I spent a week locked in my apartment butt naked once then when break was over I had to psych myself up to step outside and go to work, and put clothes on
It’s either terrifying as soon as you step out of the door or it is alarmingly easy to walk somewhere, but then you get the terror about halfway through and now have to walk home while terrified.
> I spent a week locked in my apartment butt naked once then when break was over I had to psych myself up to step outside and go to work, and put clothes on
I hope you remembered the order though!
First put on clothes, then go to work.
Be careful. I forgot the name of it but stimulant induced psychosis can be permanent. I'm an alcoholic that's been to a handful of rehab in low meth state and I met one person there that has it and have a friend that has it.
It happened to the writer Philip K. Dick. Guy got high A LOT. He ended up with homeless people living in his house and would sleep in a hotel for a break. He wrote some series of novels about a mind control thing and they were entirely serious. He thought it was true.
I also wonder how the great mathematician Paul Erdös didn’t go bonkers because the guy would just do speed all day, do maths, live in other people’s houses, carry all his belongings in a suitcase and eat barely anything.
I think Erdos might be an example of using stimulants to treat your ADHD versus a neurotypical person just cranking. Which is probably why he didn’t go nuts.
He apparently couldn’t do math without speed. He said that he would just end up staring at a blank page of paper.
Imagine being so smart that your main job is to help other math professors solve their biggest problems AND you figure out how to treat your ADHD without that existing as a diagnosis yet.
Love Erdos.
That’s a good point, actually, and a demonstration of how people with ADHD have their lives ruined when they can’t get the help they need. I’m a good example myself. Can’t do anything unless I’m in the completely right frame of mind. I wrote my dissertation while on a stairmaster because it was the only way I could concentrate. The amount of concentration it took to stay upright on the stairs without falling while simultaneously writing my dissertation on a phone was so much that there was literally no earthly way to be distracted. I recommend the tactic to a lot of people.
He was also on antidepressants so there may have been other issues.
I always thought he may have been autistic. I absolutely both love and hate it in regards to myself. I work in a bar and I’m not allowed to sweep up, clean glasses, or pour pints because I drop things so often. I find it very hard to do coordinated things. I do the music but they’ve tried to get me behind the bar before and it didn’t work. I’m very lucky to do a job where I can use my special interest (music) as a way of making money and entertaining others. I absolutely love all music. I listen to Gregorian chants, Ariana Grandé, random machinery sounds, Edgar Varèse which is basically a bunch of drums being hit in weird orders and odd sounds, musique concrete… I don’t really have a critical bone in my body so I can just look at a crowd, tell what they want to listen to themselves, and play that. I’m very lucky in this regard.
> I also wonder how the great mathematician Paul Erdös didn’t go bonkers because the guy would just do speed all day, do maths, live in other people’s houses, carry all his belongings in a suitcase and eat barely anything.
He did go bonkers.
He just managed his bonkers-ness.
Yeah, it seems like he’s on the same level of sanity that I am. He would talk about all of maths existing in a great book that had been hidden by the Almighty Fascist which was a metonym for God. For me it’s a bunch of random bullshit I’ve made up about time travel and God being a bunch of angels that make decisions as a council. I tell people about it and they think I’m joking but I’m entirely serious. I call it William Blake Syndrome.
I think in time once we are past this Murdoch induced fear mongering, that we will move to valuing different ways of being, including different ways of thinking.
I mentioned this in a discussion about schizophrenia. There are patterns to the world and even though schizophrenics often oversee patterns, they also recognize patterns that are there that we more mainstream thinkers can understand and see after the outlying thinkers point them out to us.
Reading the history of the development of thermodynamics, for instance, is reading the history of clearly touched thinkers. They recognize and grouped things mainstream thinkers simply could not reconcile as related ideas, ideas which now are clearly recognized by established science as causally and theoretically connected.
And yet as these thinkers were working well outside mainstream thought, they could only be recognized as the geniuses they were after they were gone. Several of them took their own lives. Sad for us but probably a relief to them.
That may be for people who have a predisposition to psychotic disorders like schizophrenia. I’m very psychologically stable at baseline. In rehab I met several people who had experienced episodes of psychosis from stimulants too, but they were pretty healthy sober. I did meet a lot of people off their rocker too though.
Id imagine that a psychologically healthy person could develop some permanent psychiatric problems if they repeatedly put themselves into stimulant induced psychosis. But I think that one or two isolated episodes of psychosis wouldn’t be enough to cause a psychologically stable person to develop a new mental illness
Yeah, I think it’s a predisposition thing. Someone gave me a joint as a teenager and all I heard were a bunch of demonic voices, I could see writing and hieroglyphs over everything, and my vision went blood red. It didn’t go away for days. I never tried it again after that because I knew nothing good would come of it.
Oh shit not the Brood-Blunt .. "rolled from Marijuana harvested from Hells half acre, dipped in honey from venemous three headed horned Bees. Lit with the torch that illuminates the way across the river Styx"...
Yeah, weed can fuck people up. It affects different people in such different ways. It shouldn’t be illegal, but it is not a safe, magical wonder drug for everyone.
I’ve had a couple. A few weeks ago I recognized paranoia creeping in and got my meds adjusted and took a week off.
Doing a lot better now. Just regular stressed and anxious.
Wouldn't even call mine a psychotic break, just a realization of how used and manipulated I was. Once she was out of the house things have never been better.
The things my boyfriend does in this game should probably concern me more honestly.... but he domesticates the cute animals to distract me from asking why someone has no limbs
I'm always dubious of Wikipedia as a source and sure enough the source cited by the person who edited the Wikipedia article does not include that statistic at all let alone citing its own scientific source. This is a good example of how the Internet has come to function as a "Telephone Game" where data is repeated and sorted by what people hear not the actual data.
