I've been to "licensed and trained psychologists" and they all just kinda say "you hear voices? schizo--uhh... you have insomnia and anger problems too? ...affective" no one I've come across wants to do a thorough evaluation lasting more than half an hour.
I get cptsd is not a real diagnosis in the USA, just wish it was. I'll refrain from that rant.
fern, I don't really know if it's both. I'm not sure if I've ever really had true mania. My first "mania" was labelled so because I was pissed at my therapist one day. Unless I'm on an antidepressant or using a stimulant they never qualify as hypomanic/manic episodes because they hardly if ever last more than four days. What I get is spikes (haha) that last maybe half a day. Something good happens and I'm thrilled and it might look like euphoric mania to some who come across me during that time. I will admit to the psychosis but I won't admit to it being for sure on the schizophrenia spectrum since there's quite a bit of research linking trauma to psychotic symptoms later in life without it being the same as the chemical imbalances schizophrenia/schizoaffective are.

I've always thought dx didn't matter as long as you're getting the right treatment. Well, apparently treatment is based on dx, not symptoms. I think that's f'd up but I don't have a fancy piece of paper saying I read some books and wrote some essays so I guess my opinion will always be wrong.