Mania and symptoms of psychosis

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Can mania cause psychosis, or individual symptoms of it? Will those symptoms go away when the episode of mania ends?

I realized that for the past couple weeks I've been increasingly dealing with the symptoms that I get from having mania (increased hyperactivity, irritability, compulsive masturbation, watching pornography that I regret watching, increased drug use, feeling uncharacteristically confident in social situations, etc.), but this time I've started having auditory hallucinations (hearing people walking around even when I'm alone, things getting dropped or slammed, etc.) and have been feeling paranoid towards other people (thinking people are talking about me behind my back, reading into what they're saying too much, feeling defensive and distrustful, etc.). I'm not delusional since after awhile I can recognize, or at least assert to myself, that I'm being ridiculous.

I haven't dealt with auditory hallucinations or feeling paranoid for a few years, so it's distressing to experience this. I'm just hoping that when the mania passes that it goes away and doesn't happen again.

In my experience psychotic type symptoms can emerge during periods of extreme stress, mania, or mixed states (mania and depression simultaneously).

They're likely to resolve when things return closer to baseline.

I can relate to how mania can lead to that list.

I hope that it goes away soon, last night I was panicking because the hallucinations made me think that someone was in the house. It was scary and I couldn't reason with myself since I kept hearing stuff.

I've also been looking at stuff about mania and psychosis, and some things say that it might occur around the "peak" of a manic episode, so I hope that means that all of my symptoms will start mellowing out soon instead of increasing like they have been. I really want the sexual issues and irritability to go away.

Sounds like you are having a very bad experience at the moment, HeroOfHyrule. Can you reach out to a medical professional who may be able to advise you and allay any fears you have better than I could?

I have an appointment with my therapist today, but I feel like rescheduling it. I know I shouldn't, I just am scared that I'll somehow get in trouble if I tell them that I'm manic and experiencing auditory hallucinations, plus last time we talked I told them about something that recently happened to me and they're going to bring it up. I don't feel like talking about that while I'm like this.

I know sharing painful things with medical professionals is difficult at the best of times, but I think you should reconsider talking to your therapist. Maybe you could write things down before you meet, so you don't actually have the words coming from your mouth.

I'm still worried about somehow getting in trouble. I'm also worried that my therapist won't believe anything I tell them if I say I'm having issues like this. I was still manic when we talked last week and I don't want it to discredit anything I said or will say in the future.

My therapist I don't think noticed that I was manic and I didn't even really notice it until it got worse over the week. I'm scared that if I tell them that + that I'm hallucinating that they will just think I'm out of grasp with reality and will start to dismiss things I say.

^+1

I'll try to attend the session and tell them what's been happening. It's hard to think straight lately so I hope I can explain myself to them properly and not make myself sound crazy.

So, I did tell my therapist about the stuff I've been dealing with. I almost didn't, but when I mentioned dissociating for days straight they asked me if I've been hearing and seeing things. I also brought up the symptoms of mania that I've been having + the fact it's been happening for a few years along with/mixed with intense bouts of depression, so apparently they're going to start screening me for bipolar disorder next week. I didn't get to mention feeling paranoid or my increased drug usage though.