What does "in psychosis" mean?

I asked this to my sza friend who talked about her fixed delusions but said she isn’t in psychosis. I then asked her what she means and she says she means she’s not ill and doesn’t believe she’s out of touch with reality.

I don’t get it. If you’re in psychosis that’s exactly what you’d say!

I don’t understand. If I’m still delusional doesn’t that mean I’m in psychosis still? Or does it mean I have to be completely off my rocker hearing voices every day and being unable to function?

It’s confusing

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I’m psychotic. I hear voices and feel strange. With meds I have insight. I can function. I know when I have delusions etc.

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Psychosis implies being actively delusional. I have schizoaffective but found meds that worked and recovered a bit after about 6 years from when it started, and haven’t been in psychosis since then. I have a brother who also has sz, but he doesn’t take meds and is in and out of psychosis.

If you have a solid grip on reality and your symptoms aren’t interfering with your life, you’re not actively in psychosis. If they are, then you are, at least that’s what I’ve learned researching the disorder.

During my early years whenever I slipped into psychosis I usually ended up hospitalized either voluntarily or by being committed, usually by family.

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having hallucinations or having delusions like someone is after you

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I don’t think hallucinations on their own can do it, i hear voices like noise in my ear each day but i am not delusional so i know they’re just noise and i tune them out. Some have debated with me that just hearing a voice means psychosis, but my psychiatrist tells me if I’m level headed like i am now she wouldn’t consider me psychotic.

If you’re delusional and hearing voices you’re gonna do silly things like talk back, think they’re real, wonder who you’re talking to “telepathically,” think the radio or tv knows you, any of those things.

If you’re not delusional, living is like working a job with construction going on outside, you just tune the noise out.

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The severity of it currently i guess. And some people only have episodes of psychosis while others are always in it. And some of the ones who only have episodic psychosis may still have lingering delusions or hallucinations but are mostly able to function and are not a danger to themselves or others.

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I second what agent said, for as long as it is affecting your daily behaviour - youre likely still in psychosis.

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Oh yeah and of course having insight would be a major factor too.

Those are just things that I think. You’d have to ask a psychiatrist.

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sorry for the deleted posts, i think i misunderstood a post and jumped the gun on a response.

I’m like this too. I don’t think I’m delusional, but since my ideas about reality are so far away from ‘the norm’, I’m basically outvoted.

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lost touch of reality

I believe God talks to me. I think that’s psychotic.

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Does he tell you what to say and do?

It’s a woman she says she wants to be with me for eternity when I die. It freaks me out because I see things blink in and out of reality and she claims she does it to prove that something supernatural is happening to me. She says my life is for me to see what she wants me to see and experience before being with her. It freaks me out. It feels real.

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