Psychotic features are often present during the manic phase of bipolar I disorder. Aspects of psychosis may manifest during extreme episodes of depression. They are also present in schizophrenia and schizoaffective disorder. These features include delusions (false ideas about what is taking place or who one is) and hallucinations (seeing or hearing things which are not there).

Becoming psychotic means losing touch with reality and experiencing and handling it in an altered state. Primarily, the sensory perceptions become “wayward” and thought erratically associative (schizophrenic psychoses) or these changes are rather an expression of wild fluctuations of mood and drive (affective psychosis) in a mostly depressive direction (unipolar) or in both, manic-depressive directions (bipolar).

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