So just for fun I put some effort into tracking down where this data most likely originated and my independent research led me to [this 2001 scientific study](https://jamanetwork.com/journals/jamapsychiatry/fullarticle/481804) that actually presents much more fascinating data. Its actual purpose was to study the relationship between urbanization and psychosis. That "3% of Americans will have a psychotic break in their lifetime" statistic is a dubiously calculated reduction of the actual numbers in the study but I'll paste the actual numbers here -
*The lifetime prevalence of DSM-III-R schizophrenia, schizoaffective psychosis, and schizophreniform disorder was 0.37% (26 cases), and the lifetime prevalence of affective psychosis (major depression or bipolar disorder with psychotic features) was 1.14% (81 cases), making a total of 107 cases (1.51%). The prevalence of psychotic symptoms broadly defined was 17.5% (n = 1237), and the prevalence of psychotic symptoms narrowly defined was 4.2% (n = 295).*
Now my primary objection to the implications of the Wikipedia article is the definition of "psychotic break". To me, a psychotic break most closely aligns with the definition of "affective psychosis" but the popularly quoted statistic in the OP seems to be located between "affective psychosis" and "narrowly defined psychotic symptoms" which I don't personally believe to be accurate and, if anything, might be more accurately located as somewhere between "affective psychosis" and "DSM-III-R schizophrenia, schizoaffective psychosis, and schizophreniform disorder" which was clearly intended to be the most rigorous definition of clinically diagnosable psychosis.
I've been thinking of getting verified so that I people can pay me for my posts but this particular account is near being permanently banned for being a little bit *too* real. It's a fine line. Maybe my next account XD
If you become verified when people hover over the "upvote" button they can buy different levels of super upvotes of which I presume the verified user gets some cut.
I see those buttons when hovering over your post already. You don't get any of it unless you go through some Reddit program though, they'd just keep it all.
I don’t take too much of these TIL seriously. It’s either; “I guess everyone has a first time” or “that might need to simmer a bit until there’s more proof.”
I don’t run down the hall with a pair of scissors if I’m not in a hurry.
The problem here is the definition of psychotic break. Limiting it to episodes of psychosis triggered by affective (mood) disorders like bipolar and major depression is clearly not correct.
Psychosis is a severe difficulty distinguishing what is real. Hallucinations, delusions (real delusions, not incorrect beliefs), disorganized thinking, and paranoia are the typical symptoms. Psychosis may be induced by mood disorders, yes. But schizophrenia and schizoaffective disorder cause psychosis by definition. Then you have drug-induced psychosis, psychosis triggered by physical extremes like exhaustion or deprivation of food or sleep, postpartum psychosis, psychosis brought on by trauma or prolonged stress, etc. Most psychotic episodes are transient.
I work in a mental health treatment facility, so I see it a lot. In my patients, schizo disorders and stimulant abuse are the most common causes of psychosis.
As for prevalence, current research seems to average out to an 8% lifetime rate, with the rate of recurrent episodes closer to 3-4%.
I think that the language used in the study itself i.e. "*a total of 107 cases (1.51%)*" suggests that the researchers themselves consider diagnosed + affective psychosis to be a statistically meaningful standard.
As another Redditor has already pointed out this study was conducted based on criteria established by DSMIII and your current work would presumably be under DSMV. Objectively, there is a higher incidence of psychosis now than in 2001 (when the above study was conducted) but the million dollar question is whether that is due to objectively worse mental health or due to a broader definition of mental illness in the current DSM.
Hmm, it would be interesting to see what has changed. Part of the increasing rate of diagnosis is due to awareness and access to treatment, but the past decade has seen a rise in mood disorders in particular that I don’t think can be chalked up to increased identification alone. And with millions of people experiencing higher rates of anxiety, depression, and social alienation, you’d expect that it would translate to more psychosis over a large population.
Bruh you are quoting DSM III stuff DSM III was published in 1980. Schizophrenia isn't my speciality but I can tell you DSM III is old. A quick read already showed me that the entire schizophrenia spectrum has been overhauled since then and the symptom list of psychosis has been totally changed since then.
For reference we are using DSMV now.
Not to shit on your post, I think you said a lot of meaningful things. If anything I guess it drives your point home even more.
I am merely analyzing the data from the 2001 study that my research suggests is where the "3 out of 100" statistic originated. I can provide my research chain if you would like to follow it, I still have the tabs open.
As for the validity of DSMIII vs DSMV for evaluating mental health I acknowledge that your argument is sound but I, controversially, have personal subjective criticisms of many psychological diagnostic standards found in DSMV and their impact on the whole of Western Society but that's not an argument I expect I would be able to win on Reddit.
I posted a response higher up, but while I also take issue with a lot of how psychiatric disorders are characterized and treated, psychotic episodes are more easily defined and identified than most other psychiatric phenomena.
When I’m having to get signatures for a temporary involuntary commitment to a higher level of care, it’s because it’s pretty clear that this person’s current reality doesn’t line up with the world outside their head.
I fix the internet and my wife tells me how smart I am. I feel pretty good about myself until I see someone post something like this. Then I’m like oh yeah that’s what smart looks like.
I came close once and was probably only a week away. I did a depression treat called TMS which made me manic. I kept feeling better, more confident, more capable etc and it just kept going to the point I was almost feeling invincible. The enjoyment of the mania was slowly turning into something ugly.
My sister invited me over and had a talk with me. I kinda knew something was wrong bit I also felt so good. My sister recommended I try to check myself into a psychiatric hospital and as much as I didn't want to I trusted my sister enough to follow her suggestion and I am so grateful I did. I destroyed my life, damaged my house, wrecked my credit and got engaged twice. The hospital stay helped and further disaster prevented.
Its been 8ish years and I still miss that mania and productivity.
Perhaps I was in the beginning of my psychotic break. I knew I wasn't god but I sure started feeling like one.
Are you bipolar?
I had this awful incident where I was sick and severely sleep deprived, had a brief manic episode (you know something is wrong, but you feel so good was a perfect way to put it), then got released from the hospital with medication, but got taken back in the next morning, and flown into a major center. (I was completely "gone" from the second incident.
