If you're referring to yourself then the only way to know for sure is to go to a professional pdoc or doctor working in the mental health field. Try to see one if you feel like you have some symptoms. If you're referring to other people then like the wise and wonderful Werewoman has said there's no way to know for sure unless they tell you. Please be kind to yourself and do keep us updated. Sending many Safe, warm hugs to BOTH you, @princesscookie19, your Family, your Friends and ALL of your Loved Ones! Keep fighting and keep rocking NO MATTER WHAT HAPPENS, OK?!