I’ve got BP2 and have never experienced full blown mania. 

I’ve read recently that lack of sleep can be a trigger for psychotic episodes in bipolar people. I’ve also read that lack of sleep can cause psychosis in mentally healthy people too though.

I’ve had a couple of experiences where I couldn’t sleep for days on end. This last time around, I didn’t sleep for three days and I started seeing shadows everywhere, felt bugs on my skin that weren’t there, and even heard invisible people speaking to me.. Very scary, but I was aware enough to know that it wasn’t real and I didn’t feel elated for no reason like I do with hypomania. I got a few hours of sleep that night and it all went away. This happened to me a few times in my high school years but I wasn’t diagnosed then and I wasn’t worried about it as long as it went away.

I guess I’m just wondering if I should talk to my psychiatrist about this or if I should just make an appointment with my primary care doc for my insomnia problems.