I guess one of the hang ups I have about the diagnosis is that I'm a nurse. I want to know what something is because it should have a name right? And then I woke up,,,
I was diagnosed with major depressive disorder until I had a major manic episode that required hospitalization, then my diagnosis changed to bipolar 1 with psychotic features. I was actually relieved because that meant they would put me on the right dang medication, because I suffered for a long time not knowing what was wrong with me.
The only thing they might do differently is prescribe him a medication for full on mania which could end up doing him a world of good.
The right diagnosis is what makes a treatment and recoveryplan successful.
I was wrongly told as a teenager I just had parent issues, when I had my son I was told I had post natal depression then treatment resistant severe depression. It was only after being hospitalized after my 3 rd child that I was correctly diagnosed with Bipolar 1 , rapid cycling. It turns out I'd had this since I was 13 yrs old and it deteriorated as I got older. The diagnosis has meant Im on a combination of medication, I've had therapy so I know all my mood states, how they present so I not only recognise when they change but I have tools to help me try to cope them. I also have a relapse package in place. I am constantly cycling but if I swing too far one way there is plan that can be implemented.
The right diagnosis in my case has been the difference between living with bipolar or bipolar completely ruling or destroying my life.
Hope that's a little helpful.
BP1 is the one with full blown mania. Keep in mind a diagnosis is just an opinion of another human being and opinions can change as much as the wind can. I think it's mainly difficult because some people become attached to knowing what is wrong with them and then suddenly the whole thing is thrown upside down with a different diagnosis.