Can you tell me about the difference between a manic episode and a psychotic break down?

Can be difficult: During the acute phase of either condition it may be difficult to tell the difference. Over time it might be easier, but the more important thing at the moment is to find a safe place to relieve the intense distress and other extreme symptoms. After the storm is over, a good evaluation will help diagnosis and a treatment plan can be begun. Get help now! then plan for the future. Best wishes!