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*Beth*
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Default Nov 10, 2019 at 06:29 PM
 
Quote:
Originally Posted by still_crazy View Post
ugh. diagnosis. psychiatry is subjective...and that opens it up to all sorts of problems. anyway...

bipolar II usually means no mania, frequent depression, hypomania and/or milder mixed states (agitated depression I think qualifies with some shrinks). at the softer end, it seems to overlap with some 'personality disorders' ... at the more severe end, it can overlap with what would once, perhaps not so long ago, been considered 'severe endogenous depression.'

bipolar i- mania. severe depression. it used to be understood that the person was normal(ish), even high functioning when not in the midst of an episode...that's changed, somehow. psychosis, if it occurs, is limited to the mood episode...severe mania might bring psychosis, less often psychotic depression is an issue.

schizoaffective-- the manic type is more similar to bipolar I, in terms of long term outlook. psychosis occurs outside of mood states, but is not the core, defining feature, as one sees in Schizophrenia. the depressive sub-type is, from what I understand (and I could be wrong) a lot more like Schizophrenia, in terms of long term outlook and such...severe depressive states, psychosis both during the depressive states and when in a more or less normal mood.

now, that's just -my- understanding of dsm-checklists. i could be wrong. i think its also worth noting that the labels are mostly useful for billing and guiding treatment, to a point...where the rubber hits the road, go to 2 shrinks, get 3 opinions. it is what it is...

:-)
For someone who doesn't prefer diagnoses, you sure know your stuff! In my opinion The "DSM" dx's are too limited. I'm interested in what people's personal experiences within their dx's are. So, thank you

I've always received the same diagnosis (over about 30 years) - until these past few years, when my standard BP2 seems to be spending some time in either BP1 or Schizoaffective.

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