Delusions are a form of psychosis (along with hallucinations, or both). Severe mania can - but does not always - lead to psychosis.
I'm not a doctor, but coming from personal experience with mania and psychosis, what you're describing sounds like psychosis (perhaps with mania, but I can't tell from your description).
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dx: schizoaffective bipolar type; OCD; GAD
rx: clozapine, clonazepam PRN
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