Psychosis Maybe?

By Kristina Randle, Ph.D., LCSW

I sometimes get paranoid that what I think and feel isn’t really me, that it’s all just some unreal lie type thing. I used to have moderately severe depression but I don’t feel as though I do anymore. I have major ‘highs’ when I feel like i’m on top of the world and that life is amazing but then I have ‘lows’ where I feel like life isn’t worth living. I often don’t remember things, such as if I have a ‘low’ episode, I don’t remember certain things I do or say, same with a ‘high’ and also I have trouble remembering any sexual experiences. I get panicked in social situations and have major body issues; I try not to eat over 500 kcals at the most and burn off whatever I do eat as much as I can. I used to feel happy with the weight loss, but although i’e continued losing weight, it no longer makes me happy, and I don’t trust my own mind, because as i’ve lost weight, I look bigger to myself. I get major anxiety whenever anyone brings up wanting to be skinny, or food, or weight loss around me. I don’t understand any of it or what it means.

A. Based on your set of symptoms, it does not seem as though you are experiencing psychosis. Psychosis is a break from reality. Individuals with psychosis, for instance, may believe that a device has been implanted in their leg or that the government is secretly recording their every move. Your symptoms seem more characteristic of bipolar disorder. Individuals with bipolar disorder describe having cycles of highs and lows, with regard to their mood. Follow this link to learn more about bipolar disorder.

Your body image issues are also concerning. Your body cannot sustain a healthy level of functioning when only consuming 500 calories per day. You are rapidly losing weight and have a distorted view of your body. Those aforementioned symptoms are signs of an eating disorder, namely anorexia. Eating disorders are the most dangerous of all mental health disorders.

I do not have enough information about your symptoms to determine if you have any of the disorders that I have discussed. The only way to determine whether or not you have a psychiatric disorder is to be evaluated by a mental health professional.

You are suffering both psychologically and physically. Your health is being compromised by a lack of adequate food and proper nutrition. It is imperative that you seek treatment immediately. The longer that you delay treatment, the more your mind and body will suffer. Please consider my suggestions. The find help tab, at the top of the page, can assist you in locating a mental health professional in your community. Please take care.

Dr. Kristina Randle

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Last reviewed: By John M. Grohol, Psy.D. on 29 Jan 2012

APA Reference
Randle, K. (2012). Psychosis Maybe?. Psych Central. Retrieved on October 22, 2014, from http://psychcentral.com/ask-the-therapist/2012/01/29/psychosis-maybe/