I feel like there should be a differentiation when talking about delusions. If you hallucinate something happening or have voices or even actual people telling you something is happening and believe it's real and you're just reacting rationally to that stimulus you can be in a very clear and rational state of mind in psychosis.

But some beliefs and paranoia just come about without that happening and you can be in a very irrational state of mind while delusional and I think it's an important difference.

But my doctors in the mental hospital didn't seem to understand when I tried explaining to them I wasn't crazy I was just suffering symptoms that affected my perception and they were really upsetting to me and reacting to it and trying to understand it. They didn't understand and still labeled me as essentially "crazy" (they didn't call me that exactly but I can't remember their exact words).