I usually get it on my highs. I don't spend much time in a depressed state and when I do I don't get into unimaginable lows, so I dunno really if I get them when I'm depressed. However, when I get really manic I always almost have delusions or psychosis. Right now I'm working my way up there (delusion stage) ... or so says my doc. Which I'm not sure I believe him. It might just be to get me on more meds and kill me. So my pdoc is trying to get me from going full on psychosis.