Which specifier denotes bipolar episodes with psychotic features during depression?

Which specifier denotes bipolar episodes with psychotic features during depression?

• A. With psychotic features, manic
• B. With psychotic features, depressed
• C. In partial remission, manic
• D. Unspecified

Answer: (B)

In bipolar disorders, psychotic features can accompany a mood episode, and the specifier is attached to the mood state of that episode. If the patient is in a depressive mood state and there are psychotic symptoms, the appropriate label is the depressive episode with psychotic features. That combination precisely communicates both the mood (depressed) and the presence of psychosis during that episode, making it the best choice. The other options would describe manic psychotic features, a non-specified or incomplete status, or a situation that doesn’t specify the mood episode with psychosis.

In bipolar disorders, psychotic features can accompany a mood episode, and the specifier is attached to the mood state of that episode. If the patient is in a depressive mood state and there are psychotic symptoms, the appropriate label is the depressive episode with psychotic features. That combination precisely communicates both the mood (depressed) and the presence of psychosis during that episode, making it the best choice. The other options would describe manic psychotic features, a non-specified or incomplete status, or a situation that doesn’t specify the mood episode with psychosis.