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Old Oct 26, 2010, 08:20 AM
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sugahorse1 sugahorse1 is offline
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Can a mixed episode present with psychosis?
More on the depression scale of things?
I'm not quite sure what the psychosis symptoms would be, but I feel totally out of it...
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Current dx: Bipolar Disorder Unspecified

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  #2  
Old Oct 26, 2010, 08:54 AM
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<H1 class=Heading1a itxtvisited="1">Psychotic Depression Symptoms</H1>By Hunter Darden, eHow Contributor

I want to do this! What's This?

Approximately 25 percent of depressed hospitalized people suffer from psychotic depression. Psychotic depression is believed to be caused by a thyroid gland that is functioning abnormally or an overproduction of cortisol hormone during especially stressful times of life. It can also be hereditary. Psychotic depression encompasses feelings of severe depression. This includes aspects of psychosis which could manifest into hallucinations, delusions and irrational behavior. Some feel that something is wrong with their outward appearance or physical body. They may display unreasonable anger. Or they may twist their lives around by spending their time in bed sleeping during the day and awake through the night. They may be neglectful about changing their clothes or bathing and paying attention to their appearance.

  1. <H2 class=Heading3a itxtvisited="1">The Danger of High Cortisol Levels and Psychotic Depression</H2><LI id=jsArticleStep1 itxtvisited="1">A high level of cortisol in the blood system is considered to be one of the underlying reasons for psychotic depression. It is a necessary steroid hormone that is produced by the adrenal glands. Higher levels of cortisol are produced in the morning. They slowly taper off during the course of the day and level off around 4 p.m. Higher levels of cortisol are produced during more emotionally and physically stressful periods, also. <H2 class=Heading3a itxtvisited="1">The Inner Emotions of Psychotic Depression</H2><LI id=jsArticleStep1 itxtvisited="1">Most people with diagnosed psychotic depression are typically aware that their fantasies and apparitions are not founded. It makes it more complicated to diagnose this because these sufferers try to hide their symptoms out of embarrassment. Low self-esteem is often at the root of the disorder which fosters disinterest in activities. Mood swings are common occurrences. The reoccurrence of psychotic depression increases the threat of bipolar depression, and the possibility of suicide is entertained by them. <H2 class=Heading3a itxtvisited="1">Physical Symptoms of Psychotic Depression</H2><LI id=jsArticleStep1 itxtvisited="1">The physical symptoms of psychotic depression include: physical immobility, anxiety, constipation, intellectual impairment, insomnia, hypochondria and psychosis. A person may also have chronic sleeplessness. It is hard to diagnose it because it's difficult to get people with the disease to vocalize their issues. The symptoms are confused sometimes with schizophrenia. There can also be weight loss or gain, feelings of worthlessness and an inability to focus. <H2 class=Heading3a itxtvisited="1">Physical Treatment for Psychotic Depression</H2><LI id=jsArticleStep1 itxtvisited="1">Hospitalization is recommended for an intense level of treatment. Medication, in the form of an antidepressant, or an antipsychotic drug is effective. Electro-convulsive treatment may also be used if the medications are not as successful. During the exam, the electrodes are put on the scalp of the patient and electric currents are applied. It controls the convulsions and helps with the release of a neurochemical in the brain. The side effect can be short term memory loss. <H2 class=Heading3a itxtvisited="1">Emotional Treatment for Psychotic Depression</H2>
  2. Counseling sessions are also highly recommended and effective. The treatment for psychotic depression is typically effective. People have been known to recover within a year's time. However, it is imperative that there be consistent follow-up treatment for an ensured healthy psyche.


Read more: Psychotic Depression Symptoms | eHow.com http://www.ehow.com/about_5139567_ps...#ixzz13TNSEaXz



296.1 Manic-depressive psychosis, depressed type

An affective psychosis in which there is a widespread depressed mood of gloom
and wretchedness with some degree of anxiety. There is often reduced activity
but there may be restlessness and agitation. There is a marked tendency to
recurrence; in a few cases this may be at regular intervals.
Depressive psychosis Manic-depressive psychosis or reaction
Endogenous depression Monopolar depression
Involutional melancholia Psychotic depression
Excludes: circular type, if previous attack was of manic type (296.3)
depression NOS (311)
_________________________________________________
Manic Depressive Psychosis

