So, how does someone with severe bipolar appear to become psychotic out of the blue? Does one typically snap into a psychotic state or out of one?
The answer my therapist gave me is true to my experience: No. Psychosis is a long, slippery slope towards falling over the edge, and recovery is a long, gradual, up and down slope out of the pit for acute psychosis. The trick I found is to learn how to catch it earlier and earlier to the point where I can maintain and not have to worry about it happening anymore. A significant part of staying away from psychosis as someone with schizoaffective/bipolar I disorder is staying on my medication, no matter how unpleasant the side effects can be. I’ve had two psychotic breaks: first was when I was diagnosed twelve years ago and the second one five years later when I stopped my medications.
What are some general things that go through my head when I’m psychotic?
Fortunately, I do not experience anger or aggression for the most part towards anyone. The only way I can briefly describe it is that I feel like everything I can possibly conceive of is going through my head at the same time. It feels like I’m transported to a different reality, which is a wondrous new place, or hell depending on what episode I’m talking about. With all this information overload, little details begin to form more delusions: religion, personal, ideas, world events, and reality itself all become torn open and full of mysterious riddles.
While all this is going on in my head, what do other people see?
I remember leaving my physical body and conversing with other people around the ward, conversing with patients and staff, and visualizing unimaginable things. However, my hospital records document me sitting in my room those days scribbling away on papers about a girl I was obsessed with years ago at the time. I remember having glimpses of writing about her in what seems like my subconscious. True reality was a dream to me and I was living in a dream (the kind I have when I’m typically sleeping). I likened myself to the living dead at the time, awake and asleep at the same time. My friend also visited me in the ward and he later told me that he could see it in my eyes that sometimes I left and came back right in front of him. When I came back, he pleasantly said to me, “Welcome back!” Then we’d converse for a few more seconds before I returned to my psychosis trip. The same would happen with staff as well – I faded in and out and the staff were very excited to see me back when I came back, before fading again seconds or minutes later.
Another interesting note: as I fade in and out of reality, so to speak, what happens when I call someone on a cell phone? Well, I did… I called my friend, and I heard his voice loud and clear, then felt myself go to the other reality and all I heard was static coming through on my phone – with a full signal. I’d come back and hear his voice again, then fade away again. I wrote a post about this earlier.
I remember trying to tell myself and hearing other people tell me that all those experiences are in my head, and they may be. However, whether real or not, they are what they are. I’m not concluding that I merely sat in a room as an empty shell of a body working out my obsession with a girl in the hospital is the whole story of what happened there. There are many more precious experiences to be told.
Some day, I hope I can do justice to describing what it is like to go through a firsthand psychotic break. It’s like getting lost in a fractal without any reference points, then coming back out again and seeing everything so differently.