Could it be both Spikes? Are mania and psychosis cptsd symptoms? It seems like the trauma definitely triggered something. I think it makes sense for you to seek treatment of the cptsd symptoms if they resonate with you. The main goal would be to seek a strategy for the full spectrum of issues you experience regardless of the label they provide.

I understand what it is like to not have a diagnosis that truly fits. I'm being reevaluated at the moment myself. I feel like having answers will bring me comfort, but who knows?

Hugs.