Depressive Psychosis takes three forms:
  1. Simple retardation - In this condition the patient suffers from serious mental disturbances so that the physical and menatl processes lose their vitality and energy.
  2. Acute melancholia - In this condition the patient suffers from a greater depression and the blues than in the previous condition. The patient develops a sense of inadequacy and this sometimes even led to suicide.
  3. Suporous melancholia - In this condition the tendency towards suicide is further strengthened because the patient is now disappointed with life. The feeling for crime and sin grows, she/he is seen crying, vituperating and irritated with herself/himself.
Kinds of Manic Depressive Psychosis
  1. Recurrent mania - In this the patient experiences a recurrent of waves of mania, so that conditions of excitement and peace alternate quite rapidly.
  2. Recurrent melancholia - in this patient experience a state of melancholia depression.
  3. Alternate manic depression - In this the patient experience excitement or mania, then returns to his normal condition but then moves on to a state of depression. in this manner he oscillates between mania and depression.
  4. Manic depression of double form - Here the patient have both mania and depression.
  5. Circular manic depression - The disease goes from mania to depression in a circular pattern.
  6. _____________________________
Psychotic depression is a severe form of depression wherein, an individual demonstrates depressive symptoms along with psychosis or irrational behavior. Although this form of depression is less common compared to melancholic or non-melancholic depression, its severity can be realized by the fact that 25% of the patients hospitalized for any illness related to depression suffer from psychotic depression. Psychotic depression is one such mental disorder which can even lead to suicidal tendencies.

Although a topic of debate so far, it is assumed that psychotic depression may be caused due to abnormal functioning of thyroid or excessive production of cortical hormone during the periods of stress. It's also believed that psychotic depression can be hereditary.

Psychotic Depression Symptoms

In addition to severely depressed mood and frequent mood swings, irrational behaviors like hallucination and delusion are observed in an individual suffering from this form of depression. The individual can hear voices and see things which don't actually exist, the former being quite common phenomena. Some common delusions may include the individual's belief that something is wrong with his physical appearance or his body, which in fact is not true.

A person suffering from psychotic depression may show signs of anxiety and mental distress. Other symptoms of this disease include frequent frightening dreams, chronic sleeplessness, physical immobility and psychosis. The people suffering from this disease don't usually open up, hence it's difficult to diagnose it. The other thing, which hampers the proper diagnosis of psychotic depression is the fact that its symptoms are more or less similar to the symptoms noticed in other forms of neuropathy like schizophrenia.
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"I'd rather attempt to do something great and fail than to attempt to do nothing and succeed. Robert H. Schuller"

Current dx: Bipolar Disorder Unspecified

Current Meds: Epitec (Lamotrigine) 300mg, Solian 50mg, Seroquel 25mg PRN, Metformin 500mg, Klonopin prn
  #3  
Old Oct 26, 2010, 08:55 AM
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sugahorse1 sugahorse1 is offline
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A whole lot of waffle - sorry about the layout, but I really cannot do much more than copy and paste..
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"I'd rather attempt to do something great and fail than to attempt to do nothing and succeed. Robert H. Schuller"

Current dx: Bipolar Disorder Unspecified

Current Meds: Epitec (Lamotrigine) 300mg, Solian 50mg, Seroquel 25mg PRN, Metformin 500mg, Klonopin prn
  #4  
Old Oct 26, 2010, 02:36 PM
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lonegael lonegael is offline
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Uhm, a lot of the symtoms like the restlessness and so on are the same that you can get in some versions of a mixed episone, yes, and the anxiety can present as paranoia if it starts getting extreme, nocturnal cycle, delusions and halucinations, yep, youcan get all of that with a mixed episode as well, why do you ask?
  #5  
Old Oct 26, 2010, 10:22 PM
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LaraLynn LaraLynn is offline
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YES YES YES unmedicated YES.... see ME um yeah that is what was happening to me during my last unmedicated lapse. I was Manic Manic Manic Mixed Mixed depresessssssssssssssssssssed Mixed Mixed delusions and halucinations delusions and halucinations delusions Mixed and halucinations Mixed delusions and halucinations Mixed delusions and halucinations MANIC HUGE ISSUES!!!! Get the picture. depressed. ho hum.
Thanks for this!
lonegael
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Old Oct 26, 2010, 11:38 PM
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sugahorse1 sugahorse1 is offline
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I've never been manic - but during this mixed episode I just feel so out of it. Like I'm alien in my body. I stare into space and cannot focus on things. I was looking at a carpet and it almost looked like it was moving.
I have been so irritable. And lonely. And dwelling on my emotions WAY too much
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"I'd rather attempt to do something great and fail than to attempt to do nothing and succeed. Robert H. Schuller"

Current dx: Bipolar Disorder Unspecified

Current Meds: Epitec (Lamotrigine) 300mg, Solian 50mg, Seroquel 25mg PRN, Metformin 500mg, Klonopin prn
  #7  
Old Oct 27, 2010, 02:26 AM
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lonegael lonegael is offline
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Ai! Dear, hang in there. It may not psychosis yet. May never get there, but it might also be that your mood stabiliser is trying to keep the mood aspects of your depression out of the picture, so you are getting the other depressive symtpoms instead. The lithium was doing that to me for a while. Be careful, and keep in touch, Suga. Fie, Yuck, poor you! HUGGGGGGGGSSSSS
  #8  
Old Oct 27, 2010, 02:59 AM
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sugahorse1 sugahorse1 is offline
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I'll freak if I have real hallucinations and hear voices...
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"I'd rather attempt to do something great and fail than to attempt to do nothing and succeed. Robert H. Schuller"

