In order to get a Pdoc at a clinic that offers a sliding scale for uninsured and unemployed people like myself, I have been told I need to get a determination or proof of a severe mental illness! I have been dealing with this for 15 years! I have a file 3inches thick. But we moved to a new state and that is the requirement.

I have bipolar 1 with psychosis and mixed state, gad and panic disorder. I have been psychotic without being manic but by forgetting to take my geodon on an overnight trip. Was I a little depressed or manic...I don't think so but perhaps. I certainly got psychotic. Thank goodness we were only gone two days. After I took my geodon I was A-OK.

That's just my experience. However, the first time I was psychotic I was highly manic.