From Guilt to Grandiosity, Words Between the Highs and Lows: A Sentence Completion Perspective on Psychotic Features in Bipolar Disorder I

AbstractMost literature emphasizes either depressive or manic symptoms. There is a paucity of studies examining both episodes together alongside psychotic features in a single case. Current study presents a comparative analysis of both depression and manic episodes along with psychotic features highlighting utility of Sacks sentence completion (SSCT) in clinical assessment. Methodology: Beck Depression Inventory- II, Young Mania Rating scale was used to assess both severity of depressive and manic symptoms. Furthermore, Sacks sentence completion test has been administered for both episodes respectively. The Bipolar type I disorder with psychotic case clinical report was qualitatively interpreted. Various themes were denoted indicating disparities between depression and mania. This analysis provides insights into lived experiences of bipolar disorder 1. Results indicated, during depressive episode, significant distress has been noticed in areas of self-concept pertaining to guilt feelings and interpersonal functioning. However, the similar distress has been overcompensated during the episode of mania. Conclusion: The link between low social support and depressive symptoms was influenced by low self-esteem, which has been connected to grandiose thinking impacting interpersonal interactions.