01 / WHAT IT IS
WHEN PERCEPTION CHANGES.
Psychosis describes a collection of symptoms that can affect your ability to distinguish between internal experiences and what is happening in the external world. You may hear, see, or feel things that other people do not perceive, develop beliefs that persist despite contradictory evidence, or experience changes in the organization of your thoughts and speech.
These experiences can feel completely real while they're happening. You may not recognize them as symptoms, particularly when your ability to question your own perceptions is affected.
02 / HALLUCINATIONS
YOUR SENSES CAN LIE.
Hallucinations are sensory experiences that occur without a corresponding external stimulus. They can involve hearing voices, seeing images, feeling physical sensations, or experiencing smells or tastes that others cannot detect.
Auditory hallucinations may involve voices that comment on your actions, criticize you, threaten you, or appear to communicate directly with you. Visual hallucinations can involve shapes, faces, movement, or other apparent changes in the environment. Tactile hallucinations may involve sensations such as touching, burning, or movement on the skin.
03 / DELUSIONS
WHEN BELIEF BECOMES CERTAINTY.
Delusions are strongly held beliefs that are not supported by reality and remain difficult to reconsider despite contrary evidence. They may involve believing you are being watched, followed, punished, controlled, or targeted by other people or organizations.
A delusion can create an explanation for frightening or confusing experiences. When hallucinations and delusions occur together, they may reinforce one another, making the entire experience feel internally consistent.
04 / BIPOLAR DISORDER
PSYCHOSIS & MOOD EPISODES.
Psychosis can occur during severe manic or depressive episodes in bipolar disorder. The content of hallucinations and delusions may relate to a person's mood, but this is not always the case.
During mania, psychosis may occur alongside reduced need for sleep, increased energy, racing thoughts, agitation, and impaired judgment. Severe depression may also involve psychotic symptoms.
Psychosis is not present in every person with bipolar disorder, and experiencing it does not mean that every future episode will involve the same symptoms.
05 / SLEEP
WHEN SLEEP DISAPPEARS.
Sleep disruption can play a significant role in bipolar episodes. Reduced sleep can be an early warning sign of mania, and prolonged sleep deprivation can worsen difficulties with perception, concentration, emotional regulation, and judgment.
Severe insomnia, escalating agitation, or emerging hallucinations warrant prompt medical evaluation, especially when they occur together.
06 / TREATMENT & RECOVERY
GETTING BACK TO REALITY.
Psychosis is treatable. Treatment depends on its underlying cause and may include antipsychotic medication, mood stabilizers, treatment of the associated mood episode, sleep restoration, and psychiatric support.
Recovery is not always instantaneous. Symptoms may improve gradually, and it can take time to understand what happened. Following a treatment plan, recognizing early warning signs, and having trusted people who can help identify changes may reduce the risk of another crisis.
Psychosis is a medical experience, not a character flaw or a failure of intelligence, morality, or willpower.