm's Column] [Columnist Archives] [Suicide] [Community Support] [Family Members] [Expressions] [Greeting Cards] [Books] [Awards] [Links & Rings] [About Us] [Contact Us]

 


Q:  Psychotic Bipolar Depression


Hi Dr. Phelps,
Can you tell me about your observations of Bipolar patients that get psychotic while depressed instead of manic. I just read a Bipolar Clinical Management Medscape article that said that 30 percent or so of people with Bipolar Depression get psychotic. Do you see it often? Do you handle meds differently in those cases? My son is psychotic again and I was hoping to gain some insight. The main Bipolar books haven't mentioned it.Thanks so much.....
http://www.medscape.com/viewprogram/135

 

Dear Ms. B' -- 
Yes, I do see that combination of depression and psychosis quite often in bipolar disorder.  For an official, if technical discussion of this topic, try this article on 
psychotic bipolar depression.  Admittedly there is an emphasis on psychosis as part of "mania".  Admittedly, there is a tendency to see psychosis as linked with mania, such that when psychosis is seen in bipolar depression, it's called "bipolar mixed state"; as opposed to a depression with psychotic features.  Interestingly, as you've probably learned, psychotic depression is a well-recognized phenomenon, though it is not technically a bipolar variation (some authors think it is...).  The important thing, obviously, is to keep one's eyes on the symptoms and not get too confused with the lingo.  

Dr. Phelps


Published October, 2002 

 

Bipolar World   1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, 2013, 2014
Owners: 
Allie Bloom, David Schafer, M.Ed. (Blackdog)
Partners:  John Haeckel, Judith (Duff) 
Founder:  Colleen Sullivan
 

Email Us at Bipolar World

 

About Us  Add a Link  Advance Directives  Alternative Treatments  Ask the Doctor   Ask Dr. Plyler about Bipolar Disorder   Ask The Doctor/ Topic Archives  Awards  Benny the Bipolar Puppy  Bipolar Chat  Bipolar Children  Bipolar Disorder News  Bipolar Help Contract  Bipolar World Forums  Book Reviews  Bookstore  BP & Other mental Illness   Clinical Research Trials & FDA Drug Approval   Community Support   Contact Us  The Continuum of Mania and Depression   Coping   Criteria    Criteria and Diagnosis  Criteria-World Health Disabilities,  DSMV-IV   Dual Diagnosis  eGroups  Expressions (Poetry, Inspiration, Humor, Art Gallery, Memorials  Family Members   Getting Help for a Loved One who Refuses Treatment  Greeting Cards  History of Mental Illness  Indigo  Job and School  Links  Manage Your Medications  Medications   Medication and Weight Gain    News of the Day  Parent Chat  Pay for Meds  Personal Stories  Self Help  Self Injury  Significant Others  Stigma and Mental Health Law  Storm's Column  Suicide!!!  The Suicide Wall  Table of Contents   Treatments  Treatment Compliance  US Disability  Veteran's Chat  What's New?