Individuals initially diagnosed with bipolar disorder can develop schizophrenia-like symptoms over time.

“like they people who start off with bipolar disorder often turn into what we call schizophrenia like there are psychotic symptoms maybe initially go away and they do okay but then over time the psychotic symptoms can keep coming back and start lingering longer and and then at some point we're like changing their diagnosis from bipolar disapproval does that mean they unfortunately developed a brand new second disorder like completely independent and unrelated from the no it means that it's just a different of the illness”