Hi again Kworld,
Have a friend or two with Bipolar (one friend deceased and one nephew deceased - we did not know at the time that nephew had Bipolar Disorder - some 15 years ago now - not a happy senario).
I think that my son also has Bipolar Disorder, probally Bipolar II. I have seen him manic and depressed.
He is being treated by a psychartist, but so far the psychartist has mentioned Bipolar Spectrum. And son seems to be going okay, well not a 100% as he is not working.
I believe my son needs one of the mood stablizers. However he is not on one. I think and I cannot disagree with the psychartist - he is a very good one - that he is waiting to see my son in a manic state. Well I think that this is the case.
Going the mood stabilizer path is one that needs some good thinking about.
While he also but me on Seroquel alone when first diagnosed he waited till the psychologist told him that I was manic. Dunno why as another psychartist had already told him he had seen me manic in an private institution (a bit like five star there

).
Son has been placed in an institution twice now. But his psychartist did not see him at these times.
Ah..to get back to your question, I also have Bipolar Disorder, Mixed States, which is different from the usual high manic states and the very low depressed states, which occur one at a time, not together like Mixed States.
I am learning a bit about Bipolar on my sixth book now (reading the books), and of course read some of the research and what people say on various internet sites (B.Sc at the age of 43, with all science subjects and this helps). But I still have a long way to go. Started up a website re Mixed Bipolar (yes one of my happy times - took myself off to TAFE (technical college to learn Webdesign and to write HTML and CC)).
Ended up of course fighting with them there about their OH&S. They did not like me telling them the faults

. So only did half of the course but that was enough.
But this website needs a bit of fixing. Did it in a hurry like I always do things. But it is not too bad.
In some ways I would think given a good description by a patient or the therapist knowning the relevant questions to ask, it would be in a way easy to diagnose in some cases and with a family member giving input. But not patients have symptoms like the classic ones. And thus some are very difficult to diagnose indeed.
I am still learning about myself and my history, things are keep comming to mind which were obviously what I will call hypermanic things I did.
I don't have a problem if you would like to talk further. Maybe go private at this time. As we would be most likely getting off track and what we say may not be interesting to others.
Oh please excuse the spelling dyslexa does not help nor do the meds I am currently on.
My regards to you,
JennyRobin