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Originally Posted by Sometimes psychotic
Yeah I don't know bipolar and sz were considered distinct at least 100 years ago it's only recently with the advent of genetics that we think there is a lot in common. But yeah you can get a totally different dx depending on the pdoc but also symptoms change over time. The harrow study actually looks at all those categories but with only 25 patients for each type other than the 50 for sz, the 25 is for sza, BP with psychosis and they even have a depression group as a control. So it's basically one psychiatrist with around 125 patients who's keeping tabs on them so his diagnosis should be consistent...everybody had a better prognosis than sz. Plus their outcome rate of 33% is really high for the US the WHO study puts high income countries around 16% recovery with developing countries at 37%. So clearly everybody should move to Chicago and partake of our healing waters...a lightly chlorinated version of one of the largest freshwater lakes in the world..plus it's an awesome place to live and the pdocs are pretty cool here.
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Oh, we knew bipolar existed. But we still mistook some presentations (i.e. psychosis) for schizophrenia. (Similarly, we knew of DID for a long time, but still diagnosed them with schizophrenia until the 80s when there was a huge boom in DID cases. PTSD and autism are another story... Oh, and I didn't even mention epilepsy.) When someone is more psychotic than manic, it's hard to tell. Like I said, the only other "schizophrenic" I knew was diagnosed in the 70s and has recently been rediagnosed as bipolar. And I know more than one person who was misdiagnosed with a mood disorder that later turned out to be schizophrenic.
Ever hear of the book I Never Promised You a Rose Garden? The author was diagnosed with schizophrenia in I think the 60s and recovered, but modern psychologists and analysts have retroactively diagnosed her with things like conversion disorder...