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Originally Posted by BipolaRNurse
Wow, how did you go from BP 1 to Mood Disorder NOS? Different doctors?
It used to be that mixed episodes were a feature only of BP 1, but now it's thought that they can be found in BP 2 as well. What distinguishes BP 1 from 2 is the presence of full-blown mania as opposed to hypomania, so if you've never had a manic episode, you can't be BP 1. I wonder about that Mood Disorder NOS, though.....that's a pretty vague diagnosis.
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To clarify I went from mood disorder nos, to bipolar nos, to bipolar 1, and then right back to mood disorder nos. You're right; it is vague.
The bp1 diagnosis was back in 2012 before DSM V, so that may be part of it. They changed it back because despite having been hospitalized for what they thought was a manic episode a full year after the "mixed" episode that landed me the diagnosis, I've never had the iron clad classic manic symptoms. Even more importantly, when they thought I was manic, I had no sleep issues.
My thoughts/reasoning and to a lesser extent, my behaviors, were out of character and odd, and I was grandiose, but I wasn't spending money or talking fast or doing anything destructive considering that they hospitalized me for "mania."
It was a different doctor during a recent hospitalization that listened to me over several days and finally said I was nothing at all like she had expected for having that diagnosis on my records. This, combined with never having responded to medications, she dropped it for the more vague mood disorder nos diagnosis, and recommended a lengthy psych eval.
I had the eval a few weeks ago and it found nothing, although the psychologist said she admitted she thought I could have tricked or influenced the personality test because it found that I wasn't disturbed or disordered (despite multiple hospitalizations and history of self harm), and it came back with exactly what I suggested it would say (schizoid and borderline tendencies, or social isolation and labile affect with suicidal ideation, to be specific).