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Bipolar Disorder and Acute Psychosis. This chapter covers acute and episodic psychoses. Bipolar disorder is characterized of recurring psychotic shifts. Only mania and mixed states of bipolar disorder will be treated here, as bipolar depression has already been discussed in Sect. What is essential to the diagnosis of mania is the manic mood.
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Psychosis characterized by psychomotor agitation and reckless behavior is likely to be diagnosed as mania, even in the absence of manic mood. The specific manic mood is not just an inner feeling of elation. It is a way of relating to the world, an uncritical extroversion in which the patient experiences everything within reach and easy. The manic world is dedifferentiated, and everybody is seen as a brother. The manic symptoms all bear the impression of the manic mood. The manic grandiosity is mundane as opposed to the solipsistic quality of the schizophrenic type.
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The manic agitation is informed by expansivity. Manic flight of ideas approaches incoherence in the severest stages of the illness. Mixed features are common, e. Bipolar disorder is an episodic illness, but there is a great extent of inter- episodic subsyndromal symptoms, often resulting in chronic functional impairment. Schizoaffective psychosis is an ill- defined group of psychoses with features from both spectra, characterized by low reliability and doubtful validity. Cult Sci Fi Cartoons South Park. There is more convincing evidence of a class of acute psychoses, formerly described under varying names, often precipitated by stress, independent of the affective and schizophrenic spectra.