Can a bad manic episode give you permanent psychosis?

By permanent psychosis, I'm talking having it outside of mania/depression.

About a month ago, I had my worst manic episode yet. I was moderately to severely psychotic, seeing things, thinking friends were conspiring against me, strangers planning to hurt me, etc. However since I came down from that episode, those thoughts seem to persist from time to time and I've had to leave work early a couple times as a result of it. It's interfering with my life.

Is this something that happens? Should I be worried about this?

I have heard that each severe psychotic episode gets worse so try your best to stay stable. Since you just had an episode it can take a while to fully recover for your brain and body. It may be possible that you won't recover completely but I doubt it. Most people have strange thoughts at times so maybe therapy could help you change your thinking patterns to cope with it better.

This is a good question for your psychiatrist, so print it out or write it down and take to your next appointment. If you aren't well you might need to adjust your treatment.

Also, after I had a manic episode I had a higher than average dosage to make sure I stayed stable and didn't relapse. I felt a little like a zombie for a while, but no delusions.

I had a really bad manic episode before I had my first hospitalization. It was a mixed episode and I was psychotic as well. It lasted so very long, the psychosis. But definitely talk to your doctor. What you are going through may not be normal and you may need further treatment. Be safe.

Any memory of a psychotic state I suppose will stay with you. Don't even try to think about the things you can't remember, that's when it really starts to get scary. When my partner tells me about things I was doing and saying that I don't remember, I do really question my mind. Use the things you do remember to guide your self-understanding, and discuss it with your psychiatrist.

Breaking down. I don't know how old you are but I'm 35. No you will not get permanent psychosis. But what happens is your episode will get worse and worse as you get older. I've had probably 25 psychotic episodes through my life. The last one lasted 9 months because I came off my medication. I can tell you this. The last one has left me with permanent brain damage. I have never been the same since this last episode. The thing is if you take your meds antipsychotic you should be able to at least control them. I am kind of always in a psychotic state even medicated. I would explain it more or less as a moderate Mania permanently. This is how I mainly function. Bipolar or if you have been diagnosed with bipolar the Mania will be short-lived followed by depression. Permanent psychosis would be more or less from what I understand schizophrenia.