Someone who is psychotic is very ill in the mind: they may hear or see things that are not there, hold beliefs that do not match the shared world, or lose the usual line between what is real and what is not. Doctors also use the word for things caused by that illness — a psychotic break, psychotic symptoms, psychotic depression.

Someone who is psychotic一個psychotic的人 is very ill in the mind心理病得很重 they may hear or see things that are not there可能會聽到或看到不存在的東西 hold beliefs that do not match the shared world抱持著跟大家共有的現實不符的信念 or lose the usual line between what is real and what is not或是分不清什麼是真實、什麼不是 Doctors also use the word for things caused by that illness醫生也會用這個字形容這種病造成的狀況 a psychotic break, psychotic symptoms, psychotic depression像psychotic break（精神崩潰）、psychotic symptoms（精神病症狀）、psychotic depression（精神病性憂鬱症）

It can be a noun for the person, though that can sound cold, as if the illness were the whole person.

It can be a noun for the person它也可以當名詞指這個人 though that can sound cold不過這樣講可能顯得冷漠 as if the illness were the whole person好像這個病就是這個人的全部

In everyday talk people stretch it and call a wild plan or a very angry person psychotic. That use is loose and often unkind; it is not the medical meaning.

In everyday talk在日常對話裡 people stretch it人們會把這個字用得比較誇張 and call a wild plan or a very angry person psychotic把一個瘋狂的計畫或一個非常生氣的人說成psychotic That use is loose and often unkind這種用法很鬆散，也常常不太厚道 it is not the medical meaning這不是醫學上的意思

Hospital and paper English keep it fairly formal. Though actually, it is not the same as psychopathic: a psychopathic person may hurt others and feel little guilt, but they are usually still in touch with what is real.

Hospital and paper English keep it fairly formal醫院和報紙用的英文，這個字還是保持得相當正式 Though actually不過其實 it is not the same as psychopathic它跟psychopathic不一樣 a psychopathic person may hurt others and feel little guiltpsychopathic的人可能會傷害別人卻沒什麼罪惡感 but they are usually still in touch with what is real但他們通常還是分得清什麼是真實的