In case you don’t already know, I have bipolar II, mixed state, rapid cycling episodes with psychotic features. I get hallucinations as well as paranoid delusions during manic and depressive episodes, which is part of having mixed state episodes. A mixed state episode can lean one way or another so it can be helpful to refer to them as manic or depressive for purposes of communication, but every mixed state episode has features of both mania and depression.
A real-life example of a troubling psychotic episode would be that I can hear the clouds above me whispering (hallucination) and even though I can’t hear what they’re saying, I know they are talking about me and are going to come down and hurt me (paranoid delusion). This happens often in episodes that lean toward mania. In an episode that leans toward depression, it is common for me to believe that there is an intruder in the house (paranoid delusion), or to feel very afraid and not know why (paranoia). Every episode has features of both mania and depression at the same time often in conjunction with hallucinations or paranoia. My episodes are rapid cycling, which means that they are short and intense, usually between 4 hours and 12 hours, and I have them three days in a row at about the same time of day, unless I am able to get 14 hours of sleep in a night, which interrupts the cycle and prevents an episode the next day.
I usually use the metaphor of a thunderstorm to explain how an episode unfolds. Continue reading →
My favorite hallucination I’ve ever had was a flock of black angels flying over the highway. I leaned out my window to look as we drove under them. I was severely sleep deprived, manic, and on a medication that I hadn’t yet figured out was affecting me badly, so I didn’t know right away that it wasn’t real. Usually, I can fact-check and try to reason through the situation if something comes up that doesn’t make sense. These angels felt very real to me. I got to watch them for about 45 seconds before they were gone, and because they disappeared, I could confirm that it had been a hallucination.
My hallucinations are caused primarily by bipolar episodes and sleep deprivation. Depression can sometimes play a role, and mania is a guaranteed hallucination factory. Sleep deprivation, though, causes the most intense visions, and they last all day. I’ll see smoke billowing in the air everywhere I go, people dressed in black walking up and down stairs, hundreds of birds in the sky, and bugs on my skin. Less often I have auditory or olfactory hallucinations, where I hear or smell things. Least often I have the physical sensation of touch. That one throws me for a loop every time.
There are good, bad, and irrelevant hallucinations. Now that I’m on beneficial medication, most of mine are just irrelevant; they don’t actually impact my life. I count myself lucky for that. Most people who hallucinate don’t know or believe they’re hallucinating at the time it happens. I don’t know immediately, but I can often use logic to determine what’s real and what’s not. Continue reading →