Current dx: Bipolar Disorder Unspecified

Current Meds: Epitec (Lamotrigine) 300mg, Solian 50mg, Seroquel 25mg PRN, Metformin 500mg, Klonopin prn
  #9  
Old Oct 27, 2010, 03:51 AM
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Quote:
Originally Posted by sugahorse View Post
I've never been manic - but during this mixed episode I just feel so out of it. Like I'm alien in my body. I stare into space and cannot focus on things. I was looking at a carpet and it almost looked like it was moving.
If it's any comfort... as mentioned before, I get the alien thing, but also, the carpet moving and such? Yup, check. That kind of thing? A LOT. I don't consider them hallucinations really (or ....maybe... "real" hallucinations?). See them. They're weird. But knowing they're not real. Not really real. They seem that way for a bit, but...
Is it like that? Because (for me at least), those things can be disconcerting, yet I don't feel "concerned" about them.... just let them ride, so to speak.

Don't know if this has been any help or just blathering(!), but if it can be any help, or can help you from freaking out, then there it is.
Thanks for this!
lonegael
  #10  
Old Oct 27, 2010, 03:56 AM
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sugahorse1 sugahorse1 is offline
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I know those things are not REAL, but it still freaks me out, lol
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"I'd rather attempt to do something great and fail than to attempt to do nothing and succeed. Robert H. Schuller"

Current dx: Bipolar Disorder Unspecified

Current Meds: Epitec (Lamotrigine) 300mg, Solian 50mg, Seroquel 25mg PRN, Metformin 500mg, Klonopin prn
  #11  
Old Oct 27, 2010, 04:05 AM
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Ahhhhh, then freak ye not!
(Hehe, I know it's a "reasonable hour" there, but here.... let's just say I really *should get to bed as I won't know for a few hours if I'm working in the a.m. or not... guess I'll regret it then, lol. Soon though, soon. Still! Good to be yapping in real time, ya!)
  #12  
Old Oct 27, 2010, 09:21 PM
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LaraLynn LaraLynn is offline
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you can get into psychosis by dwelling too much on one thing for too long... well at least I can that is how it starts to happen for me the delusions and hallucinations. Best to think about lots of things read, a book watch tv, go for a walk. DO NOT BE ALONE WITH YOUR OWN THOUGHTS. My Dr. said that is how mood disorders become mixed into the thought realm of pychosis and that is what always happens to me. Not fun not fun at all. Has taken me 6 weeks to get out of it this time and I was there for 5-6 months... strange world.
  #13  
Old Oct 28, 2010, 03:19 AM
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lonegael lonegael is offline
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I also get the nail holes that run around on the walls, sometimes. Annoying. It was very bad when i was on Serzone. It was on that drug that the people in my peripheral vision moved into my central and started talking to me. Then I decided that this was a violation of my personal space, if you catch my drift. Even if you know it's not real, it's darned distracting. What annyed me no end was that my pdoc didn't take me seriously at the time. Really a heads up that I needed a new pdoc.

Run away brains are no fun. Suga, it is freaky and not to be played with. Yes, I think all of us who have these symptoms and can realize that they aren't real can put up with a certain degree of oddness, but there comes a point where they are intolerable, and that point is different for everyone of us. Huggs dear. It's a strange old world.
  #14  
Old Oct 28, 2010, 03:46 AM
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sugahorse1 sugahorse1 is offline
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it's a strange old brain - that's all
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"I'd rather attempt to do something great and fail than to attempt to do nothing and succeed. Robert H. Schuller"

Current dx: Bipolar Disorder Unspecified

Current Meds: Epitec (Lamotrigine) 300mg, Solian 50mg, Seroquel 25mg PRN, Metformin 500mg, Klonopin prn
  #15  
Old Oct 29, 2010, 12:47 PM
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I get mild paranoia with my mixed episodes, but i recognize it and talk myself out of it. It's exhausting, but we all know mixed states are that.
Thanks for this!
lonegael
  #16  
Old Oct 29, 2010, 02:23 PM
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lonegael lonegael is offline
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So how is the old brain right now, dear?
  #17  
Old Oct 30, 2010, 12:11 PM
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sugahorse1 sugahorse1 is offline
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no psychosis-i'm just all over the place. My mind is too busy for its own good.
  #18  
Old Oct 30, 2010, 12:38 PM
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lonegael lonegael is offline
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Well, hope that busy brains keep the devil at bay, to paraphrase an old saying. Can you get any rest?
  #19  
Old Oct 30, 2010, 01:29 PM
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sugahorse1 sugahorse1 is offline
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i know i need to go to sleep. @ a friend's place, and may just need to have a chat and work thro my head. I'll not allow those devils near me
  #20  
Old Oct 30, 2010, 02:46 PM
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lonegael lonegael is offline
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Good job! Keep thumbing you nose at them. So far so good, Suga! hang in there. HUGGGGS
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