I usually do know when I am in the midst of psychosis, if hallucinations are present. If it it dellusions that is much trickier. If I am seeing things such as little people hiding in my closets, or voices coming from my hot water tank , I can bounce that off of what I would know to be rational or reality. All tho I "know" it isn't real, it still feels real and I still do get caught up in it. Delusional thoughts tho, that is much more an after the fact realization. Sometimes I will bounce these thoughts off others whose judgement I trust. even with the hallucinations I jump back and forth from knowing it isn't real to believing it is, but I still have awareness.

It's very common to have awareness, even tho we are always told things like " if some one is crazy ( psychotic ) they would not know". That is not always the case. I wish that saying never caught on.

I hope that makes some sense.