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Originally Posted by tc2012
My son was diagnosed with bipolar 2. He has been having symptoms of psychosis for several months. He has been taking Risperdol for 2 months. He seems better to me. He says he is not, he can just supress his feelings better. He says he feels like he is in a video game. Is this common among people with BP?
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What exactly do you mean when you say he feels like he is in a video game? Are you sure you're not confusing psychosis with perhaps an inability to articulate thoughts and feelings? If he said that to me I wouldn't jump to psychosis, I'd conclude that he feels as though he has no control over what is happening to him in his life. A straightforward diagnoses of bipolar type 2 precludes psychosis, so if your child is actually suffering from psychosis, I'm confused as to why his doctor has given him this diagnoses.
Maybe I'm splitting hairs, but if your son has psychosis, and it's not antidepressant induced, his diagnoses should be amended to include psychotic depression, or changed to schizoaffective disorder or schizophrenia.
Psychotic depression is often due to an abnormality in the hypothalamic pituitary adrenal (HPA) axis, I would consult an endocrinologist for a rigorous laboratory workup if this hasn't been done.