I was dx'd with major depression when I was 14. Bipolar I w/psychotic symptoms @ 18, which was changed to Schizoaffective Bipolar type at 19 (6 years ago) when it was realized that I was having long term psychotic symptoms even outside of manic and depressive episodes. and that's been my dx ever since. I've seen many doctors and have gotten the same opinion so I guess it's pretty accurate, I have the symptoms and the meds I take work really well for it.