Why we must identify and characterize psychotic features in manic episodes

By Rajnish Mago, MD (bio) During an acute manic episode, persons with bipolar disorder may experience psychotic symptoms (delusions and/or hallucinations). According to the DSM-5, if either delusions OR hallucinations are present at ANY time during a manic episode, we should use a specifier in the diagnosis to indicate a manic episode with psychotic features….