It is possible to be aware of your own hallucinations or delusions to varying degrees. Psychosis has several phases: prodrome, acute, and recovery. During the acute phase of psychosis, it is definitionally the case that the patient believes what they are seeing, feeling, or thinking. That being said, people do not remain in the acute phase forever, and those who have experienced psychosis before may be able to realize they are vulnerable to an oncoming psychotic episode during the prodrome phase. Symptoms of this phase include a depressed mood, a ramping up of anxiety, increased anger, impaired sleeping, and others, all of which can be a warning sign for the patient. In psychiatry, the realization of one’s own psychotic experience is called “insight,” and while a patient in an acute psychotic episode may believe what they’re experiencing, they may also suspect that something has changed and have an awareness that they’re experiencing the world differently. More often, insight can be inferred through the willingness of patients to accept treatment and medication.