I guess it comes down to what you believe about yourself, they might have all the knowledge but they dont have the experience so would never be able to make a 100% diagnosis, sometimes people can be between stages of illness i think different stages in recovery or the opposite,
I guess if you are presenting as lucid and you have a high capacity then you could be considered in both camps (maybe) I am not a psychiatrist but you got to see it from their angle and put both sides in perspective their knowledge and what you know about yourself.
I’ve been ill for ages and it was hard to consider my dr rediagnosing me and i am still not sure if it is correct but at the same time i question whether i am even that ill anymore and whether its just residual illness and meds related. I think i might just be anxious at best.
My recent hospitalisation was like a spiritual emergency rather than a relapse although it was similar i was more terrifying but less symptoms, my symptoms seem to have reduced but the feelings attached were more intense.
The only way i can describe it is by drawing a diagram, its basically a small box with its defences getting attacked from all around it and inside the box is powerful emotions that outwardly try to resist the attack, as the attack from outside gets more intense so does my defences. some how i managed to restore the balance and resist the attack, i
I felt like war tbh only i was battling evil forces, i might have been a little delusional but it wasn’t near as bad as before only more intense emotionally and spiritually.