Bipolar psychosis looks a lot like the symptoms of schizophrenia, causing misdiagnosis many times for patients with manic depression. Most bipolars will or have had a psychotic episode in their lives. Psychosis is usually temporary, but in some casas persists throughout the course of the illness. Bipolars can live their lives with psychotic episodes which is the case of Bipolar I disorder.
Clang is a symptom of psychosis. Linking words together based on similar sounds rather than meaning is a symptom of psychosis which is termed Clang association. This symptom occur in psychotic episodes in the manic phase of bipolar disorder, but can also occur in a depressive episode. The sentences or phrases used are rhyming, or punning.
There are other types of language changes that may be present with bipolar symptoms in addition to clang associations. Jumping from one idea to another seemingly without logical transition.Making up words that have no meaning to anyone but the speaker. Rarely repeating others’ words or phrases.
When a bipolar is becoming psychotic, you will notice that the language gets more rapid and less sensible and understandable as their mood becomes more elevated and the psychosis worsens. They may not be aware that they are not making sense. Untreated the y may become totally incoherent. Treatment for his bipolar symptoms is needed instead of trying to rationalize with them as their language is starting to fall apart.
Clang may be accompanied by other symptoms of psychosis, commonly there are hallucinations, paranoia , delusions, disordered thinking or speaking, being excessively responsive to stimulation Difficulty determining what is real and what is not, problems completing ordinary tasks, memory, concentration and clear thinking
Pressure of speech is a term used by doctors for speech that is rapid and a continuous flow that may be difficult or impossible to interrupt by the listener. It can be loud, emphatic, uninhibited, and continue even though no one is listening.
These speech abnomalities are often a result of Flight of ideas a term for the racing thoughts of bipolar patients. Flight of ideas is when nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations, distracting stimuli, or plays on words. When severe, speech may be disorganized and incoherent at the extreme it can seem to be unintelligible. These psychosis need to be treated with medications called antipsychotics. Confinment in a hospital is often necessary until the psychotic features lessen or are relieved.
2 comments:
I love this post. Clearly written, easy to read, knowledgeable and to the point. The paragraphs, sentences and punctuation are well structured.
Also, I liked your defining "Clang Association" which distracted me, just momentarily.
Overall, I gave you an A+ on this piece. Keep up the good work.
Thank you for the compliment The Clang Association symptom is very difficult to understand and unless you have heard it from someone who is psychotic.
It is sad when you are having an episode and it appears and it is frightening to the person who does not know the symptom and does not understand what you are saying But sometimes you can be very entertaining when it is in its mild stages It is interesting the way your mind can create such states without you trying to create them Some comedians have used this Symptom for lack of another word and it can be funny To each his/her own
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