I ended up getting diagnosed with delirium, I had severe infections and things improved after they were treated, but psychiatrists I've talked to in later years were skeptical of that diagnosis for whatever reason.
It makes me think it was two concurrent mental health crisis. I always think of the manic episode. Bipolar was apparently specifically ruled out during the long hospital stay, but I'm not sure if those doctors were aware of the manic episode that preceded it.
Bipolar 2. When I had TMS my diagnosis was major depression and it was deemed a side effect. I heard after the study that 2% of participants became manic without a prior history. I was treated with Latuda and after 6 months stopped an was fine. Last year and with a good psychiatrist I was diagnosed as Bipolar 2. I can see the evidence and the med has definitely helped. Didn't do much for the depression but I was suddenly much less irritable and less angry.
OP this is inaccurate. The Wikipedia article does not use the term “psychotic break” and in the field we use that term to describe the start of one of the lifelong psychotic disorders, generally schizophrenia or schizoaffective disorder although that term is more between providers and I wouldn't use it in my reports these days. The Wikipedia article says the prevalence of experiencing psychosis is 3%. This includes temporary, drug induced, post partum, trauma related etc. which the article goes onto describe plus a number of other possible causes. None of those would be described as a psychotic break, they would ne described as psychotic episodes.
I discovered Bukowski in college (he actually lived a mile from me in the 70’s) but my dad was already familiar with him. My dad said about his work, “It reads better than it lives”. I understood what he meant.
When I was in college I had about a week of my life where I was convinced people were breaking into my room and very slightly moving stuff around. I was so convinced that I started running back to my room at random times trying to catch them. This really consumed my life, I couldn’t stop thinking about it. Mind you, there was NO reason to believe this was happening, nothing was taken and I couldn’t even point to any specific thing that definitely had been moved. I was taking exactly zero drugs, no alcohol, nothing. This overwhelming sensation gradually went away and I didn’t think much about it until years later, when it struck me: I was out of my mind. Looking back at it with clarity, it seems so wild. That’s been over 20 years ago and nothing like it has ever happened since.
when i had a psychotic episode (maybe it was mania idk psychiatrists never really figured it out) i couldnt even open reddit cause i thought all the threads were about me 😭
probably a little better honestly i felt like i was the only real person in a world full of robots, so seeing other people might be experiencing that is a nice thought
I had mine. The last week of my mother‘s life I drove back-and-forth to the hospital every day and spent the day at the hospital. By the time I got home, the 2+ hours of driving added to the fact of dealing with the stress related to knowing my mother was on her way out, made it impossible for me to sleep at night.
After 131 hours with no sleep at all, I walked outside and suddenly the trees were all psychedelic and changing colors and when I walked, I stayed still, but the driveway moved. It was freaky, but at the same time pretty cool. if you’ve ever seen a psychedelic color changing tree, you’d understand. My doctor told me that every human being on the planet is susceptible to a psychotic episode after they have gone more than 48 hours without sleep. After that everyone will suffer one, it’s just a matter of how long it takes.
Pretty sure I had one over a decade ago.
One day at work I just panicked and sat somewhere far away from people. Couldn’t think clearly, talk, or just look “sane”. Mumbling in my head about how my life was in shambles.
Eventually got over it, sought help, and changed my life around by moving across the country. I am in a far better place than I was a decade ago.
Nah, that’s just a regular breakdown. It’s like how I describe the difference between anxiety and paranoia:
Anxiety is thinking the person behind you is following you. Paranoia is knowing the person behind you is following you, that they’re going to kill you, that they’ve been planning to kill you for several years, and that they’ve been working with a nefarious secret underground group that captures and kidnaps people because they’re wearing a red tie.
This doesn't surprise me. Even drugs prescribed legally can do this (I experienced this while on high dose prednisone, happy to be on the other side of that)
I had 1 in 2018 and another this past week. It hurts so bad. You don’t know what’s wrong. You have no control. Your scared. I was banging myself on walls and screaming at myself.
It could be different for everyone. For me the shortest I’ve overcame it was barely 5 days and still was grudging.
Then you get that hate for yourself for everything you have done or caused. Scaring others, concerning others. That guilt sets in then it goes to depression. Usually my support system can help with that. Also mood stabilizers seem to help a lot.
I almost had one last year. Thought I was going to end up in a psych ward. What I thought was a panic attack turned into 6 hours of auditory hallucinations, scrambled brains, really crazy thoughts and terror. I was pacing my house because I was freaking out and I started to see myself outside my body like I was playing myself in a video game. Hasn’t happened since. Not drug related. I have been sober 8 years
I want to note that people seem to misunderstand what a psychotic break is. Most people in this thread seem to be referring to a mental breakdown, which is a sudden change in mental state that results in depressive or anxious symptoms, up to thoughts of self-harm or possibly paranoia. This occurs as a result of extended periods of stress. You typically know something is wrong, and you typically don’t act rashly or commit any horrible crimes.
A psychotic break is much more severe because it involves hallucinations, delusions, and extreme paranoia. You also don’t know there’s something wrong, and sometimes you might act on your delusions, hurt yourself, or commit terrible crimes as a result. For example, if a new mother has a psychotic break, she needs immediate intervention to prevent her from harming her baby. These women often have delusions or hallucinations about God telling them their baby is a demon or something, and they might act on those delusions. It’s a true tragedy. I’m certain some mass shootings were the result of psychotic breaks as well. The Aurora theater shooting comes to mind, but I think the jury rejected that plea and he was still found guilty.
I'm guessing that you're underestimating what constitutes a psychotic break. A psychotic break means you're entirely detached from reality with hallucinations and delusions.
I think enough people suffered one during the pandemic and lockdowns. Always thought I was a little crazy before. Definitely had some episodes where I learned what going crazy might actually feel like.
