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Bipolar Disorder And Psychosis


One of the symptoms associated with Bipolar I Disorder can be psychosis.  According to, “Psychotic symptoms occur most often during manic episodes, says Adele C. Viguera, MD, a psychiatrist and the associate director of the perinatal and reproductive psychiatry program at the Cleveland Clinic in Ohio. But people can also experience psychotic symptoms during episodes of depression.”  According to,”You see that typically in mania,” says Viguera, but “people can be so depressed that they can be psychotically depressed. It happens [more] frequently with mania [than with] depression.” People may seem like they are out of touch with reality — and are in danger of hurting themselves.”  This article will explore the different types of medications used for Bipolar Disorder with Psychosis.

Medications To Treat Bipolar Disorder With Psychosis

What types of medications are used to treat Bipolar Disorder with Psychosis.  According to, the following can be noted about medications:

Antipsychotics such as risperidone (Risperdal), olanzapine (Zyprexa) and haloperidol (Haldol), may be necessary, especially during the acute phase of illness, if you are experiencing such psychotic symptoms as hallucinations or delusions. When the acute phase of illness is over, these antipsychotic medications may no longer be necessary and, at times, they can be reduced and discontinued. Indeed, sometimes, when the mood stabilizer has done its job and has dramatically reduced the symptoms of mania, the antipsychotic medications, which were previously necessary to control agitation and other symptoms, may lead to overwhelming sedation and slowing, and may have to be reduced at a fairly rapid rate.

Why Is The Stance On Antidepressant Medication For The Treatment Of Bipolar Disorder With Psychosis?

According to, the following information has been stated about antidepressants for the treatment of Bipolar Disorder with Psychosis:

Antidepressants such as fluoxetine (Prozac), paroxetine (Paxil) and citalopram (Celexa) should generally be avoided in the treatment of bipolar disorder. They may cause the person with the illness to switch into a manic state and they may also precipitate a period of rapid-cycling (several cycles of mania and depression a year). Occasionally, when a person is in a severe episode of depression and the previous episodes of mania have not been severe, it may be reasonable to use an antidepressant for a while, in combination with a mood stabilizer, to see if it can lift the person out of his or her depression. If it is successful, the antidepressant may then have to be discontinued before it leads to the patient into becoming more manic and psychotic.


To review, this article highlighted the different types of medications used to treat Bipolar Disorder with Psychosis.


Bipolar Disorder And Psychosis

Lauren Walters

My name is Lauren Walters. I am currently heading into my final semester of graduate school for Mental Health Counseling in the Spring of 2016. Through my own experiences with mental illness, I love to inspire others through my writings and reassure them that they can live healthy, productive lives, despite mental illness. I hope you enjoy my articles. Feel free to comment. I will be sure to respond to you questions and/or comments in a prompt manner. Enjoy!

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APA Reference
Walters, L. (2016). Bipolar Disorder And Psychosis. Psych Central. Retrieved on May 31, 2020, from


Last updated: 17 Oct 2016
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