Psychosis . . . sometimes
双相有时会伴精神病症状
Perhaps the most frightening accompaniment to depression or mania is psychosis, which may include
delusional thinking, paranoia, and hallucinations (typically auditory as opposed to visual).
抑郁和躁狂时伴精神病症状或许是最令人恐惧的，这些精神病症状包括妄想、偏执、幻觉（通常是幻听而不是幻视）。
Although psychosis isn’t a necessary part of the bipolar diagnosis, it can accompany a mood episode.
精神病症状不是诊断双相情感障碍的必备条件，但它可能会伴随躁狂或抑郁。
The extremes of depression and mania are sometimes associated with profound changes in the reality-testing
system of the brain, which lead to severe distortions in perception and thinking.
极度的躁狂和抑郁会导致认知和思想的扭曲，这有时是与大脑认证真实系统的巨大变化有关。
During a psychotic episode, you may experience any of the following symptoms:
在精神病症状期间，你可能有以下体验：
Feel as though you have special powers
感到自己有特异功能
Hear voices that other people can’t hear and that make you believe they’re talking about you or instructing
you to perform certain acts
能听到别人听不到的，这让你觉得他们再和你说话或向你指示执行某种任务
Believe that people can read your mind or put thoughts into your head
相信他人能洞悉你的心思和向你大脑传递想法。
Think that the television or radio is sending you special messages
觉得电视和广播在向你传递特别的信息。
Think that people are following or trying to harm you when they’re not
觉得别人在跟踪你和害你，其实不然。
Believe that you can accomplish goals that are well beyond your abilities and means
觉得自己能成就超出自己能力和手段的目标。
Psychotic symptoms usually reflect the pole of the mood disorder.
精神病症状往往反映心境障碍的极端。
So if you’re in a major depressive episode, the psychotic thoughts are typically dark and negative; in a manicstate, the symptoms tend to be more about super strengths, abilities, and insights. However, this doesn’t always
hold true; psychotic content can be all over the map
所以，当你抑郁时，精神病症状的想法往往是暗淡和消极的，躁狂时，你会觉得自己有超乎常人的体力，能力和眼光，
当然这也不是百分之百。以上大概就是双向情感障碍中精神病症状的内容。