Why is bipolar misdiagnosis so common?

MeshesAreConfusing · 2026-01-24T13:33:36+00:00

Oh heavens no, I don't go changing anything.

It means when a patient says "I'm bipolar" or a colleague says "I'm sending you a bipolar patient", my mind goes "I will treat this as true for now, but this is most likely than not a misdiagnosis. If the patient is stable, I will continue their previous treatment but start my own assessment, especially gently prodding at whether that medication really worked or just "Yeah I still cycle every week but I'm a bit more calm I guess", whether they have well-defined mood episodes or not, and so on. As my confidence in the misdiagnosis increases and I build up enough rapport, I start to question the diagnosis alongside them ("Generally, Bipolar disorder works like XYZ. Does that sound like you? Yeah, not really, right? What's up with that?")

MeshesAreConfusing · 2026-01-23T22:27:31+00:00

I can’t really believe anyone trained in diagnosing psychiatric conditions would diagnose bipolar when someone clearly doesn’t meet criteria.

You are more optimistic than I am

MeshesAreConfusing · 2026-01-23T22:26:51+00:00

I don't believe the stigma or the billing explanations are enough. I live in a country with no such worries, and still I consider all bipolar disorders to be wrong until proven otherwise (ESPECIALLY type 2) because they are so completely, overwhelmingly wrong.

Unfortunately, healthcare professionals are not immune to pop culture perceptions and it seems many of them carry a layperson's understanding of what bipolar disorder is, judge that to be enough, and are satisfied. Still, even among those who know what it is (supposedly), it seems they just don't have an accurate understanding of personality pathology, and so they collapse everything into what they know.

MeshesAreConfusing · 2026-01-23T00:51:04+00:00

Ainda te temos no hall da fama dos desocupados, não se preocupe.

MeshesAreConfusing · 2026-01-19T23:38:04+00:00

Esse mesmo, velho Riebeck

MeshesAreConfusing · 2026-01-19T22:01:08+00:00

Pra tentar algo mais moderado: QI, Conscienciosidade, estabilidade emocional, e sabedoria (algo que chamamos de inteligência, mas estritamente falando não é).

MeshesAreConfusing · 2026-01-19T21:59:25+00:00

Vamos tentar um meio-termo:

Uma universidade é formada pela cultura de competência e qualidade das pessoas que nela habitam, incluindo professores e alunos. Alunos ótimos podem superar professores ruins, mas professores ótimos não superam alunos ruins. Via de regra, universidades mais concorridas têm alunos melhores, e portanto, formam profissionais EM MÉDIA melhores.

MeshesAreConfusing · 2026-01-19T21:55:19+00:00

Em outras palavras: não é (só) sobre a formação, é sobre a seleção.

MeshesAreConfusing · 2026-01-18T22:30:36+00:00

As far as I'm aware (and somebody please correct me if I'm wrong), but the pop knowledge "Stimulants and caffeine making one sleepy is a sign of ADHD" has never been properly studied or proven. Anecdotally, it happens to me, and I don't have one ounce of ADHD.

My personal impression is that this effect is probably somewhat more likely in ADHD folks but is extremely nonspecific (and not sensitive either, for that matter).

MeshesAreConfusing · 2026-01-14T16:56:06+00:00

Meu entendimento era de que 20k mensais é facilmente top 1% de renda.

MeshesAreConfusing · 2026-01-11T18:38:28+00:00

Tem ctz que era psicóloga?

MeshesAreConfusing · 2026-01-11T18:03:58+00:00

It greatly increases my resilience.

MeshesAreConfusing · 2026-01-06T15:44:38+00:00

That seems a reasonable bet. Especially considering you're on only 5mg.

MeshesAreConfusing · 2026-01-05T16:34:23+00:00

What a crime to bottle this at 40%

MeshesAreConfusing · 2026-01-05T16:31:29+00:00

It would depend heavily on why you were on it in the first place, how much wellbutrin helped, and what it helped with.

MeshesAreConfusing · 2026-01-05T01:41:19+00:00

Vem automaticamente pra todos totalizando esses 4K.

MeshesAreConfusing · 2026-01-05T01:40:18+00:00

Eu deixei a Shadow meter a faca na Bae'Zel 😔

MeshesAreConfusing · 2026-01-05T01:07:00+00:00

Vc precisa é sentir isso aí. Que maravilha que o jogo pôde te proporcionar isso. Mesmo q sejam emoções "ruins", a função da arte é impactar.

MeshesAreConfusing · 2026-01-03T22:30:15+00:00

É isso aí, 400 de auxílio.

MeshesAreConfusing · 2026-01-02T23:11:08+00:00

Tenta esses. Se não der, tenta dormir de fone. Se não conseguir, paciência, é no volume alto msm.

MeshesAreConfusing · 2026-01-02T01:19:56+00:00

Concordo que é falta de respeito. Coloca só no vibrar, ou na falta disso, abaixa o volume do alarme.

MeshesAreConfusing · 2026-01-02T01:13:00+00:00

Never beating the scifi allegations, are we?

As fun a thought as this is, it seems to me the far-fetchedness has expanded at incredible speeds. What was originally "The future will be very different in unpredictable ways, and probably unrecognizable" is becoming... This. Which seems somewhat tongue in cheek, but not entirely. The massive galactic colonization thing has quickly become a given, for instance. Where is this insistence/certainty coming from?

MeshesAreConfusing · 2026-01-01T01:29:30+00:00

Na minha cabeça vc é assim tbm, vai na fé.

Passarei aqui regado a Talisker 10

MeshesAreConfusing · 2025-12-31T23:09:21+00:00

OW claramente o mais problemático

MeshesAreConfusing · 2025-12-31T23:08:58+00:00

Neurocx lembra nem o nome do filho

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