I don't have psychosis except during moderate-to-severe manic episodes, and even then it's not constant. It's worse at night, when I think I see lava creeping down my bedroom walls and hear classical harp music playing when the house is completely silent. I also become paranoid and think people are spying on me or trying to have me "put away". I'm even afraid to call my pdoc when I'm like this because I just know he's going to put me in the hospital, which in real life is silly because he works hard to keep me OUT.