[MtnTime2896]

Anyone here deal with psychosis symptoms while in a depressive state?

[*Laurie*]

I am pretty sure I do. Maybe more like delusional symptoms, but definitely way out there.

[still_crazy]

Yup yup. My "Bipolar I" started as yet another episode of hardcore depression with (relatively mild) psychosis. I was 23. As the untreated episode progressed, I lost touch with reality and fell into straight up madness, and now I'm diagnosed as either "Schizophrenia w/ a mood disorder" (former docs) or "Bipolar I w/psychotic features" (current treatment people).

Psychotic depression is apparently somewhat common, but not much studied. I've read treatment plans, and if the standard antidepressant+antipsychotic combo doesn't work, they basically throw pills at you. One recommendation involved Ritalin w/ a tricylic and an antipsychotic, all at once, and was based on 4 patients or so. That's psychiatry for you..."science" hasn't yet made a big impact in mental health.

[franz kafka]

Yup, mainly delusions. Actually the same delusion over and over. I have the delusion that a supernatural entity is controlling my fate (which is to die). I bargain with it for how badly I'm going to hurt myself (me trying to get off as lightly as possible to delay my death). I sense it watching me in objects, especially lights.

[MtnTime2896]

Originally Posted by still_crazy

Yup yup. My "Bipolar I" started as yet another episode of hardcore depression with (relatively mild) psychosis. I was 23. As the untreated episode progressed, I lost touch with reality and fell into straight up madness, and now I'm diagnosed as either "Schizophrenia w/ a mood disorder" (former docs) or "Bipolar I w/psychotic features" (current treatment people).

Psychotic depression is apparently somewhat common, but not much studied. I've read treatment plans, and if the standard antidepressant+antipsychotic combo doesn't work, they basically throw pills at you. One recommendation involved Ritalin w/ a tricylic and an antipsychotic, all at once, and was based on 4 patients or so. That's psychiatry for you..."science" hasn't yet made a big impact in mental health.

Sounds like what's happening to me now. They're not too intense and pretty mild, to be honest; they're just enough to scare the **** out of me when they happen. My care team is kicking everything into high gear since I told them. I guess my T's worried about the paranoia I'm dealing with and I can't blame him for it.

[MtnTime2896]

Originally Posted by franz kafka

Yup, mainly delusions. Actually the same delusion over and over. I have the delusion that a supernatural entity is controlling my fate (which is to die). I bargain with it for how badly I'm going to hurt myself (me trying to get off as lightly as possible to delay my death). I sense it watching me in objects, especially lights.

Yeah, I have this entity thing going on. Not quite the same as you but she wants me to do things, I think. She scares me to death. She's gone easy on me so far this time.