Very interesting discussions. Ironically enough, my pdoc just brought up the possibility of adding clozapine because of some of the stubborn symptoms I am dealing with. I am thinking about it. Don't really want to deal with all the clozapine baggage, but I really just can't go on suffering like this. I won't make it.

I am officially bp1. And yet, I have had absolutely massive and devastating psychotic episodes, some lasting for months. I have always wondered what is the difference between a bp1 with pretty marked psychotic features like me and a garden-variety schizoaffective person. I know it doesn't really matter what the name is. To me, what counts is what are we gonna do about it? Still, it seems to me that bipolar disorder and schizophrenia are in some senses almost parts of the same continuum. It isn't surprising, therefore, that there is a lot of medication overlap between the two. Anyhoo, I find this all very interesting.