Motivation: Bipolar affective disorder superimposed on a paranoid personality structure can at various times vary various psychopathological aspects, so that at the onset of a new manic episode, until confusion or rage is evident, the one in question suggests the profile of a true delusional disorder. Objective: Presentation of a patient with a military career, his Super-Ego severely stressed by justice, fairness and limits, which overlaps a bipolar affective disorder over an event unhappy with life (the adultery of the wife), which is dressed by it, as well as by relatives and friends approach, in a symptom of the patient's disease. Hypothesis: The paranoiac's struggle with proving the truth and imposing the proof of reality breaks the fragile border of remission, causing the person concerned to make a manic episode, as the handiest way to deal with adultery. Methods: prolonged hospitalization in psychiatry, investigation of personal life history, attention to the evidence brought by the patient and understanding of the interpretive mechanism, administration of antipsychotic and mood-stabilizing treatment, individual and marital psychological counseling, psychoeducation related to the diminution of the investigative behaviors related to "ritual". Results: The patient suggests a severe manic episode with psychotic phenomena, which overlaid a confused craze after the first days of hospitalization the diagnosis suggested a delirious jealous disorder. The slip to the affective pole occurred when the reality tests supported the truthfulness of the patient's statements, the latter not intolerant of the reality and slipping into a more destructive psychosis than that of a delusional disorder. Conclusion: Involvement of the wife in the psychological management of the episode, with the restoration of the milestones of reality and the reconsideration of the participation coefficient in the family crisis of each of the partners diminished the demanding behaviors of the type: involvement of the Police, complaints, the "Othello" syndrome, with the return to the personal life.