I agree that “psychosis” is probably not a great term for this. “Mania” feels closer to what the typical case is like. It would be nice to have an actual psychiatrist weigh in.
I’m a clinical psychology PhD student. Please take the following as psychoeducation, and with the strong caveats that (1) I cannot diagnose without supervision as I am not an independently licensed practitioner and (2) I would not have enough information to diagnose here even if I were.
Mania and psychosis are not mutually exclusive. Under the DSM-5-TR, Bipolar I has two relevant specifiers: (a) with mood-congruent psychotic features, and (b) with mood-incongruent psychotic features. The symptoms described here would be characterized as mood-congruent (though this does not imply the individual would meet criteria for Bipolar I or any other mental disorder).
Of course, differential diagnosis for any sort of “AI psychosis” case would involve considering multiple schizophrenia spectrum and other psychotic disorders as well, alongside a thorough consideration of substance use, medication history, physical health, life circumstances, etc. to determine which diagnosis—if any—provides the most parsimonious explanation for the described symptoms. Like most classification schemes, diagnostic categories are imperfect and useful to the extent that they serve their function in a given context.
I’m a clinical psychology PhD student. Please take the following as psychoeducation, and with the strong caveats that (1) I cannot diagnose without supervision as I am not an independently licensed practitioner and (2) I would not have enough information to diagnose here even if I were.
Mania and psychosis are not mutually exclusive. Under the DSM-5-TR, Bipolar I has two relevant specifiers: (a) with mood-congruent psychotic features, and (b) with mood-incongruent psychotic features. The symptoms described here would be characterized as mood-congruent (though this does not imply the individual would meet criteria for Bipolar I or any other mental disorder).
Of course, differential diagnosis for any sort of “AI psychosis” case would involve considering multiple schizophrenia spectrum and other psychotic disorders as well, alongside a thorough consideration of substance use, medication history, physical health, life circumstances, etc. to determine which diagnosis—if any—provides the most parsimonious explanation for the described symptoms. Like most classification schemes, diagnostic categories are imperfect and useful to the extent that they serve their function in a given context.