Quote:
Originally Posted by nbritton
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.
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I appreciate your input. No, I am not sure of anything, My son is 24, he was diagnosed with BP2 at age 22. He was working, but struggling untill last September. He became obsessed with physics, and very bad depression, paranoid, anxiety. He thought he had powers and people could read all of his thoughts. His Dr. perscribed Lithium. He quit his job and moved home. He changed Psychiatrists, this one is not very helpful. He told my son his symptoms of feeling like he is in a video game, thinking everyone can read his thoughts, thinking everything that happens to someone is his fault, feeling invisible is Psychosis. He has not been able to work since this. He perscribed Risperidone. He has seemed more relaxed, but he says he is not. He has been taking it for 2 months.