I am 40 now. I was quite young 5-7 when i first experienced psychosis. Though I was in and out of therapy a lot as a child, I was not diagnosed due to keeping symptoms a secret because of threats. I was DX bipolar 1 a few times as an adult over several years but it was based on partial disclosure of symptoms due to fear of being locked up. I was again DX bipolar 1 (partial disclosure) a few months ago when I sought treatment. A few weeks ago I seen a pdoc for the first time ever, and disclosed "all" symptoms which changed my primary DX to schizoaffective, subject to observation that may change to schizophrenia without bipolar.