Well... Some people who experience psychosis do have some insight into it. I do, I have been having psychosis since I was 11, by age 33 I definitely have doubts, as I know that this happens to me. My pychosis is more hallucinations than delusions. Sometimes I will have delusions tho, and I grapple with myself between feeling like it is completely real and feeling like I could be wrong. Ive come up with ways to test delusions and hallucinations against reality. Even if you have some insight it can be extremely hard to see that it's not real. Delusions I find are much much harder to give yourself a reality check than hallucinations.

I don't know if this considered psychosis or intrusive thoughts, I've seen both of these lots with bipolar. Does sound like intrusive thoughts, and paranoia to me, where is line between paranoia and delusions tho?