Many patients with affective disorders such as bipolar disorder and depression, although emotional symptoms are the core manifestation, such as depressed mood, decreased interest, cheerlessness, fatigue and insomnia, or emotional instability and temper tantrums. However, many such patients are often found clinically with different degrees of psychotic symptoms, such as sensitivity and paranoia, believing that family members or neighbors are deliberately framing, abusing and tossing them behind their backs, or even feeling that someone is following and monitoring them, so they often lose their temper with their family members, saying that someone is trying to harm them, and some patients hear strange words in their ears for no reason, some commenting on them, some threatening and intimidating them, and some Some of them praise themselves, causing them to talk to themselves and immerse themselves in their own world, which is unbelievable to the onlookers. In fact, these so-called strange manifestations and experiences are all psychotic symptoms, such as hallucinations and delusions, but family members do not know how to respond because they do not understand such manifestations, and some repeatedly assure the patient that no one is going to harm her (him), while others think that it is with something unclean, and even invoke God and worship Buddha, making the patient even worse, not changing the condition at all, but delaying treatment. So, what are the common psychotic symptoms including performance? 1, hallucinations: the so-called hallucinations, is the illusory perception, is the real world does not exist in the perceptual experience, but the patient can clearly perceive. This includes hallucinations of hearing, vision, and touch. When hallucinations occur, the patient feels strange at first, and when the content of these hallucinations is mostly threatening, the patient feels very fearful, so he is afraid to see people, go out, etc. Sometimes patients say they can clearly see people walking or even flying around the house and feel afraid. However, these manifestations cannot be perceived and verified by bystanders. 2. Delusions: The so-called delusions are pathological reasoning and judgments or beliefs that the patient firmly believes in, but do not match the facts, and cannot be changed after persuasion and confirmation. These delusions include delusions of relationship, delusions of victimization, delusions of theft, delusions of physical influence, delusions of nothingness, delusions of insight, delusions of being followed and watched, etc. Patients are very stubborn in believing that someone or a group is secretly or openly making rumors, false accusations, and stinking up their reputation, in order to persecute them and achieve ulterior motives. When these delusions occur, it is difficult to change them through persuasion and education. Which patients with mood disorders are prone to psychotic symptoms? 1, elderly patients, such as elderly depressed patients, are often prone to relationship delusions, stolen delusions and even hallucinatory experiences, which need to be taken seriously; 2, acute episodes, those with serious illness, are prone to hallucinations or serious delusional content; 3, patients with long duration of illness and recurrent episodes, due to the prolonged course of illness, symptoms gradually worsen and may be accompanied by varying degrees of psychotic symptoms; 4, serious physical illness co-morbid mood When the disorder is severe, it is also more likely to show psychotic symptoms, such as delusions of victimization and hallucinations. When mood disorders are the main clinical phase but are accompanied by psychotic symptoms, clinicians need to carefully and carefully evaluate and screen to avoid diagnosing schizophrenia or other psychotic disorders. Family members should also be aware of some of these types of knowledge to provide a clearer and more prepared narrative when providing a medical history with the physician, providing the best timing for a quick diagnosis.