Bipolar or Schizophrenia?

Part 2: How do you tell bipolar disorder, schizophrenia apart?

HEALTH CNN (February 9, 2010) — Mental health expert, Dr. Charles Raison of Emory University Medical School answers a CNN Health reader's question above. Below is an enlightening excerpt:

"Here are a few clinical 'pearls' for identifying a manic psychosis. First, manias tend to come on more quickly than schizophrenic episodes. They are often preceded and accompanied by remarkable reductions in sleep. Classic manic episodes are characterized by profound mood changes. These are easiest to recognize when the mood is euphoric, but rage is just as common, and more dangerous. If you see a psychotic patient who is moving and speaking a million miles an hour, that doesn't prove he is manic, but it is a pretty strong clue. Finally, although data show you can't separate out manic from schizophrenic episodes by the quality of the psychotic delusions, I have always been impressed by the fact that at the core of manic delusions is a sense that everything in the universe is connected in strange and meaningful ways. Again this isn't specific for mania, but if this type of thinking is present along with other symptoms I've described, it is a tip that someone is having a manic episode."

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