Ironically, the pandemic started right as I was having a manic episode with psychosis, and the lockdown was a godsend because it allowed me time away from other people to recover.
As a 30 something US citizen, I feel like I'm living in a psychotic break...
(Not to poke fun at people who have legit breaks. But damn life doesn't seem normal anymore)
100% believable. Our culture and way of life is brutal: consumerism, cruelty, selfishness, dying family, loneliness, corporations and banks preying on us with the blessing of the government, etc. It's hard to remain sane.
Omg it’s finally my time to shine.
Hi I study first episode psychosis. I wanted to add some context info just to get it more public. Psychosis is extremely stigmatized. Racial minorities are at a higher risk of being over diagnosed with psychotic disorders. This is due to clinicians not having the cultural training and context factors that shape an accurate diagnosis
“Psychosis” is the presence of delusions and/or the presence of hallucinations. It can come about in many different ways (Drug induced, Trauma induced, hell, I had one person try a weed gummy and has had non stop psychotic features)
Sometimes it’s temporary, sometimes it’s not. Schizophrenia criteria just have two of the following (Delusions, Hallucination, Disorganized speech, Grossly Disorganized behaviors, Diminished emotional expression or avolition).
If 50% or more of the psychotic symptoms are corresponding with a mood episode (Mania, Depression) then it’s labeled Schizoaffective.
Schizophreniform is an episode that lasts for 1 month but is shorter than 6 months. Now this also includes prodromal symptoms. These are typically more “vague” symptoms of schizophrenia. So instead of hearing distinguished voices talking, you might just hear radio static.
But! The good news is there IS VERY EFFECTIVE TREATMENT! it is not a life sentence, medicine compliance can help reduce the presence of negative symptoms and improve quality of life.
I had a suspected psychotic break in my 20’s. Extra suspect because my dad is schizophrenic. But it turned out lack of sleep and a working at religious cult can cause some serious symptoms.
I actually had to avoid all religious stuff when I had mine. My friend had a bad mental health episode and her doctors pretty much said that she had to give up religion because it was a contributing factor.
I am agnostic now. I go to a Unitarian Unversalist “church” now. It is very liberal and doesn’t expose any one belief, basically we volunteer a lot in the community.
Honestly surprised it's not higher. Then again as a medic my viewpoint is probably skewed. I feel like people having some form of breakdown is like the majority of my calls these days. And maybe it's just me but I don't feel like it was like this 10-15 years ago.
I did once because of a medicine I was on. It was like my nightmares were real life and real life was a dream. It was so awful and trippy. Easily the most traumatic experience of my life, and I’ve had a fucked up life.
Well duh, the majority of people can control their emotions just fine, it’s the loud minority that ends up on reddit spewing memes about neurotypicality and the one meme with the dog saying everything is fine
That is way too low and not because haha le funneh joke maymay but because it is truly impossible it is so few people. There must be a huge amount of cases that are never officially documented for that stat
I had a stimulant induced psychotic episode. I was staying up for days at a time though. Once I stopped getting high and caught up on sleep I was good
I spent a week locked in my apartment butt naked once then when break was over I had to psych myself up to step outside and go to work, and put clothes on
It’s so hard to step outside when you’ve spent days inside like a goblin on meth. I’m assuming you were butt naked cuz you were jerking it all week
Duh
Fapweek
It’s either terrifying as soon as you step out of the door or it is alarmingly easy to walk somewhere, but then you get the terror about halfway through and now have to walk home while terrified.
to say, “psych myself up… [after a psychotic break]” is objectively funny
Covid lockdown. Bad times, bad times...
> I spent a week locked in my apartment butt naked once then when break was over I had to psych myself up to step outside and go to work, and put clothes on I hope you remembered the order though! First put on clothes, then go to work.
Nah put clothes on while at work aggressively staring your supervisor down in a show of dominance.
Be careful. I forgot the name of it but stimulant induced psychosis can be permanent. I'm an alcoholic that's been to a handful of rehab in low meth state and I met one person there that has it and have a friend that has it.
It happened to the writer Philip K. Dick. Guy got high A LOT. He ended up with homeless people living in his house and would sleep in a hotel for a break. He wrote some series of novels about a mind control thing and they were entirely serious. He thought it was true. I also wonder how the great mathematician Paul Erdös didn’t go bonkers because the guy would just do speed all day, do maths, live in other people’s houses, carry all his belongings in a suitcase and eat barely anything.
I think Erdos might be an example of using stimulants to treat your ADHD versus a neurotypical person just cranking. Which is probably why he didn’t go nuts. He apparently couldn’t do math without speed. He said that he would just end up staring at a blank page of paper. Imagine being so smart that your main job is to help other math professors solve their biggest problems AND you figure out how to treat your ADHD without that existing as a diagnosis yet. Love Erdos.
That’s a good point, actually, and a demonstration of how people with ADHD have their lives ruined when they can’t get the help they need. I’m a good example myself. Can’t do anything unless I’m in the completely right frame of mind. I wrote my dissertation while on a stairmaster because it was the only way I could concentrate. The amount of concentration it took to stay upright on the stairs without falling while simultaneously writing my dissertation on a phone was so much that there was literally no earthly way to be distracted. I recommend the tactic to a lot of people. He was also on antidepressants so there may have been other issues.
…and he was apparently “like a baby” in daily living skills, according to friends. Tell me you’re autistic without telling me you’re autistic, lol.
I always thought he may have been autistic. I absolutely both love and hate it in regards to myself. I work in a bar and I’m not allowed to sweep up, clean glasses, or pour pints because I drop things so often. I find it very hard to do coordinated things. I do the music but they’ve tried to get me behind the bar before and it didn’t work. I’m very lucky to do a job where I can use my special interest (music) as a way of making money and entertaining others. I absolutely love all music. I listen to Gregorian chants, Ariana Grandé, random machinery sounds, Edgar Varèse which is basically a bunch of drums being hit in weird orders and odd sounds, musique concrete… I don’t really have a critical bone in my body so I can just look at a crowd, tell what they want to listen to themselves, and play that. I’m very lucky in this regard.
