Diagnosis change?

My new psychiatrist seems to be leaning towards a bipolar diagnosis.

In the past, I was never directly told I had schizophrenia. My dad read it (on a prescription I think) after I had anxiety that culminated in psychosis. I was unmedicated and also using drugs at the time. Since then, I have not had a pronounced psychotic episode. I’ve dealt with paranoia and raging anxiety when my bipolar swings would get too low/high. Also, much of my paranoia was linked to drug use.

We are maintaining the same medication for now as I am doing well, but he wants to examine the diagnosis closer as we move forward.

He told me I connect with people socially better than most of his patients with sz…do you guys have a lot of trouble engaging with others in most situations? He also mentioned that usually sz oriented psychosis is more prolonged and/or ongoing. I am curious as to your guys input on this situation.

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I have sz and have several friends, some talk to me everyday. Sometimes they pick me up to chill. I dont go out much on my own driving though as I have bad negative symptoms. Some say sz negative symptoms are worse than sza or bipolar but I havent seen that here on the forum.

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Antipsychotics are used for bipolar or only mood stabilizers?

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APs can also be used yes. I am on Caplyta and lamictal.

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aps get used a lot for bipolar as well. its honestly almost the same protocol for meds as sz except they want to add mood stabilizers.

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Oh so you can’t be on only a mood stabilizer?

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I am asking bcz maybe aps worsen negative symptoms but mood stabilizers dont.

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well you can. but every pdoc i went to wanted me to take an ap. like seroquel or risperidone or abilify or whatever

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yeah mood stabilizer probably could cause fatigue. but not negative symptom like lack of motivation and stuff

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Honestly it can go either way for me.
Right now my diagnosis from my current psychiatrist is bipolar disorder but I’m not that social but I’m not a wallflower either.

The meds for SZA and bipolar disorder are basically the same thing.

I’m on an AP and mood stabilizers.

Welcome to the club @cathart1c

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If I believe the label am I reinforcing the condition?

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Not really. A mood episode will happen regardless of believing in it

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Do your moods return to normal after the episode has lifted?

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I almost never have a normal mood. It’s either a bit low or a bit high. I might have a period of what feels like normal for a few hours

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Kind of in the same boat:

My mom has never believed I have SZA- depressive type.

…She’s convinced I’m Bipolar.

I dunno mayne, I had psychosis that lasted for several months. Then, I went unmedicated for around 4.5 years.

In that time, I was mega-depressed while also racking up a couple thousand dollars’ worth of debt (which my parents thankfully bailed me out of).

Then just recently, I had what some would call a “mixed episode,” of both depression and hypomania.

As far as socializing and jobs go, I work around 32 hours a week in a very socially-engaging job. Too socially-engaging for my energy levels, honestly.

…Thinking I should revisit my diagnosis.

Enough about me though. Why exactly do you think you might be bipolar? Are you exhibiting depression and mania-type behaviors?

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I supposedly have sz and I dont really have many friends or socialise but I have always been that way. I was weird from day one tbh

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Yes I do. I’ve become pretty isolated in fact.

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I don’t really have any friends in real life that I can call and hang out with. But I get along fine with the people at my main job. I also do some freelance work as a computer technician and don’t have a problem interacting with my clients. They like me and trust me because I get rehired all the time. I can be social when necessary and I usually enjoy it, I am good at small talk most of the time. But I do like my solitude as well sometimes.

I’ve had multiple diagnoses but the majority opinion has been schizophrenia so I just go with that. I use to care about the label and exactly what I have, but now I just care that the meds work and I am doing better.

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Good to see there’s other ppl in the same boat. And yeah, I deal with very low lows. Usually the lows are longer in time than the high/mania periods. When I go manic I get a heavy self confidence boost and kinda get a bit argumentative. I also get super talkative to the point where I’m willing to engage with anyone.

I didn’t know there were mixed episodes…what was that like?

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Nope. Either up or down :frowning:

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