I was diagnosed bipolar now I'm schizoaffective. I hear voices and the like. I have powerful delusions mixed with paranoia and hallucinations that play on each other and create a storm that puts me in the hospital when I have an episode. On a bad day I hear voices that are unrelated to my delusions and I can come back to reality quickly. I have paranoia and sometimes I can recognize it as such. I have delusions or strange ideas about reality and I'm like, that's weird I don't think that's true. I often get these in a normal mood. When I'm stressed they overwhelm me and that becomes an episode. The key to observe is to track your moods and see if you experience psychosis in a normal mood or just when you have extreme depression and extreme mania. If you get it all the time, regardless of mood, then you may have schizoaffective disorder bipolar type.