I have no idea, your guess is as good as mine. I feel like there is never enough time even in a first 1 hour session with a pdoc to give them a comprehensive picture, so I feel like often a pdoc's guess is going to be even weaker than my own haha.

Before I became homeless last year, I was living with roommates, subletting a room in this house one of the roommates owned. I became absolutely terrified of them and convinced that they wanted to harm me in some way. My hygiene went completely downhill, my rented room was a massive disaster area, I had a breakdown at work and threw something at my supervisor, developed strong spiritual delusions that made me want to run away and be homeless, I eventually 'escaped' the house by locking the bedroom door and falling out of the window, but not before smashing my laptop so they couldn't use it to try to find me. I don't remember being depressed or manic through any of that.

But there's never enough time to go over such things with pdocs, I guess. There are too many stories, too many examples, and they're really mostly focused on the here/now, anyway.