Has your loved one been misdiagnosed as having bipolar disorder (with psychotic symptoms)? Schizophrenia and bipolar disorder (or depression) are both types of heavy psychiatric disorders, but the two disorders are two groups of heavy psychiatric disorders that are different in nature, have different symptoms, have different regressions, are long established, and are easily confused. In recent years, because of the proposed mania or depression with psychotic symptoms, is bipolar or depression expanded, resulting in more schizophrenia misdiagnosed as depression or bipolar patients, patients with inadequate treatment, relapse hospitalization, chronic and prolonged disease, and so on, to cause the family’s great attention. The simple judgment of the family members is collected as follows: schizophrenia has hallucinations and delusions, does not consider himself sick even if he stays up all night, does not seek medical attention, and is taboo for family members to talk to doctors about his condition. In depression or bipolar disorder, there are no hallucinations or delusions, or there are only intermittent hallucinations or delusions, and most people feel that they are mentally abnormal and are willing to seek medical treatment. Generally speaking, schizophrenia is more often misdiagnosed as depression or bipolar disorder, while depression or bipolar disorder is less often misdiagnosed as schizophrenia. Currently, some experts in China misdiagnose patients with schizophrenia with affective symptoms as bipolar disorder patients in the past. An American professor of psychiatry once visited my department and asked: Why do such misdiagnoses occur? I replied: Some experts like to diagnose affective disorders, as the principle of psychology that what is in the mind to see what, think what. In reality, they do not grasp that the essence of psychology is thinking and not emotion. It may also be better for the family to consider that schizophrenia does not sound as good as affective disorder. In essence, the patient’s family members are in trouble, delayed, and unable to enjoy health insurance policies and disability evaluations (schizophrenia is eligible for annual outpatient medical reimbursement and mental disability evaluations). I’ll make a heavy or less appropriate analogy: schizophrenia is a mental malignancy, while depression or bipolar disorder is a benign mental tumor, the wrong diagnosis can be a big problem, the original schizophrenia is not good medical treatment, coupled with misdiagnosis and misdiagnosis, then I’m speechless.