In manic episodes, what does "With Mood-Congruent Psychotic Features (Mania)" indicate?

In the context of manic episodes as outlined in the DSM-5-TR, the term "With Mood-Congruent Psychotic Features (Mania)" indicates the presence of delusions and hallucinations that are consistent with the individual's elevated or expansive mood state. Specifically, these psychotic features typically reflect grandiosity, such as beliefs of having exceptional abilities, wealth, or fame, which align with the heightened self-esteem and energy characteristic of mania. This congruence between the mood state and the psychotic features is a critical aspect of diagnosing and understanding the severity and nature of the manic episode.

Other options, while potentially presenting features of other mental conditions or states, do not align with the definition of mood-congruent psychotic features. For instance, guilt and nihilistic delusions are more characteristic of depressive episodes, while psychomotor retardation and weight gain usually relate to depressive symptoms rather than manic features. Generalized anxiety disorder features do not specifically connect to the manic state being referenced. Therefore, the correct answer highlights the essential aspect of how psychotic features can reflect and amplify the manic mood.