hi. i was just trying to point out that the old school, 'manic depressive psychosis' diagnosis was usually reserved for people who had intense depression, severe mania, and didn't have significant psych problems outside of episodes. however...

fun fact: from the 50s-70s, US psychiatrists diagnosed -most- hospitalized people and severely mentally ill people with some form of Schizophrenia. The manic depressive label was not used nearly as frequently. Psychiatrists in the UK, western Europe...not so big on Schizophrenia. They had (and I think still have) a broader view of Bipolar I, to include varying degrees of psychosis, anxiety, obsessive stuff, etc. On the one hand, its "just a label," but on the other hand...

in probably most modern societies, Schizophrenia is an extremely stigmatizing label/diagnosis. Over-use of the label of Schizophrenia is just one reason the anti-psychiatry movement popped up and was able (for 15, 20 years or so...) to exert some influence.

personally, I'm not really 'anti-psychiatry' so much as I am for a more drug-centered psych treatment, which...is how a lot of old school psychiatrists did things, especially in the UK and Western Europe. match pills to problems, basically, no matter the label/diagnosis in use. For whatever reason(s), back in the day, US doctors were a lot more heavy-handed with thorazine and other older neuroleptics (in particular...), compared to foreign doctors...

as a result, the US shrinks had to deal with a whole lotta TD litigation, from I think the 80s onward, etc. TD happened (and still happens) everywhere neuroleptics are used, but since lower dosages were employed (outpatient, at least) in the UK, western europe...it occurred less frequently, wasn't generally as severe, as often as in the US. true story.