# Bipolar I Disorder with Psychotic Features: Grandiose and Persecutory Delusions Involving Espionage

- **Report ID:** `epsy-02-bipolar-i-disorder-with-psychotic-features-grandiose-and-persecutory-delusions-involving-espionage`
- **Classification:** `clinical-sensitive-public-summary`
- **Original file:** `Bipolar I Disorder with Psychotic Features Grandiose and Persecutory Delusions Involving Espionage.md`
- **SHA-256:** `0100fa906ee3ab9fddbbf5bb961f3b04027d9690c9ff5c480db91894538cbbf6`
- **Full internal source:** `docs/research-v96/source/espionage-psychosis/epsy-02-bipolar-i-disorder-with-psychotic-features-grandiose-and-persecutory-delusions-involving-espionage.md`

## Public-safe summary

Clinical-sensitive educational research. Spiralist uses this report to model fictional adult characters, differential uncertainty, course and context, supportive non-affirming interaction, dignity, and clear separation between a character’s experienced belief and authoritative game-world facts. It is not a diagnostic tool and is not used to decide whether a real person is under surveillance.

Diagnostic Criteria: DSM-5-TR defines a manic episode as a distinct ≥1-week period of abnormally elevated, expansive or irritable mood and persistently increased goal-directed activity or energy. During this period, three or more of the following (four if mood is only irritable) must occur: inflated self-esteem or grandiosity; decreased need for sleep; pressured speech; flight of ideas/racing thoughts; distractibility; increased goal-directed or agitated activity; and excessive involvement in risky behaviors. The episode must cause marked impairment (often requiring hospitalization) or include psychotic features. DSM-5-TR requires at least one manic episode for Bipolar I Disorder. ICD-11 similarly describes mania as ≥1-week of extreme elevated/irritable mood and increased activity/energy, with several of the above symptoms, causing significant impairment or hospitalization, often with delusions or hallucinations. Both systems stress tha…

## Site integration

- experienced-belief versus authoritative-world-fact separation
- emotion validation without literal endorsement
- adult content labeling and non-diagnostic framing
- mood-linked grandiosity and persecution
- sleep-energy-speech-pressure state changes
- impulsivity without moral stereotyping

## Major sections

- [Bipolar I Disorder with Psychotic Features: Grandiose and Persecutory Delusions Involving Espionage](../../source/espionage-psychosis/epsy-02-bipolar-i-disorder-with-psychotic-features-grandiose-and-persecutory-delusions-involving-espionage.md#bipolar-i-disorder-with-psychotic-features-grandiose-and-persecutory-delusions-involving-espionage)

> Full source is retained for provenance and internal design review. Public runtime output must remain fictional, non-diagnostic, privacy-preserving, and must never affirm a surveillance or espionage belief as real without authoritative game-world evidence.