Thank you for sharing your experience.

Yea, i'd agree. Sounds like you have a good Pdoc. i suppose also that things are so individual as well, & seem to involve so many factors. Some 'extreme distress' i feel is more in line with a spiritual emergency, but i would still see it all as a mixture of stuff.

Within my own experiences of extreme psychosis, there has been what i feel are some momentary deeply spiritual moments.

In my own case - i can see that a lot of the medical theory concerning physiology/biology - Brain development, stress & trauma, pre/perinatal health, etc - Does make sense. i can also see that a lot of psychological/social theory makes sense as well. As well as some of the more transpersonal/spiritual stuff. To me it seems like what i experienced was a bit of everything. The following makes a lot of sense to me -

.....There are real healing opportunities/potentials within a breakdown, even if there is a lot of psychotic elements and the spiritual dimension does not seem so obvious ,I do believe that for everyone there is an opportunity for healing at some level if it was not just seen in the biomedical model but a social, psycho/spiritual holistic model.......

i suppose, & to generalise, that in some people it is likely to be primarily more biologic, in others more social, in others more psychological, & in others more spiritual. But i would expect that there is more of a mixture in most cases? Some people appear very much helped & comforted by the biomedical model, others by more social recovery models, & others by more psychological &/or spiritual models. (or a mixture).

It may well be individual within each case? i'm not sure that it is dealing with 'distinct dis-ease entities'?

In my own case - it's like everything fits & nothing fits - does that make sense? i suppose that there is & always will be a Mystery to Madness.