Quote:
Originally Posted by Blue_Bird
I think I have been misdiagnosed, looking back I only really hallucinated while in a manic episode. Also, the paranoia happened outside the episode but I think that was just an episode. Maybe I'm not Schizoaffective Bipolar Type but rather my original diagnosis of Bipolar 1 with psychotic features.
I guess I'll ask my pdoc this week.
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In my opinion Schizoaffective disorder is a trashcan diagnosis doctors use when they aren't sure if it's schizophrenia or bipolar I with psychotic features. I've gotten that diagnosis almost every time I've been in the hospital even though I do not have any mood problems. And I was misdiagnosed with schizoaffective this time last year due to me coming down with hypothyroidism. That was not fun. I argued with my psychiatrist for months last year until I got extensive blood work done and sure enough I was correct. My psychiatrist was pretty embarrassed about having misdiagnosed me like that without making sure there was no physical issues that were mimicking mood symptoms...
Residual paranoia seems to be common in a lot of people with BP I with psychosis, it doesn't mean you're schizoaffective. For you to be schizoaffective you have to meet the criteria for schizophrenia outside of a mood episode. That means of course, that two "positive" symptoms of schizophrenia must be present along with the "negative" symptoms of the illness. All you've been talking about outside of your mood episodes is residual paranoia. That doesn't sound like schizoaffective to me, but hey I'm not a psychiatrist so what do I know? Never mind that I've read the DSM-5 cover to cover, and it turns out I know it better than my psychiatrist does! Pffft.