What signifies the "With Mood-Congruent Psychotic Features (Mania)" specifier?

The "With Mood-Congruent Psychotic Features (Mania)" specifier indicates that the psychotic features, such as delusions and hallucinations, align with the individual's mood state, particularly during episodes of mania. When someone experiences grandiose delusions or other psychotic symptoms that are consistent with an elevated or irritable mood, this exemplifies mood congruence. For instance, if the individual believes they possess extraordinary abilities or can achieve great success, this aligns directly with the manic state they are in, indicating that their psychosis is mood-congruent.

The other options present characteristics that do not fit the definition of mood-congruence during a manic episode. Anxiety and stress responses are not specifically tied to the psychotic features that are characteristic of mania. The complete absence of manic features contradicts the very essence of the specifier, which is focused on the presence of mania. Lastly, the presence of psychotic symptoms only during depressive episodes would indicate a different qualification for mood-congruent psychotic features, focusing on depression rather than mania.