Transtorno bipolar tipo I, atual episódio mixed, com psychotic symptoms is diagnosed when the definitional requirements for Transtorno bipolar tipo I are met and the atual episódio is mixed and there are delusions or hallucinations present during the episódio. A mixed episódio is characterised by the presence of several prominent manic and several prominent depressive symptoms consistent com those observed in manic episodes and depressive episodes, which either occur simultaneously or alternate very rapidly (from day to day or within the same day). Symptoms must include an altered mood state consistent com a manic and/or depressive episódio (i.e., depressed, dysphoric, euphoric or expansive mood), and be present most of the day, nearly every day, during a period of at least 2 weeks, unless shortened by a treatment intervention. If the individual has experienced Manic or Mixed Episodes in the past, a duration of 2 weeks is not required in order to diagnose a atual episódio if all other diagnostic requirements are met.