Bipolar I Disorder vs. Schizophrenia

Grandiosity during mania (e.g., inflated self-belief while energized and sleepless) is sometimes mistaken for a fixed delusion; context (does it resolve as the mood episode resolves?) matters for telling the two apart.

Obsessive-Compulsive Disorder vs. Schizophrenia

Severe, elaborate compulsive rituals can look "bizarre" to an outside observer and be mistaken for disorganized behavior; the presence of a specific anxiety-driven trigger-and-relief structure is the distinguishing feature of OCD.