Doctor’s journey through psychosis: ‘It is intoxicating, like existing in technicolour’

Award-winning physician Dr Dov Degen opens up about bipolar disorder and his first psychotic episode during medical school

By LineZotpaper
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Dr Dov Degen, an award-winning nephrologist and general physician, has shared his experience of psychosis after being diagnosed with bipolar disorder at 19. Speaking over lunch at Lady of St Kilda restaurant, he described how a depressive episode and antidepressant prescription without mood stabilisers triggered full-blown mania and delusions, including the belief he was the incarnation of Jesus.

It was at the end of his second year of medical school that Dr Dov Degen became convinced he was the incarnation of Jesus. Frantically writing a manuscript and barely sleeping, he wandered the streets at night, flooded with thoughts about how to better mankind. “I just wanted to help everyone,” he said. “I had this idea of bringing a new Earth to the planet and healing everyone.”

He did not realise it then, but he was in the grips of his first episode of psychosis. Degen had been diagnosed with bipolar disorder at 19, less than two years before. Looking back, he described a perfect storm brewing: he had realised he was gay, a recent break-up plunged him into another depressive episode, and a psychiatrist prescribed antidepressants without mood stabilisers, which triggered full-blown mania. Then came the psychosis, an unstoppable stream of consciousness barrelling through him like a freight train.

Now 42, Degen recalled the experience during a sunny late-winter afternoon. “Well, I felt happy and high all the time so it’s not a state you want to come out of,” he said. He noted that psychosis does not feel like disaster at first; it can seem more like enlightenment, intoxicating, like existing in technicolour, with every moment more vibrant.

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Analysis

Why This Matters

  • First-person accounts of psychosis from medical professionals are rare and can reduce stigma around bipolar disorder and mental illness in the health sector.
  • Degen’s story highlights the risks of prescribing antidepressants without mood stabilisers for patients with bipolar disorder, a known clinical concern.
  • The article offers insight into the subjective experience of psychosis, which may improve public understanding and empathy for those affected.

Background

Psychosis is a severe mental state marked by delusions, hallucinations, paranoia, grandiosity and loss of reality. Bipolar disorder involves alternating episodes of depression and mania, and during manic phases psychosis can occur. Antidepressants can trigger mania in people with bipolar disorder if not combined with mood stabilisers. Degen, now an award-winning nephrologist and general physician, shared his story at Lady of St Kilda restaurant.

Key Perspectives

Dr Dov Degen: Describes the experience as initially pleasurable and enlightening, making it hard to want to leave. He emphasises the importance of understanding psychosis as a complex state, not purely a disaster. Mental health clinicians: May view his story as a cautionary tale about careful prescribing for bipolar patients, particularly the need for mood stabilisers alongside antidepressants. People with lived experience of psychosis: Could find the account validating, as it captures the seductive, technicolour quality often described but rarely articulated by those who have recovered.

What to Watch

  • Whether Degen’s account prompts further discussion in medical training about recognising and treating early psychosis.
  • Continued public conversation about the role of antidepressants in triggering mania, and the need for comprehensive psychiatric assessment.
  • Potential for other medical professionals to share their own mental health experiences, further destigmatising the issue.

Sources

Zotpaper

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