Symptoms of psychosis

  • hallucinations; hearing, seeing or sensing things which are not actually there, and cannot be seen by other people.
  • delusions; strongly held, false beliefs.
  • inability to communicate; speech is distorted, either speeding up or slowing down, thought disorder, flight of ideas.

Diagnosis of psychosis

In addition to symptoms associated with mania or depression, patients will present with either mood congruous (e.g. a mood that reflects the extreme mood state the patient is experiencing at the time) or mood incongrous (e.g. a mood that does not fit into the general mood of the patient) symptoms.

For example delusions of grandeur may occur during manic episodes, or delusions of guilt or worthlessness may occur during depressive episodes.  Bipolar patients with these symptoms are sometimes misdiagnosed as suffering from schizophrenia.