I'm a 23 year old male who's been in psychiatric treatment since third grade (around 11 years old) for hallucinations and major anxiety that causes severe impairment in work and school (never had a job and only go to school part time because I can't handle anything more). Recently, I decided to find a new doctor after having the same one since my problems started (he's a pediatric psychiatrist). This doctor says I have bipolar and Asperger's, even though I don't really have many "highs" - I get depressed and anxious, but I think a lot of that comes from living at home with alcoholic parents who fight a lot - and my social functioning is very good. I have a good amount of friends, I'm able to empathize with people, I have a wide range of interests, etc, and one of my instructors in my college health program says I don't act anything like someone with Aspergers.
So I see another doctor, he says I don't have bipolar OR Aspergers, and instead I have paranoid schizophrenia. I don't have delusions; I don't think the FBI or the CIA or even the police or anything like that are out to get me, never have; never accused any of my family or friends of that, medication or not; I have plenty of motivation and still have emotions. Most of my friends say I don't act like someone with bipolar or Asperger's or schizophrenia.
Another factor that's very confusing to me is whether I'm on no prescription drugs or a boatload of anti-depressants AND anti-psychotics, my symptoms are always almost non-existent when I'm not under stress, while even minor stress causes hallucinations and panic - meds or not. My first doc has put me on almost every anti-psychotic and anti-depressant possible, and all have failed to do anything when I'm under stress. Right now, I'm on a small dose of Risperdal (2 mg), Clonazepam (1 mg a day), Wellbutrin (forget how much, I know it's 1 pill), and Trazodone (1 pill at night, not a very high dose). Stress still excerbates my symptoms no matter what. This is been a constant throughout the years - at one point I was on 5 mg of Risperdal (anti-psychotic), which is a very high dose. But then a bit of relationship or school or family stress comes along which most people wouldn't flinch at - and bam, I'm hallucinating and freaking out again. Same with every single other combination of meds I've been on.
Thinking about going to get a neuropsych re-evaluation soon, but my insurance (Title 19) makes it difficult. Any thoughts, suggestions?