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Are psychosis and mania the same thing?

Donna Hill Howes, RN
Family Medicine
Mania and psychosis are necessarily not the same conditions. However, the most severe form of mania is manic psychosis. People with extreme mania can have psychotic symptoms that may be mistaken for schizophrenia. Thoughts and behaviors associated with manic psychosis include delusions, hearing voices, seeing things that are not really there, hallucinations, paranoia, and more. People in the throes of manic psychosis may have grandiose delusions, such as thinking they are the Queen of England or Jesus Christ. Some people with manic psychosis feel like aliens from another planet are chasing them and may leave home and hide. Others may believe that a family member is wired up and talking through the television remote to foreign agents. Many with manic psychosis begin to increase their activity, sleep little, feel agitated and restless, and even run about and scream or curse. The person with manic psychosis may lose all coherent thought.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.