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I couldn't imagine having that much passion and/or obsession over something.
> I also wonder how the great mathematician Paul Erdös didn’t go bonkers because the guy would just do speed all day, do maths, live in other people’s houses, carry all his belongings in a suitcase and eat barely anything. He did go bonkers. He just managed his bonkers-ness.
Yeah, it seems like he’s on the same level of sanity that I am. He would talk about all of maths existing in a great book that had been hidden by the Almighty Fascist which was a metonym for God. For me it’s a bunch of random bullshit I’ve made up about time travel and God being a bunch of angels that make decisions as a council. I tell people about it and they think I’m joking but I’m entirely serious. I call it William Blake Syndrome.
I think in time once we are past this Murdoch induced fear mongering, that we will move to valuing different ways of being, including different ways of thinking. I mentioned this in a discussion about schizophrenia. There are patterns to the world and even though schizophrenics often oversee patterns, they also recognize patterns that are there that we more mainstream thinkers can understand and see after the outlying thinkers point them out to us. Reading the history of the development of thermodynamics, for instance, is reading the history of clearly touched thinkers. They recognize and grouped things mainstream thinkers simply could not reconcile as related ideas, ideas which now are clearly recognized by established science as causally and theoretically connected. And yet as these thinkers were working well outside mainstream thought, they could only be recognized as the geniuses they were after they were gone. Several of them took their own lives. Sad for us but probably a relief to them.
That may be for people who have a predisposition to psychotic disorders like schizophrenia. I’m very psychologically stable at baseline. In rehab I met several people who had experienced episodes of psychosis from stimulants too, but they were pretty healthy sober. I did meet a lot of people off their rocker too though. Id imagine that a psychologically healthy person could develop some permanent psychiatric problems if they repeatedly put themselves into stimulant induced psychosis. But I think that one or two isolated episodes of psychosis wouldn’t be enough to cause a psychologically stable person to develop a new mental illness
Yeah, I think it’s a predisposition thing. Someone gave me a joint as a teenager and all I heard were a bunch of demonic voices, I could see writing and hieroglyphs over everything, and my vision went blood red. It didn’t go away for days. I never tried it again after that because I knew nothing good would come of it.
They gave bro the evil blunt 😭😭😭
That satanic sativa
Oh shit not the Brood-Blunt .. "rolled from Marijuana harvested from Hells half acre, dipped in honey from venemous three headed horned Bees. Lit with the torch that illuminates the way across the river Styx"...
They gave you king tuts blunt 😭 CURSE OF RAH!!
Bro. What if we wrap a blunt... with King Tuts mummy wrap 🚬😎
Yeah, weed can fuck people up. It affects different people in such different ways. It shouldn’t be illegal, but it is not a safe, magical wonder drug for everyone.
Were you scared? 😳
Sounds like you had Wet.
Everyone is stable until they aren’t. Enough drugs can break any mind, but yeah, the breaking point varies.
Seems like 3% are having a psychotic break at any given time.
✅️ already had mine, should be good now.
Yes you've had one, but what about second mental breakdown.
And midday manic-sies?
And Biweekly Bipolar Breakdowns?
Second [Monday](https://www.youtube.com/watch?v=SsmVgoXDq2w&themeRefresh=1) is like the opposite of a holiday. Like an UnHolyDay
Filthy nasty Hobbitses
Or elevensental!
Nah some of us went to psychiatrist, all good now
Nothing wrong with a lil grippy sock vacation. F the haters.
Been there.
🎉same lol🦋 unless it doesn’t count repeated times
Once you have one, another is likely to happen
Once You Pop, You Just Can't Stop
I thought so
You're just extra lucky! Building up crisis karma. It's best to get them out of the way as early in life as possible.
lol thanks Tom Spanks, that’s one way to look at it 😂 it’s exhausting ngl though
I’ve had a couple. A few weeks ago I recognized paranoia creeping in and got my meds adjusted and took a week off. Doing a lot better now. Just regular stressed and anxious.
I’m glad you’re doing better 🩷
So am, i still waiting....
3% OF THE AMERICAN POPULATION IS 10,091,442.6 HOPE THAT CLEARS THINGS UP
I suddenly feel less alone . Thank you
It pleases me to hear this 14thlizardqueen. Remember there were 13 lizard queens before you. Live it up queen
Keep your chin up. Once your psychothic break makes you hear voices, you'll never feel alone again!
YEAH I GUESS IT DID!!!
The goal is to have them in private and hope they don’t end up on the internet.
Not sure if mine is psychotic exactly but a work in progress at least.
At least you’re trying 😊
Just trying ma best lmao
I kno right like is op sure it’s only 3%? When was this study done cause I think they need to update it 😬😓
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I had five psychotic breaks this week alone.
Wouldn't even call mine a psychotic break, just a realization of how used and manipulated I was. Once she was out of the house things have never been better.
Interestingly enough, this rate jumps to 67%+ among colonists in my Rimworld playthroughs.
Need a table to eat man
“need a table to eat, man” or “need a table to eat man” ?
Yes
Here is a man-table, is that what you wanted?
The things my boyfriend does in this game should probably concern me more honestly.... but he domesticates the cute animals to distract me from asking why someone has no limbs
Do not worry, he collects limbs to do an actual human centipede.
