Which specifier indicates bipolar episodes with psychotic features during a manic episode?

Which specifier indicates bipolar episodes with psychotic features during a manic episode?

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

Answer: (A)

The key idea is that specifiers flag whether psychotic symptoms occur during a mood episode. When a manic episode includes psychotic symptoms (such as delusions or hallucinations), the appropriate descriptor is “with psychotic features” attached to the manic episode. This signals that the mania is accompanied by psychosis, which can have mood-congruent or mood-incongruent content. Other options describe different aspects: “with anxious distress” notes prominent anxiety features during the mood episode but not psychosis; “in partial remission, manic” indicates the manic symptoms are only partly present or fading, not about psychotic features; and “unspecified” means the specifier isn’t determined.

The key idea is that specifiers flag whether psychotic symptoms occur during a mood episode. When a manic episode includes psychotic symptoms (such as delusions or hallucinations), the appropriate descriptor is “with psychotic features” attached to the manic episode. This signals that the mania is accompanied by psychosis, which can have mood-congruent or mood-incongruent content.

Other options describe different aspects: “with anxious distress” notes prominent anxiety features during the mood episode but not psychosis; “in partial remission, manic” indicates the manic symptoms are only partly present or fading, not about psychotic features; and “unspecified” means the specifier isn’t determined.