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Originally Posted by *Laurie*
I don't understand what "mail diagnosis" means.
It sounds like she is exploring the "flavor" of your disorder. She is aware that you are in discomfort doe to the way you're feeling, but she's not yet clear on how severe the actual disorder is.
Be cautious. Be prepared. She might go with the BD NOS, then add another diagnosis on. That diagnosis could be anything - OCD, GAD, or (commonly) borderline personality disorder. I encourage you to keep questioning her.
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Do you think an added diagnosis would replace Bipolar-NOS or would it be supplemental?
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Try not to get too hung up on a number. It often takes years to figure out. I hated the NOS diagnosis because I felt it didn't take my symptoms seriously enough, even though I was on multiple psych meds and my pdoc definitely took them seriously. As he said the other day, bipolar is a complex disorder that requires complex treatment. Personally, I think NOS is the hardest to treat...we went through a number of meds in a number of combinations before landing on the right one, and even so, meds often have to be adjusted because symptoms return or change.
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That's precisely why I've been having trouble. The Bipolar-NOS diagnosis feels exactly as you described. Like it doesn't take my symptoms seriously. I do rapid cycle, could that be why I'm given a Bipolar-NOS?
My psychiatrist also described my "manic" episodes as hypomanic. That would make me think Bipolar II, but I'm not a doctor.