Bipolar II disorder involves depressive and hypomanic episodes. Bipolar I disorder involves mania. Diagnosis requires a clinician to assess the pattern of symptoms over time, including past episodes, medications and other possible causes. Hallucinations or delusions alone do not establish a bipolar diagnosis.
Psychosis can occur during severe mood episodes. Someone experiencing unusual perceptions, strongly held false beliefs, or major changes in mood or behavior needs professional assessment. The timing of these symptoms relative to mood episodes helps guide diagnosis and care.
Treatment may include mood stabilizers, antipsychotic medication and psychotherapy. The plan depends on the episode, medical history and safety needs. Discuss benefits and risks with your clinician; do not stop or change prescribed medication on your own. NIMH: Bipolar Disorder
Ketamine is not FDA-approved for psychiatric disorders. This article does not recommend ketamine to treat psychosis. FDA approval-status statement
For crisis support in the United States, call or text 988. For immediate danger or a life-threatening emergency, call 911.
