Psychotic or Not, Mania Hurts: A 5‐Year Cohort Study With a Spotlight on the Non‐Psychotic Subtype and Mixed Features

While psychotic and non-psychotic mania show clinical and therapeutical differences, psychosis may not predict short- to medium-term outcomes. Non-psychotic mania-which is associated with depressive polarity, mixed features and suicidal behaviour-may indicate a clinically relevant and therapeutically challenging but underrecognized subgroup. These findings call for a nuanced comprehension of the impact of psychosis in mania and multidimensional approaches.