In my experience, a diagnosis of Bipolar Disorder 2 can have psychotic features. I'm diagnosed BP2 and I have delusions at times, plus it seems to me my paranoia is getting worse. As for voices, I'm confused about that myself. I have a whole group of voices, some kind, some mean, and some really threatening & they make lots of noise in my mind. In addition, I oftentimes hear music playing relentlessly in my mind, looping and such. I'm on Geodon and Seroquel (AP's).

I dunno...I kind of think of BP2 as a somewhat mellower version of BP1....sort-of.

Stress and sleep loss makes every diagnosis worse.