This dx was always puzzling. In fact, after my psychotic episode (which involved extreme paranoid delusions and powers/forces unseen and unknowable), the 2nd doctor at my partial hospitilization claimed what I thought was true, "Once you have a psychotic episode, you are bipolar I."

But my psych that I saw for the longest has Bipolar NOS. Should I entertain the notion of schizoaffective dx? I suppose it wouldn't matter as the treatment for both is identical, but a part of me just wants to know what this is.

I find scant and poorly documented cases of SA where it could easily be BP w/ psychotic features