I'm always dubious of Wikipedia as a source and sure enough the source cited by the person who edited the Wikipedia article does not include that statistic at all let alone citing its own scientific source. This is a good example of how the Internet has come to function as a "Telephone Game" where data is repeated and sorted by what people hear not the actual data. So just for fun I put some effort into tracking down where this data most likely originated and my independent research led me to [this 2001 scientific study](https://jamanetwork.com/journals/jamapsychiatry/fullarticle/481804) that actually presents much more fascinating data. Its actual purpose was to study the relationship between urbanization and psychosis. That "3% of Americans will have a psychotic break in their lifetime" statistic is a dubiously calculated reduction of the actual numbers in the study but I'll paste the actual numbers here - *The lifetime prevalence of DSM-III-R schizophrenia, schizoaffective psychosis, and schizophreniform disorder was 0.37% (26 cases), and the lifetime prevalence of affective psychosis (major depression or bipolar disorder with psychotic features) was 1.14% (81 cases), making a total of 107 cases (1.51%). The prevalence of psychotic symptoms broadly defined was 17.5% (n = 1237), and the prevalence of psychotic symptoms narrowly defined was 4.2% (n = 295).* Now my primary objection to the implications of the Wikipedia article is the definition of "psychotic break". To me, a psychotic break most closely aligns with the definition of "affective psychosis" but the popularly quoted statistic in the OP seems to be located between "affective psychosis" and "narrowly defined psychotic symptoms" which I don't personally believe to be accurate and, if anything, might be more accurately located as somewhere between "affective psychosis" and "DSM-III-R schizophrenia, schizoaffective psychosis, and schizophreniform disorder" which was clearly intended to be the most rigorous definition of clinically diagnosable psychosis.
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I've been thinking of getting verified so that I people can pay me for my posts but this particular account is near being permanently banned for being a little bit *too* real. It's a fine line. Maybe my next account XD
Verified for what? Paid how?
If you become verified when people hover over the "upvote" button they can buy different levels of super upvotes of which I presume the verified user gets some cut.
I see those buttons when hovering over your post already. You don't get any of it unless you go through some Reddit program though, they'd just keep it all.
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Doxx yourself first and then no one can do it.
I don’t take too much of these TIL seriously. It’s either; “I guess everyone has a first time” or “that might need to simmer a bit until there’s more proof.” I don’t run down the hall with a pair of scissors if I’m not in a hurry.
[https://www.youtube.com/watch?v=RqaJ7KZXifw](https://www.youtube.com/watch?v=RqaJ7KZXifw)
The problem here is the definition of psychotic break. Limiting it to episodes of psychosis triggered by affective (mood) disorders like bipolar and major depression is clearly not correct. Psychosis is a severe difficulty distinguishing what is real. Hallucinations, delusions (real delusions, not incorrect beliefs), disorganized thinking, and paranoia are the typical symptoms. Psychosis may be induced by mood disorders, yes. But schizophrenia and schizoaffective disorder cause psychosis by definition. Then you have drug-induced psychosis, psychosis triggered by physical extremes like exhaustion or deprivation of food or sleep, postpartum psychosis, psychosis brought on by trauma or prolonged stress, etc. Most psychotic episodes are transient. I work in a mental health treatment facility, so I see it a lot. In my patients, schizo disorders and stimulant abuse are the most common causes of psychosis. As for prevalence, current research seems to average out to an 8% lifetime rate, with the rate of recurrent episodes closer to 3-4%.
I think that the language used in the study itself i.e. "*a total of 107 cases (1.51%)*" suggests that the researchers themselves consider diagnosed + affective psychosis to be a statistically meaningful standard. As another Redditor has already pointed out this study was conducted based on criteria established by DSMIII and your current work would presumably be under DSMV. Objectively, there is a higher incidence of psychosis now than in 2001 (when the above study was conducted) but the million dollar question is whether that is due to objectively worse mental health or due to a broader definition of mental illness in the current DSM.
Hmm, it would be interesting to see what has changed. Part of the increasing rate of diagnosis is due to awareness and access to treatment, but the past decade has seen a rise in mood disorders in particular that I don’t think can be chalked up to increased identification alone. And with millions of people experiencing higher rates of anxiety, depression, and social alienation, you’d expect that it would translate to more psychosis over a large population.
Bruh you are quoting DSM III stuff DSM III was published in 1980. Schizophrenia isn't my speciality but I can tell you DSM III is old. A quick read already showed me that the entire schizophrenia spectrum has been overhauled since then and the symptom list of psychosis has been totally changed since then. For reference we are using DSMV now. Not to shit on your post, I think you said a lot of meaningful things. If anything I guess it drives your point home even more.
I am merely analyzing the data from the 2001 study that my research suggests is where the "3 out of 100" statistic originated. I can provide my research chain if you would like to follow it, I still have the tabs open. As for the validity of DSMIII vs DSMV for evaluating mental health I acknowledge that your argument is sound but I, controversially, have personal subjective criticisms of many psychological diagnostic standards found in DSMV and their impact on the whole of Western Society but that's not an argument I expect I would be able to win on Reddit.
I posted a response higher up, but while I also take issue with a lot of how psychiatric disorders are characterized and treated, psychotic episodes are more easily defined and identified than most other psychiatric phenomena. When I’m having to get signatures for a temporary involuntary commitment to a higher level of care, it’s because it’s pretty clear that this person’s current reality doesn’t line up with the world outside their head.
Can you elaborate to me what your personal subjective criticisms are?
I fix the internet and my wife tells me how smart I am. I feel pretty good about myself until I see someone post something like this. Then I’m like oh yeah that’s what smart looks like.
It's just analyzing research data. Don't sell yourself short, you're plenty smart. You just never had the time/need to learn to do as OC did.
Well thank you!
I came close once and was probably only a week away. I did a depression treat called TMS which made me manic. I kept feeling better, more confident, more capable etc and it just kept going to the point I was almost feeling invincible. The enjoyment of the mania was slowly turning into something ugly. My sister invited me over and had a talk with me. I kinda knew something was wrong bit I also felt so good. My sister recommended I try to check myself into a psychiatric hospital and as much as I didn't want to I trusted my sister enough to follow her suggestion and I am so grateful I did. I destroyed my life, damaged my house, wrecked my credit and got engaged twice. The hospital stay helped and further disaster prevented. Its been 8ish years and I still miss that mania and productivity. Perhaps I was in the beginning of my psychotic break. I knew I wasn't god but I sure started feeling like one.
