I think your best bet is to document all the changes in emotions/energy/paranoia you feel. Give this info. to your doc. Hopefully, you have a doc who is working w/you in a collaborative nature so your insight into your own symptoms will be taken seriously. These are all "symptoms"--but it is just for insurance purposes the docs have to nail you w/one dx. It is a continuum of mood disorders & figuring out how to relieve the symptoms without worrying about the DX is the best course, I think...