I'll bet they really didn't want to be in a position to hang their liability and malpractice insurance on the line to prove that a screening tool that explicitly states it isn't for diagnosis is a screening tool that shouldn't be used for diagnosis. I think I know the screening tool he's talking about. It's this, or something like it. It's been cited 1200 times. N of 198, 5 outpatient clinics (where "are you unstable enough that we shouldn't give you a pen" never comes up). Both of my parents took it, and the one that's bipolar to fuck got "bipolar to fuck" and the one that isn't didn't. Thing of it is, bipolar disorder is pretty squidgy and even once you have a diagnosis you're messing with meds forever. So it's not like a misdiagnosis with a screening tool is a catastrophe or anything anyway.