Bipolar Disorder and Schizophrenia—On the Same Spectrum?
Psychosis is an experience marked by changes in how information is integrated. While the hallmarks of psychosis include qualities like hallucinations and unusual beliefs, the pathways to psychosis may bear an array of diagnoses, from severe mood disorders to schizophrenia and even severe PTSD. Different providers often interpret presentations of psychosis through different lenses, often leading to disagreements about diagnosis between providers (Reiger et al., 2013). Frequently, someone will receive multiple diagnoses as practitioners seek to understand the basis of the condition.
Psychosis Superspectrum
In recent years, some researchers have put forth the concept of a psychosis superspectrum as a model for describing the complex and interweaving manifestations (Jonas et al., 2024). On one side of the spectrum is "psychoticism", which would include what most people think of when they hear of "psychosis,"—the hallucinations, delusions, and disorganization. On the other side is "detachment", which relates to the negative symptoms associated with certain schizophrenia-spectrum disorders, such as lack of interest in activities, low motivation, flatness, and social withdrawal.........
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