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Bipolar depression psychosis

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    Bipolar depression psychosis

    Hey, so I've experienced psychosis before during my last manic episode in August, and I'm now in the worst depression I've experienced after being discharged in September. In the past week, I've been hearing a voice that's not my own and it's not in my head, telling me really negative things (you can imagine what sorts of things). I'm seeing my psychiatrist today and I'm scared to tell him because I don't want him to think I'm schizophrenic because I know I'm not. These only occur during mood episodes. Has anyone else experienced this type of psychosis during depression? Any advice or insight could help. Thanks!

    Hi nate36 and welcome to the forum. Psychotic symptoms can occurs in depression.

    The whole article has good information but this section might be of particular interest to you.

    Psychotic depression vs. schizophrenia
    MDD with psychosis can sometimes resemble schizophrenia, another mental health condition that involves psychosis. The main difference lies in when psychosis shows up:
    • If you have MDD with psychosis, you’ll only have symptoms of psychosis during an episode of depression.
    • If you have schizophrenia, you’ll have symptoms of psychosis whether you have depression symptoms or not.

    While schizophrenia doesn’t always involve depression, many people living with schizophrenia do have symptoms of depression, which can complicate diagnosis of either condition.

    But schizophrenia involves other symptoms not necessarily associated with depression, including:
    • disorganized or incoherent speech
    • lack of emotional expression
    • catatonia

    Learn more about the symptoms of schizophrenia.

    Some people diagnosed with MDD with psychosis later receive a diagnosis of schizophrenia or bipolar disorder with psychosis. This appears more likely for people:

    Humans punish themselves endlessly
    for not being what they believe they should be.
    -Don Miguel Ruiz-