Is bipolar disorder a type of psychosis?

Nov 17, 2025 Source: Cainiu Health

Dr. Zhang Baohua

Introduction

Bipolar disorder is primarily characterized by alternating mood fluctuations between mania/hypomania and depression, with the core issue centered on abnormal emotional regulation. In most cases, patients have normal cognitive function during non-episodic periods; however, during severe episodes (such as severe mania or depression), psychotic symptoms such as hallucinations and delusions may emerge, requiring treatment with antipsychotic medications in addition to standard therapy.

Generally, bipolar disorder falls within the category of mental disorders. Some episodes may be accompanied by psychotic symptoms, but it is not equivalent to the traditional understanding of psychosis primarily characterized by hallucinations and delusions. If there are concerns, early medical consultation is recommended. The detailed explanation is as follows:

Bipolar disorder is mainly characterized by mood fluctuations between mania/hypomania and depression, with the core issue being abnormal emotional regulation. In most cases, patients have normal cognitive function during non-episodic periods. Psychotic symptoms such as hallucinations or delusions may only occur during severe episodes (e.g., severe mania or depression), at which time antipsychotic medications may be required in addition to standard treatment.

Bipolar disorder differs from conditions whose core feature is persistent psychotic symptoms (such as schizophrenia). In the former, mood symptoms are more prominent, and psychotic symptoms are typically secondary and vary with mood changes; in the latter, psychotic symptoms persist over time, while mood disturbances are relatively less pronounced. The two disorders also differ in treatment approaches and prognosis.

If significant mood swings occur along with abnormal thought patterns or perceptual experiences, timely evaluation by a psychiatrist is essential. A professional assessment can ensure an accurate diagnosis, preventing delays in appropriate treatment due to misunderstandings about disease classification, thereby supporting better recovery outcomes.

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What does a psychoticism score of 105 mean?

If this score comes from a widely used psychiatric symptom assessment scale (such as the Positive and Negative Syndrome Scale), first check the total score range of the scale. If the maximum total score is relatively high (e.g., exceeding 120 points), a score of 105 may indicate the presence of significant psychotic symptoms, such as hallucinations or delusions, and further clinical evaluation is needed to confirm.

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What are the fast-acting sleep-inducing medications for mental illness?

Medications that can help psychiatric patients fall asleep quickly include zopiclone tablets, estazolam tablets, alprazolam tablets, diazepam injection, and midazolam injection. These drugs are strictly controlled and should only be used for insomnia associated with specific mental disorders. If insomnia is accompanied by severe emotional disturbances, hallucinations, or suicidal tendencies, prompt medical attention is recommended.

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What is occult mental illness?

In general, "anbing jingshenbing" usually refers to concealed psychosis, a type of mental disorder characterized by hidden symptoms that are difficult to detect or diagnose. It is important to foster an environment of acceptance and understanding in daily life, avoiding denial of the patient's feelings or imposing psychological stress. Regular participation in social activities should be encouraged to reduce feelings of loneliness. Maintaining a consistent daily routine and avoiding late nights is essential to prevent disruptions in neural regulation rhythms.

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Can psychiatric symptoms caused by taking supplements be reversed?

If a mental disorder—such as hallucinations, delusions, anxiety, or depression—is triggered by accidentally consuming health supplements containing unknown ingredients, taking excessive doses, or long-term abuse, discontinue the supplement use immediately. Most patients can gradually alleviate symptoms and eventually recover through professional medical interventions to promote the elimination of substances from the body, along with psychotherapy and medication.