I love how the change a dx based on a single episode when bipolar by definition is a cycle of episodes. Too often I see ED docs dx schitzophrenia for ANY kind of psychosis, drug induced being the main one, even on first episode psychosis. I mean I know the ED dx means **** when your then transferred to IP but still. It's not like they couldnt fill in the dx as psychotic episode. Likewise they shouldn't be saying you have MDD for risk of some other stupid dr thinking it's ok to load you up on ADs if you ever need to go to ED.