[Aliceiw]

When your official diagnosis is bipolar 2 with psychotic features but your therapist and psychiatrist (who both are allowed to speak with one another about you) use the words mania now instead of hypomania....

Are they changing my diagnosis without telling me. I'm not really like concerned but more curious at the change in language. I'm still young I suppose, and my psychotic symptoms didn't start until I was 22 so is it possible I just didn't have the full blown version yet or... i don't really understand how this works.

My therapist says that I experience something different than bipolar type 2 but my psychiatrist has never said this in so many words just, "are your symptoms more manic-y?" A mistake or a slip of the tongue?

lol I'm reading way too much into this. Procrastinating doing more school work... I did almost finish two essays soooo I can't say I didn't do something..even if it was begrudgingly.

So psychiatrist says I need to increase my dose up on my AP to 300 and he wants an email tomorrow for if I sleep tonight. I hope I do man because he said if not we'll have to talk about other options or something along those lines... what does that mean? like medication options or dude your cray go to a hospital options...

[Victoria'smom]

If you don't sleep tonight they'll probably change your medication. I don't think they'll suggest the hospital unless your psychotic symptoms are bad or you'll hurt yourself or others. They may be moving your dx to bipolar I it takes a while to figure what type of bipolar you have.

Yeah, medication options. I wouldn't worry. They might also inquire about your habits surrounding sleeping. Good "sleep hygiene" is recommended for folks with BP. (Well, everyone, but it's particularly helpful for keeping us on an even keel.) Things like going to bed at consistent time each night, having an environment conducive to good sleep, avoiding caffeine after a certain time, etc.. Even if that doesn't come up, it's worth looking into.

If the terms they're using concern you, the best thing to do is just straight up ask them. It's no biggie either way as the treatment is all about symptoms anyway (ie. the symptoms drive the treatment, not the dx).

Btw, welcome to the forums!

[Nammu]

What innerzone said