Bipolar Disorder

Schizophrenia

Mood Congruence of Delusions

+++

+/-

Bizarreness of Delusions

+

++++

Interpersonal Engagement

+++++

-

Euphoric

Often

Rare

Multiple goal-oriented activities

Common especially early in episode (hypomania)

Not characteristic

Downward Drift

+/-

++++

Premorbid functioning

Excellent

Odd or unusual, more socially withdrawn

Effect on Examiner

Infectious Euphoria

Disconnect

Return to Normalcy Between Episodes

The rule

The exception; patients may have negative or residual symptoms