I think it's also quite/very obvious that we can't or won't give a formal diagnosis just by reading someone's story.
That said, many psychiatrists are bad, maybe even worse, with diagnosing. It shouldn't take 10 years to figure out someone has BP, which is about the average.
Anyone who talks about some possibly dysfunctional personality traits (using either a category name and/or a description), isn't saying that there is no BP (or other psychotic disorder) or that someone should stop taking meds.
Personally, I don't like "..., but ..." sentences. Bit too assertive and manipulative. If you think something is likely, just say it, as well as the extent. So, yes, personally I use ifs and probablys/possiblys. Sometimes I might forget somewhere, but it is quite obvious I can't be sure.
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Mania kills cells. Brain cells die. Memories become more reduced conceptually, making more efficient use of limited means. Memories shape our reality. Our memories are more or less split in two by abstractions, conceptual reductions. Mood states with memories, concepts, attached. Memories of pain and those of joy. It causes instability, changeability. Fearing that will leave an emptiness between pain and joy and a greater divide.
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