Good 4 u for sharing and I think this story is a beautiful illustration of how, if u throw in a little psychosis and walk into 3 difft. pdocs in Cleveland or London with this exact story, u cld quite easily walk out w one dx of bp1, one of bp2, and a third for schizoaffective disorder bipolar type. It is a huge problem rt. now since the neurobiology of these 3 can be completely different in different brain networks affected by these illnesses and therefore, different therapeutic approaches are likely appropos.

Thank you sooooo much for bringing up this critical issue. We must do better for patients going fwd.

To just complete the thought, I now meet criteria for both bp1 w psychosis and schizoaffective disorder. So, what, we just pick the one we like the ring of better?