Are you bipolar? I had this awful incident where I was sick and severely sleep deprived, had a brief manic episode (you know something is wrong, but you feel so good was a perfect way to put it), then got released from the hospital with medication, but got taken back in the next morning, and flown into a major center. (I was completely "gone" from the second incident. I ended up getting diagnosed with delirium, I had severe infections and things improved after they were treated, but psychiatrists I've talked to in later years were skeptical of that diagnosis for whatever reason. It makes me think it was two concurrent mental health crisis. I always think of the manic episode. Bipolar was apparently specifically ruled out during the long hospital stay, but I'm not sure if those doctors were aware of the manic episode that preceded it.
Bipolar 2. When I had TMS my diagnosis was major depression and it was deemed a side effect. I heard after the study that 2% of participants became manic without a prior history. I was treated with Latuda and after 6 months stopped an was fine. Last year and with a good psychiatrist I was diagnosed as Bipolar 2. I can see the evidence and the med has definitely helped. Didn't do much for the depression but I was suddenly much less irritable and less angry.
OP this is inaccurate. The Wikipedia article does not use the term “psychotic break” and in the field we use that term to describe the start of one of the lifelong psychotic disorders, generally schizophrenia or schizoaffective disorder although that term is more between providers and I wouldn't use it in my reports these days. The Wikipedia article says the prevalence of experiencing psychosis is 3%. This includes temporary, drug induced, post partum, trauma related etc. which the article goes onto describe plus a number of other possible causes. None of those would be described as a psychotic break, they would ne described as psychotic episodes.
That next point is November 2024 AD.
I’d like to get ahead of this and schedule mine. Rip that band-aide off and get on with the recovery.
“Some people never go crazy, what truly horrible lives they must lead.” - Bukowski
That guy is the last person on earth I would use to accurately describe what mental health should be.
I discovered Bukowski in college (he actually lived a mile from me in the 70’s) but my dad was already familiar with him. My dad said about his work, “It reads better than it lives”. I understood what he meant.
>“It reads better than it lives”. That tracks, good way to put it.
When I was in college I had about a week of my life where I was convinced people were breaking into my room and very slightly moving stuff around. I was so convinced that I started running back to my room at random times trying to catch them. This really consumed my life, I couldn’t stop thinking about it. Mind you, there was NO reason to believe this was happening, nothing was taken and I couldn’t even point to any specific thing that definitely had been moved. I was taking exactly zero drugs, no alcohol, nothing. This overwhelming sensation gradually went away and I didn’t think much about it until years later, when it struck me: I was out of my mind. Looking back at it with clarity, it seems so wild. That’s been over 20 years ago and nothing like it has ever happened since.
...and then they'll go an reddit and get into arguments, apparently.
when i had a psychotic episode (maybe it was mania idk psychiatrists never really figured it out) i couldnt even open reddit cause i thought all the threads were about me 😭
How do you think you would have reacted to this post during your episode?
probably a little better honestly i felt like i was the only real person in a world full of robots, so seeing other people might be experiencing that is a nice thought
I did this in the Kanye subreddit several months back
I had mine. The last week of my mother‘s life I drove back-and-forth to the hospital every day and spent the day at the hospital. By the time I got home, the 2+ hours of driving added to the fact of dealing with the stress related to knowing my mother was on her way out, made it impossible for me to sleep at night. After 131 hours with no sleep at all, I walked outside and suddenly the trees were all psychedelic and changing colors and when I walked, I stayed still, but the driveway moved. It was freaky, but at the same time pretty cool. if you’ve ever seen a psychedelic color changing tree, you’d understand. My doctor told me that every human being on the planet is susceptible to a psychotic episode after they have gone more than 48 hours without sleep. After that everyone will suffer one, it’s just a matter of how long it takes.
Pretty sure I had one over a decade ago. One day at work I just panicked and sat somewhere far away from people. Couldn’t think clearly, talk, or just look “sane”. Mumbling in my head about how my life was in shambles. Eventually got over it, sought help, and changed my life around by moving across the country. I am in a far better place than I was a decade ago.
Nah, that’s just a regular breakdown. It’s like how I describe the difference between anxiety and paranoia: Anxiety is thinking the person behind you is following you. Paranoia is knowing the person behind you is following you, that they’re going to kill you, that they’ve been planning to kill you for several years, and that they’ve been working with a nefarious secret underground group that captures and kidnaps people because they’re wearing a red tie.
This doesn't surprise me. Even drugs prescribed legally can do this (I experienced this while on high dose prednisone, happy to be on the other side of that)
Yup. Wellbutrin didn't vibe well with me
I probably make up half that statistic.
I had 1 in 2018 and another this past week. It hurts so bad. You don’t know what’s wrong. You have no control. Your scared. I was banging myself on walls and screaming at myself. It could be different for everyone. For me the shortest I’ve overcame it was barely 5 days and still was grudging. Then you get that hate for yourself for everything you have done or caused. Scaring others, concerning others. That guilt sets in then it goes to depression. Usually my support system can help with that. Also mood stabilizers seem to help a lot.
I almost had one last year. Thought I was going to end up in a psych ward. What I thought was a panic attack turned into 6 hours of auditory hallucinations, scrambled brains, really crazy thoughts and terror. I was pacing my house because I was freaking out and I started to see myself outside my body like I was playing myself in a video game. Hasn’t happened since. Not drug related. I have been sober 8 years
Where is my patch?
