I wonder if bipolar doesn't exist why he's medicating her with meds used for "bipolar." I've never encountered a pdoc/pnurse that didn't "believe in" bipolar or schizoaffective d/o, the closest to it was my pdoc at the time writing "schizophrenia" as my diagnosis when scheduling because the receptionists didn't know what schizoaffective was or didn't have it in the system, or something along those lines.