I've been wondering if there are two (or more?) kinds of psychotic mania: one where one realizes/knows/suspects that they are psychotic/manic and another where you don't know at all and believe 100% (not 80% or 90%) that what you are experiencing is real.

So is there a kind of psychosis and/or mania where you more or less know what's going on and another where you don't? And what kinds of implications does this have as far as behavior as well as treatment?