Which specifier indicates psychotic features during mania?

• A. With psychotic features, manic
• B. In full remission, manic
• C. Unspecified
• D. In partial remission, depressed

Answer: (A)

During manic episodes, clinicians can add a specifier to note whether psychotic symptoms are present. If delusions or hallucinations occur alongside the mania, the appropriate specifier is “with psychotic features.” This directly signals that psychosis rides with the manic mood, guiding treatment decisions such as incorporating antipsychotic therapy in addition to mood stabilization. Descriptions like being in full remission describe the absence of active manic symptoms, unspecified provides no details about features, and partial remission, depressed describes a depressive state or a partial recovery—not mania with psychosis.