Bipolar 1 that reaches psychosis is mania gone to the full extent. Imagine your flying a kite and then you let go. That's what psychosis is. You start to think and make the craziest connections and believe them. You're god, you have powers, or you see or hear things. You think that everything is connected to you.

The difference I believe in bipolar 1 and bipolar 1 with psychosis is one mania gets maxed out into a psychotic state and the other only stays at a certain high. The first time I went manic I went psychotic. I would of loved for things to be different.