Which specifier denotes bipolar episodes with psychotic features during depressive phases?

Which specifier denotes bipolar episodes with psychotic features during depressive phases?

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

Answer: (B)

Psychotic features can accompany bipolar mood episodes, and the specifier shows which mood phase is involved. When psychosis occurs during a depressive mood episode, the appropriate descriptor is “with psychotic features, depressed.” This conveys that the mood state is depressive and psychotic symptoms are present, rather than during mania. If the psychosis were during mania, the wording would reflect manic rather than depressed. The other options don’t specify a depressive phase with psychosis or mix in remission or unspecified status, so they don’t fit the scenario.

Psychotic features can accompany bipolar mood episodes, and the specifier shows which mood phase is involved. When psychosis occurs during a depressive mood episode, the appropriate descriptor is “with psychotic features, depressed.” This conveys that the mood state is depressive and psychotic symptoms are present, rather than during mania. If the psychosis were during mania, the wording would reflect manic rather than depressed. The other options don’t specify a depressive phase with psychosis or mix in remission or unspecified status, so they don’t fit the scenario.