[Alkaline_]

So, I have this idea that I'm hallucinating everybody and everything in my life, except, of course, me. It's really weird, and I sometimes I fully believe this notion and when someone says something to me, I kind of go along with the thought and it's like...you're not real, why are you here? But I have to stop myself.

I know I disassociate a lot, but this somehow feels different. Kind of like when I am trying to go to bed (like last night) and there's something falling on the coffee table in my room that I don't think physics should explain, I know there's someone in my room messing with my stuff. And it's probably the clown that used to live under my bed when I was a kid (though I was told he was only in my head).

I keep getting these random premonitions that something bad is going to happen and images keep popping up in my head that there's a clown or a person going to break in and kill me. Idk, it's really weird and kind of scary and keeps me up at night.

I was once diagnosed as schizoaffective, but now only have a diagnosis of bipolar II. Things seem to be getting worse, especially since I'm not on medication. In any one's experience, are psychotic features an actual thing in patients with bipolar II?

[raspberrytorte]

I'm not sure in all honesty, but that sounds really scary! And it sounds like it's probably going to get worse. Do you have a pdoc? Probably call them.

Hugs, alkaline.

[franz kafka]

With BPII you can have psychosis during depression, but not hypomania.

[Alkaline_]

I have a psychiatrist that does walkins that I can go see. I missed my appointment with her, though, but since she does still do walk ins, I should be okay...and I was told I have bipolar II, but I have mania that's gotten worse, it's not just hypomania. Seems kind of sudden for this, so I'm not sure what's going on.

[xRavenx]

Yes, with BPII you can have psychosis....even during hypomania, although it is more common during depression. Even with Major Depressive Disorder, some people have the specifier (with Psychotic features), according to the diagnostic tool the DSM-5. Psychosis does tend to be much more common in BP1. However, some people with BP1 do not experience psychosis at all, so it just depends person to person. Psychosis isn't as uncommon as one might believe in BP2 though.

[lilypup]

Yes, I have BP2 with psychotic features. As most people said, it's pretty much always during depression.