I used to doubt the bipolar diagnosis because it didn't quite fit. Even when manic I would sleep 5-6 hours per night, for example. That and no mood stabilizers ever helped me.

Schizoaffective, on the other hand, makes perfect sense. Getting this diagnosis was life changing because I was now eligible for clozapine. Clozapine is the only drug I've ever taken that has worked for me. So I'm pretty sure SZA is the right diagnosis.