How do you define delusional within schizoaffective disorder? Anotherwords to what degree does a thought(s) become a delusion/psychosis? How does it manifest itself? Paranoia? Breaks with reality?

I've been so sick sometimes I wonder what's going on. But I've never had extreme breaks with reality. I've been diagnosed (over last 10 yrs) as agitated depressive (mixed mania). Previous to that in 90's I had every diagnosis in the book and lots of hospitalizations, ECT, tons of meds.

On very rare occasions when I break out of a mood I can't believe how bad I've felt. It's like it wasn't even me that I was experiencing - it was like someone else. (That's where I've been lately.)