Why do patients always think they’re Jesus? Psychosis Q&A

Recovery from bipolar disorder involves unique challenges that can profoundly impact our relationships and daily functioning. In this article, I share personal insights on maintaining friendships after manic episodes, the reality of recovery timelines, and navigating the complex memory aspects of psychosis.

Understanding these aspects of bipolar disorder can help both those experiencing it and their support networks create more compassionate connections.

Watch my detailed video where I answer your questions about bipolar recovery:

Navigating Friendships After a Manic Episode

One of the most challenging aspects of bipolar recovery is rebuilding relationships that may have been strained during manic episodes. When experiencing mania, our behaviour can sometimes be erratic, overwhelming or even hurtful to those around us, often without us fully realising the impact at the time.

In my experience, genuine friends will typically give you grace and space to recover. However, it’s important to recognise that some people may need to establish boundaries for their own wellbeing. This isn’t necessarily rejection—it’s self-preservation.

When approaching these delicate situations, I’ve found that:

  • Direct, honest communication about your condition helps
  • Acknowledging any behaviour that may have hurt others without excessive self-blame
  • Respecting others’ need for space when requested
  • Focusing on rebuilding trust gradually rather than expecting immediate forgiveness

Recovery Timeline: A Personal Perspective

The question of “how long does recovery take?” comes up frequently, and the honest answer is that it varies significantly. My personal recovery journey took approximately six months to reach a place of stability after a severe episode.

It’s crucial to understand that recovery isn’t linear. There were days when I felt I was making significant progress, followed by setbacks that felt devastating. This pattern is normal and doesn’t indicate failure—just the natural ebb and flow of healing.

Stages of My Recovery

The initial stabilisation period typically requires medical intervention and can take several weeks. After that, cognitive function begins to improve gradually, though concentration and energy may remain challenges for months. Emotional regulation often takes the longest to recover fully.

Memory and Psychosis: Do We Remember?

A fascinating aspect of bipolar disorder involves memory during psychotic episodes. In my case, I do remember much of what happened during psychosis, though the memories have a dreamlike quality. It’s as if I’m watching scenes from a film rather than recalling my own experiences.

Some people experience complete amnesia regarding their psychotic episodes, while others retain detailed memories. This spectrum of experience reflects the highly individual nature of bipolar disorder.

The “Messiah Complex” Phenomenon

One question I received concerns why many people experiencing psychosis believe they are Jesus or have a divine mission. This religious delusion pattern appears across cultures and is related to how psychosis often manifests.

During psychosis, the brain creates connections between unrelated things, and the feeling of importance or special purpose is extremely common. In cultures where Christianity is present, this often takes the form of identifying with Jesus due to the cultural significance of this figure.

Self-Care Strategies for Ongoing Management

Managing bipolar disorder long-term requires consistent self-care practices. Some approaches that have proven helpful in my experience include:

  • Maintaining regular sleep patterns
  • Medication compliance when prescribed
  • Regular therapy sessions
  • Exercise and proper nutrition
  • Stress management techniques
  • Building a supportive community

Understanding triggers and early warning signs has been essential for preventing major episodes. By recognising subtle changes in sleep patterns, thought processes, or energy levels, it’s often possible to intervene before symptoms escalate.

Reaching Out for Support

If you’re navigating your own journey with bipolar disorder or supporting someone who is, remember that connection is vital. You can find more of my content on Instagram and TikTok @itsmikemcdonnelluk or visit my website at my personal site.

I encourage you to continue asking questions and sharing experiences—this community understanding helps reduce stigma and creates more compassionate support systems for everyone affected by bipolar disorder.

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