I knew something was up for awhile, but I didn't know it was bipolar/schizoaffective. I was diagnosed with "just" schizophrenia for years, but I knew something else was up(even though I didn't want to believe it). But nobody ever paid much attention to my moods until this year due to the mental health system failing me. That all changed though when I walked into my pdoc's office earlier this year with textbook full-blown psychotic mania and that's when I got the schizoaffective bipolar type diagnosis.