The difference between Schizoaffective and Bipolar with psychotic features, is that in Bipolar the psychosis happens only during extreme mood states (mania or depression), while in Schizoaffective the psychosis is present even when the mood is stable. It's a subtle distinction, and the same person might get either diagnosis depending on how they look to the doctor at that time. If there is psychosis Bipolar II is ruled out.
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"Does the body rule the mind, or does the mind rule the body?"
"Those who feel the breath of sadness, sit down next to me. Those feel they're touched my madness, sit down next to me. Those who find themselves ridiculous, sit down next to me."
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