Cheers for Koko for starting the perfect topic for me! Now that I'm back at work where I have internet access....let me flex my typing muscles........
Oh my gosh it is SOOO frustrating not being sure of the diagnosis. Today will be a huge day for my b/f as his primary hospital doc returns from vacation, and will be made aware of the mania and paranoia that's been occurring. I am obviously not a doc, although I feel like I'm just as qualified to make a diagnosis, since I'm the only one w/ Mental Health expertise that knows my b/f real well...some ego I have huh? I am stuck on Bipolar type 1 w/ Schizo-affective, mostly b/c my psychiatrist thinks he's Bipolar 1, not schizophrenic. The doc there only dx'd Bipolar 1. And like I said, my psychiatrist, who of course has never seen my b/f, also thinks that he is Bipolar 1....because even Bipolar people can get paranoid. She also said that with his history of paranoia, it doesn't matter what the dx is, because he'll still get the right meds (antipsychotics in addition to mood-stabilizers).
BUT IT MATTERS TO THE FAMILY AND ME
But Chrys (as usual) made a good point that maybe doc's are being more cautious with dx's lately in part because they realize the intricacies of mental health, and acknowledge that they don't have all the answers. I've been keeping a log of my b/f's behavior and mood, which I hope will be helpful to a doc someday... Right now, he is still blazing manic, although they're trying to dope him up to "slow him down" so they don't have to keep restraining him. I've tried nonchalantly mentioning the volume and tone of his voice in an effort to alert him to his state, but he keeps insisting that he's just happy.
I think having a support network is vital, since so often the sufferer cannot pinpoint a mood-swing as easily as family, etc. I just wish the doctors would listen more closely to the families for feedback on what the sufferer is really like. Doc's really don't end up knowing what the sufferer is "normally" like, since they don't see him/her unless something is wrong (at least in a hospital setting).
Well, I've done my share of rambling. Hugs to all,
StarCat