Psychosis only happens during manic episodes for me, and not every time. It consists of extreme paranoia and auditory (as well as visual) hallucinations. Sometimes I even think I'm a special emissary from God who just happens to be in the right place at the right time. But I don't consider it to be particularly alarming, especially not when compared with a lot of the people here who experience the phenomenon. It's just weird.....and sometimes even humorous, like the time I woke up my husband in the middle of the night to have him listen to the classical harp music I was hearing. There was, of course, no music to be heard anywhere but in my own head.