Abstract：
Psychotic episodes occur in a substantial proportion of patients suffering from major mood disorders (both unipolar and bipolar) at some point in their lives. The nature of these episodes is less well understood than the more common, non-psychotic periods of illness and hence their management is also less sophisticated. This is a concern because the risk of suicide is particularly high in this subtype of mood disorder and comorbidity is far more common. In some cases psychotic symptoms may be signs of a comorbid illness but the relationship of psychotic mood to other forms of psychosis and in particular its interactions with schizophrenia is poorly understood. Therefore, our targeted review draws upon extant research and our combined experience to provide clinical context and a framework for the management of these disorders in real-world practice - taking into consideration both biological and psychological interventions.
摘要：
精神病发作发生在大部分患有严重情绪障碍（单相和双相）的患者中，在他们的生活中。与更常见的事件相比，这些事件的性质不太容易理解，非精神病时期的疾病，因此他们的管理也不那么复杂。这是一个令人担忧的问题，因为在这种情绪障碍亚型中自杀的风险特别高，并且合并症更为常见。在某些情况下，精神病症状可能是合并症的征兆，但精神病情绪与其他形式的精神病的关系，尤其是与精神分裂症的相互作用却知之甚少。因此,我们有针对性的综述借鉴了现有研究和我们的综合经验,为这些疾病在现实实践中的治疗提供了临床背景和框架-同时考虑了生物和心理干预.
