seems the same to me. racing haunting thoughts, depression, mania, those sometimes ever present "push to do 'it'" scenarios, isolation, distrust, hospitalizations etc. i know though that medication does help. unfortunately either paranoia or distrust or the combination keeps me far away from those mental health professionals aka people who want to help me. and yes they do play mind games. and no not many of them nurse = nurture. actually ive seen more irritation on their parts with maybe some frustration added in that also is a factor in my not being able to bring myself to go into yet another one of those offices. certainly i do not want to cause the symptoms of a mental disorder to the very ones who "care". i do know it is not the same without medication.