joshua winer joins us with answers. what does psychotic mean? >> what are that means is a general term that implies that the purpose is out of touch with reality. they can't distinguish whether what they are experiencing is happening in reality or whether it's part of their imagination. generally what we are talking about is somebody is experiencing either delusions, false beliefs, or hallucinations which is hearing voices and seeing things that are not there. >> what are the signs and symptoms? >> let me go into more detail. when you talk about delusions, there two most common types. the paranoid delusions where people think people are after them or poisoning them or harm them in some way. then delusions of grandeur and somebody thinks they have special power and they have a connection to god. god is speaking directly with them. what is interesting i think is that no matter what country you are talking about whether it's the united states or another country in the world, the delusions tend to be the same. they have the same cluster of delusions