My feeling is that if you are floridly psychotic -and this may also go with mania without psychosis- you do not have the kind of self-awareness needed to know that you are psychotic (or perhaps manic). Its pull is just too strong, its shadow over that part of the brain too complete.

I've been psychotic twice. Each time I did not recognize it, and if anyone told me I was ill, I would argue against it, against what others told me I actually was *not* seeing, was *not hearing*, was *not* experiencing.