Quote:
Originally Posted by nbritton
A straightforward diagnoses of bipolar type 2 precludes psychosis, so if your child is actually suffering from psychosis, I'm confused as to why his doctor has given him this diagnoses.
Maybe I'm splitting hairs, but if your son has psychosis, and it's not antidepressant induced, his diagnoses should be amended to include psychotic depression, or changed to schizoaffective disorder or schizophrenia
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Psychosis is way more common in BP2 than many realize, and does not change your dx, same with mixed episodes, we need an actual MANIC episode to be labeled BP1.
Schizoaffective is only on the cards if psychosis is present sans a bp episode from either side of the pendulum, and I have NO clue why Schizophrenia is even suggested
There's also no reason to have a seperate dx of psychotic depression as having bp means you suffer from depression, that IMO would be splitting hairs yes, and adding unneccessary dx's to his file when BP accompanied by detailed notes says it all.
Just saying