Medical/Legal Quiz - How Smart Are You? (schizophrenic psychosis lithium psychotic)
The difference between mania and hypomania is basically
whether or not the hypomania becomes so server as to cause
frank psychosis. Psychosis means being badly out of contact
with reality. Manic psychosis (the hyperactive kind)
generally presents with delusions of grandeur, inability to
sleep, actions showing complete lack of judgment and
ridiculous overoptimism ("look ma, I can fly!"), and many
other beliefs which are completely out of contact with all
conclusions that a reasonable person would come to under the
cir***stances. In such cases, psychosis can be a very
temporary state, and disappears immediately with drug
treatment. The same is true of similar psychotic states
induced by overdoses of amphetamines, cocaine, or even by
lack of sleep.
So the defense and the prosecution can argue all they like,
but case turns on the facts. Did defendant DO and SAY
psychotic things? Then defendant was psychotic. End of
tale. Defendant may also have been manic at the same time,
or hypomanic at other times. Or been an uncontrolled
schizophrenic off his neuroleptics. Or been drugged with
uppers or sleep-deprived as well. Or he might have been a
manic depressive off his lithium and antiseizure drugs.
There are many routes to manic psychosis.
SBH
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