I have a question for people who know at least something about psychology here.
I haven't looked too thoroughly at her Tumblr (I feel a bit creepy reading it) but this post caught my eye. I know you can't know much about someone based on a post made on a social network, but Elisa seemed really open on there. There's this one bizarre post that doesn't fit in with her other ones, and it's quite old. I was just wondering if this could suggest psychosis rather than (or on top of ) mania:
snipped from here:
http://nouvelle-nouveau.tumblr.com/post/34350935794/adventures-in-hypomania-part-ii
And if it's possible that she experienced psychosis as a side of bipolar/hypomania, I guess it is possible that she thought she was hiding from something in the tank. (Though more likely, in my view, that she was preyed upon by someone who took advantage of her state)
My (extremely layperson understanding) of psychosis is that it indicates a temporary detachment from reality, while hypomania is a surge of manic energy? The "absolute certainty" about understanding the universe is a feeling that suggests detachment from reality to me. I wonder if she had difficulty expressing that to a doctor or therapist.
IMHO this reads more as mania than psychosis. This mania can sometimes cause people to feel like the world is clear, and they are wasting their time on trivial things.
Manic Episode
mental disorder
When an individual experiences a discrete period of persistent and pervasive manic (elated, irritable or euphoric) mood, this term may be applied. The individual may be diagnosed with one of the bipolar disorders.
Diagnostic criteria for Manic Episode
(DSM IV - TR)
(cautionary statement)
A. A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary).
B. During the period of mood disturbance, three (or more) of the following symptoms have persisted (four if the mood is only irritable) and have been present to a significant degree:
(1) inflated self-esteem or grandiosity
(2) decreased need for sleep (e.g., feels rested after only 3 hours of sleep)
(3) more talkative than usual or pressure to keep talking
(4) flight of ideas or subjective experience that thoughts are racing
(5) distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli)
(6) increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation
(7) excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments)
Sources (
http://behavenet.com/manic-episode)
I copy and pasted part of the characteristics for the DSM-IV diagnostic criteria for a manic episode.
These thoughts appear to be racing, thoughts of grandeur, the idea that you have it all figured out when no one else does.