What is the difference between bipolar with psychosis and sza?

I have realized that I am often hypomanic/manic and I have been like this for a long time.

What’s the difference between sza bipolar type and bipolar w/ psychotic features?

I’m very delusional and psychotic at times but I honestly don’t know the difference between the two.

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I believe it’s when psychotic symptoms present themselves: outside of a mood episode would be sza and only during a mood episode would be bipolar with psychotic features


It’s interesting that the psychiatrist in this video states that sza is more of a schizophrenic disorder than a mood disorder.

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Still trying to understand it more myself; seems to be the diagnosis my docs are leaning towards now

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Bipolar is a mood disorder. Sza is more of a schizophrenic thought disorder. Although it has a mood component.


From what I understood it’s like a hybrid of sz and bi polar. In other words, it has symptoms of both so they don’t know what to call it. Just goes to show that it’s all labels anyways, no two sz or sza are just alike anyways

I see. The psychosis is here and there, also with the hypomania/depression. I’ve been depressed and then this week I’m super irritated and elated…
I honestly don’t know what the heck is going on.

Sometimes there is very little difference between the two, but with bipolar, the psychosis occurs during mania or depressive episodes.
With SZA the psychosis can occur outside of a mood episode.


I have never had a mood episode interfering with psychosis. It’s always on its own…

to me, sza schizoaffective is very much sz on the spectrum whereas bipolar with psychotic features is psychosis but its alot easier than sz

to me, psychosis is a spectrum with sz and sza on the severe end whereas bipolar is that bit easier as youre not as mad

i know that sounds confusing but im not articulate enough to explain it

it makes sense to me … i mean no offence to bipolar with psychosis…i do not belittle it…i used to haev bipolar with psychosis and it was alot easier than sz…sz was extremely tough…im talking about psychosis not depression

Sz is tough…
I have had 6 hospitalizations and 3 suicide attempts.
I am sorry that you endured so much.

I used to have bipolar, for about three years. In my eyes, it was every bit as tough as sz or sza. Relentless, nonstop suicidal thoughts with plans, for years, was pure hell beyond words. Nothing could be worse.

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Honestly, in the opinion of many doctors, absolutely nothing. I read somewhere that they’re thinking of making the diagnostic criteria more specific, or even removing it altogether. I don’t know how true that is, but it’s not surprising. Some doctors say that schizophrenia itself is a systemic illness, suggesting that emotional dysregulation is actually a symptom of schizophrenia and not indicative of a cooccurring mood disorder.

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