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> Single digit percentages of all humans have a psychotic disorder. This is false, and that was what I meant. BPD is not a psychotic disorder, even if psychoti

> Single digit percentages of all humans have a psychotic disorder. This is false, and that was what I meant. BPD is not a psychotic disorder, even if psychotic episodes are possible, they are rare. Schizophrenia is a psychotic disorder, but at a rate of 0.45%, not 1%.

asveikau 4y ago
Psychotic episodes with bipolar are not rare.
- Maursault 4y ago
  It is estimated only about 5-10% of everyone in the world will ever experience a psychotic episode in their lifetime. If 4% are bipolar, then only 0.2%-0.4% of those will ever experience a psychotic episode, making it quite rare. Among bipolar patients, the real danger is depression, as they will all experience that. But if they do experience a psychotic episode, it is usually the first indicator of BPD, leading to diagnosis, education, and treatment.
  - asveikau 4y ago
    > It is estimated only about 5-10% of everyone in the world will ever experience a psychotic episode in their lifetime Single digit to double digit percentages. > Among bipolar patients, the real danger is depression, as they will all experience that. Iirc you don't need depression to fit diagnostic criteria of bipolar I. Just a manic episode will do it. Depression will lead the sufferer to seek treatment. Mania and psychosis will make their life hell and possibly have them harm others, but they will think they are ok. I think maybe you haven't been close to a particularly bad case of bipolar I. It can be very similar to schizoaffective disorder or schizophrenia. People can hop around these diagnoses because they can be hard to pin down and professionals can disagree. > it is usually the first indicator of BPD, leading to diagnosis, education, and treatment. That's a fairly optimistic scenario. Spoken like someone who has not seen a loved one deny the illness and avoid treatment.
  - nl 4y ago
    Psychotic symptoms occur at a higher rate in people with BPD than in the general population. > What are psychotic symptoms in bipolar disorder? > Psychotic symptoms are sometimes found in people with bipolar disorder, particularly in the manic phase of the illness.. [snip] .. > Moderate quality evidence suggests the prevalence of visual hallucinations in people with affective psychosis is around 15%, and the prevalence of auditory hallucinations is around 28% [snip. These rates] are higher than general population rates (7%). https://library.neura.edu.au/bipolar-disorder/signs-and-symptoms-bipolar-disorder/general-signs-and-symptoms-bipolar-disorder/psychotic-symptoms/ https://library.neura.edu.au/bipolar-disorder/signs-and-symp...

asveikau 4y ago

Psychotic episodes with bipolar are not rare.

Maursault 4y ago
It is estimated only about 5-10% of everyone in the world will ever experience a psychotic episode in their lifetime. If 4% are bipolar, then only 0.2%-0.4% of those will ever experience a psychotic episode, making it quite rare. Among bipolar patients, the real danger is depression, as they will all experience that. But if they do experience a psychotic episode, it is usually the first indicator of BPD, leading to diagnosis, education, and treatment.
- asveikau 4y ago
  > It is estimated only about 5-10% of everyone in the world will ever experience a psychotic episode in their lifetime Single digit to double digit percentages. > Among bipolar patients, the real danger is depression, as they will all experience that. Iirc you don't need depression to fit diagnostic criteria of bipolar I. Just a manic episode will do it. Depression will lead the sufferer to seek treatment. Mania and psychosis will make their life hell and possibly have them harm others, but they will think they are ok. I think maybe you haven't been close to a particularly bad case of bipolar I. It can be very similar to schizoaffective disorder or schizophrenia. People can hop around these diagnoses because they can be hard to pin down and professionals can disagree. > it is usually the first indicator of BPD, leading to diagnosis, education, and treatment. That's a fairly optimistic scenario. Spoken like someone who has not seen a loved one deny the illness and avoid treatment.
- nl 4y ago
  Psychotic symptoms occur at a higher rate in people with BPD than in the general population. > What are psychotic symptoms in bipolar disorder? > Psychotic symptoms are sometimes found in people with bipolar disorder, particularly in the manic phase of the illness.. [snip] .. > Moderate quality evidence suggests the prevalence of visual hallucinations in people with affective psychosis is around 15%, and the prevalence of auditory hallucinations is around 28% [snip. These rates] are higher than general population rates (7%). https://library.neura.edu.au/bipolar-disorder/signs-and-symptoms-bipolar-disorder/general-signs-and-symptoms-bipolar-disorder/psychotic-symptoms/ https://library.neura.edu.au/bipolar-disorder/signs-and-symp...