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Old Jun 14, 2018, 09:47 AM
tecomsin tecomsin is offline
Magnate
 
Member Since: Oct 2017
Location: canada
Posts: 2,007
Quote:
Originally Posted by AspiringAuthor View Post
This might have been a mixed state. Mixed states make the management of bipolar I a challenge (not that it is not a challenge anyway!). You have grandiosity (God talking to you), which is manic, and you have suicidality, which is depressive. I personally have tried suicide in such states - it is not that God was telling me to kill myself, but the speed of my thoughts was manic (very rapid) while the content was depressed. I did not gain insight until much later in retrospect. For me personally such states are the most dangerous ones.
I agree it could be a mixed state. Also has the disordered thought been a recurrent one or a one off?

Zyprexa is my go to PRN when I start to notice psychotic thoughts or signs of mania. In my case, mania and psychosis tend to feed off each other until it spirals out of control. I haven't needed to take it though since starting Rexulti.
__________________
BP 1 with psychotic features
50 mg Lyrica
50 mcg Synthroid
2.5 mg olanzapine
Thanks for this!
AspiringAuthor, Movingon69