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Antidepressants can cause mania in people who don't bipolar disorder. It has happened to me twice. I've been diagnosed with bipolar disorder by a consulting psychiatrist. I don't agree with it because I never had a spontaneous mania. My regular psychiatrist also agrees with me.
What motivates you to self-harm, drink etc? Is it interpersonal?
Do you struggle with your identity?
Severe anxiety and stress can cause psychotic symptoms. One can develop psychosis without having schizophrenia. Are you using illicit drugs? Some prescription medications can cause psychotic-like symptoms, especially if they make you drowsy (hypnagogic hallucinations). People usually have insight when this happens.
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Dx: Didgee Disorder
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