advancedbipolar Ipsychotic featuresmood-congruentschizoaffective differentialauditory hallucinationsDSM-5 criteria
A 38-year-old male with a history of bipolar I disorder presents with 2 weeks of depressed mood, anhedonia, insomnia, and psychomotor retardation. He also reports hearing a voice telling him he is "worthless and should give up." The voice has been present for the entire depressive episode. He has no history of psychotic symptoms between mood episodes. What is the MOST likely diagnosis?