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Question: paranoid schizophrenia, for years ..suddenly be diagnosed as bi polar 1 and definately NOT paranoid schizophrenic by a different psychiatrist and treated for BP1 with different drugs altogether? Is this anything to do with Schizo affective disorder?
Answers: Yes, severe bipolar disorder (during a severe depressive or manic phase) can mimic schizophrenia in that severe mood episodes can cause psychotic symptoms and even psychosis. This does occur in bipolar 1. Schizoaffective disorder is different, in that it basically bipolar disorder as well as schizophrenia or a schizophrenia related disorder together. Basically, the person experiences psychosis or psychotic symptoms between mood episodes. While the schizophrenic person will almost always be 'out of touch' with reality and the bipolar person will have episodes of being 'out of touch' and periods of 'normalcy' inbetween, the schizoaffective person will have periods of mood swings that include psychosis and schizophrenic episodes inbetween.
I have seen it happen. Schizo affective disorders can blur into each other and psychiatry is, though a science, even more imprecise than general medicine. Psychotic illnesses are a minefield, even for experienced specialists.
Mental illness is still hard to figure out. People who suffer from any form have a hard time. I lived with person with p.schi. and today at age 82 she is still the same person, very kind and loving, she just didn't get the help she needed. Try and get a second opinion.
My brother was diagnosed with schizophrenia 13 years ago and 3 years ago the Dr's decided he now is bipolar, we are as confused as you, i personally think that the word schizophrenia had very bad press and the powers that be decided it wasn't PC anymore. I do wish you well.

You could do with talking to another psychiatrist, to get a second opinion, they all seem to have different ideas.


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