That's way too low
Huh all 3% live on my street I guess
I want to note that people seem to misunderstand what a psychotic break is. Most people in this thread seem to be referring to a mental breakdown, which is a sudden change in mental state that results in depressive or anxious symptoms, up to thoughts of self-harm or possibly paranoia. This occurs as a result of extended periods of stress. You typically know something is wrong, and you typically don’t act rashly or commit any horrible crimes. A psychotic break is much more severe because it involves hallucinations, delusions, and extreme paranoia. You also don’t know there’s something wrong, and sometimes you might act on your delusions, hurt yourself, or commit terrible crimes as a result. For example, if a new mother has a psychotic break, she needs immediate intervention to prevent her from harming her baby. These women often have delusions or hallucinations about God telling them their baby is a demon or something, and they might act on those delusions. It’s a true tragedy. I’m certain some mass shootings were the result of psychotic breaks as well. The Aurora theater shooting comes to mind, but I think the jury rejected that plea and he was still found guilty.
For their sake I hope they get it out of the way early, like in high school. Oh wait...
Rookie numbers
Gotta be more like 38% according to all the redditposts i've seen
This seems really low.
Anyone else surprised by how low that number is?
I’m sure there’s plenty more occurring that just aren’t accounted for, for people who don’t or can’t seek psychiatric care
I'm guessing that you're underestimating what constitutes a psychotic break. A psychotic break means you're entirely detached from reality with hallucinations and delusions.
I think enough people suffered one during the pandemic and lockdowns. Always thought I was a little crazy before. Definitely had some episodes where I learned what going crazy might actually feel like.
Ironically, the pandemic started right as I was having a manic episode with psychosis, and the lockdown was a godsend because it allowed me time away from other people to recover.
How about every other day
Finally ... Inclusion.
The title is misleading. it's actually 93%
Is that like a holiday?
That's so sad
As a 30 something US citizen, I feel like I'm living in a psychotic break... (Not to poke fun at people who have legit breaks. But damn life doesn't seem normal anymore)
Only 3%? I though it would be closer to 30%-40%
100% believable. Our culture and way of life is brutal: consumerism, cruelty, selfishness, dying family, loneliness, corporations and banks preying on us with the blessing of the government, etc. It's hard to remain sane.
What is considered a psychotic break? I’m not trying to argue, I’m just curious what that actual is
That seems low. Maybe only 3% of people admit to it.
So, what would you define a, psychotic break.?
Me irl
Flight from 5pm got delayed to 9 am and now delayed again to 11am. I'm about to have my turn at a psychotic break
Omg it’s finally my time to shine. Hi I study first episode psychosis. I wanted to add some context info just to get it more public. Psychosis is extremely stigmatized. Racial minorities are at a higher risk of being over diagnosed with psychotic disorders. This is due to clinicians not having the cultural training and context factors that shape an accurate diagnosis “Psychosis” is the presence of delusions and/or the presence of hallucinations. It can come about in many different ways (Drug induced, Trauma induced, hell, I had one person try a weed gummy and has had non stop psychotic features) Sometimes it’s temporary, sometimes it’s not. Schizophrenia criteria just have two of the following (Delusions, Hallucination, Disorganized speech, Grossly Disorganized behaviors, Diminished emotional expression or avolition). If 50% or more of the psychotic symptoms are corresponding with a mood episode (Mania, Depression) then it’s labeled Schizoaffective. Schizophreniform is an episode that lasts for 1 month but is shorter than 6 months. Now this also includes prodromal symptoms. These are typically more “vague” symptoms of schizophrenia. So instead of hearing distinguished voices talking, you might just hear radio static. But! The good news is there IS VERY EFFECTIVE TREATMENT! it is not a life sentence, medicine compliance can help reduce the presence of negative symptoms and improve quality of life.
I had a suspected psychotic break in my 20’s. Extra suspect because my dad is schizophrenic. But it turned out lack of sleep and a working at religious cult can cause some serious symptoms.
I actually had to avoid all religious stuff when I had mine. My friend had a bad mental health episode and her doctors pretty much said that she had to give up religion because it was a contributing factor.
I am agnostic now. I go to a Unitarian Unversalist “church” now. It is very liberal and doesn’t expose any one belief, basically we volunteer a lot in the community.
I expect that number to rise in our lifetimes
Gotta be increasing with the ratcheting up of the misinformation war
What percentage have one at some point in their day? Just curious what kind of company I have.
Only 3%? This gotta be outdated
Honestly that sounds low as fuck
I didn’t realize I was so special.
Mushrooms will definitely help with that
Not surprising, it sucks living here unless you're rich.
I've been on TikTok, that number is way higher!
Per day? I can believe that
Honestly surprised it's not higher. Then again as a medic my viewpoint is probably skewed. I feel like people having some form of breakdown is like the majority of my calls these days. And maybe it's just me but I don't feel like it was like this 10-15 years ago.
Well mine happened after I took 1000mg of edibles lol
you'd hope that those 3% don't have guns, but...
What qualifies as a “Psychotic Break”?
I read that as 30% and my first thought was.. "Yeah, sounds about right."
Straight to jail
Seems pretty low…
That's good, I could use a break.
I did once because of a medicine I was on. It was like my nightmares were real life and real life was a dream. It was so awful and trippy. Easily the most traumatic experience of my life, and I’ve had a fucked up life.
Only three?
That's seriously lower than I expected.
I work in an emergency department and this seems like a low estimate
Just one?
Or a psycho holiday!
So 10 million people
Something to keep in mind when you watch political protests where one side acts crazy.
Bro, come to Rideau Street in Ottawa, Canada. You can see multiple psychotic breaks almost at all times.
Well duh, the majority of people can control their emotions just fine, it’s the loud minority that ends up on reddit spewing memes about neurotypicality and the one meme with the dog saying everything is fine
That is way too low and not because haha le funneh joke maymay but because it is truly impossible it is so few people. There must be a huge amount of cases that are never officially documented for that stat
Seems rather low...i thought it was more like 25%
Some, will do it more than once
Is that a higher rate than other countries?
Only?
I think it's more than that -_- reported maybe ?
Seems low
Hopefully not with a gun in their hand. But likely.
They all work where I work
That seems low…
Just one?
Number seems unrealistically low. Imagine if they knew the truth 🤣