While its a little off the subject, my apologies, my husband and I are still trying to figure out what exactly is going on with our friend’s wife who we see regularly. Her bipolar is so extreme, that her sister, who is diagnosed with bipolar, believes its much more than bipolar. She told us she thought her sister had scz. The friend’s wife has delusions and by paying attention, we have noticed that she is always “working” some sort of delusion. There are recurring delusions, usually just one is featured at a time.
She had 4 big episodes last year each one was preceded by a period of mania. But they aren’t like my son’s episodes. When he has an episode it involved the voices ramping up. We know this because he yells at us to stop tormenting him. He tried sleeping with ear plugs to block out the voices- there were earplugs scattered all over his bedroom when he moved out. He would approach our house and begin screaming at our windows in the middle of the night because he believed we were yelling at him.
When this woman has an episode, she isn’t yelling at voices. She is caught up in one of her delusions. Her worst delusion is when she believes her husband is cheating on her. She will totally lose it, begin calling women and accusing them of sleeping with her husband. She demands that he leaves their home - throws his clothes out in front of their kids while screaming and crying.
She will talk rationally with him and he says in mid-conversation she will shift back into accusations. He says her face and expression changes right before it happens.
We have noticed that in the periods of time between episodes, she is never quite “right”. She is always focused on some sort of delusion.
Maybe schizoaffective ?