I have BPII and I do not self harm. There are a lot of bipolar II's out there that don't self harm. Which type of bipolar you are tends to rely on how often you cycle. If you are rapid cycling then it is bipolar II. If you have mania that will last a week or more then depression that lasts a week or more then you may be looking at bipolar I. It is hard to say since none of us are psychiatrist. I know I can drive myself nuts trying to figure it out myself so I just gave up and trusted in my doctor to know what was best for me and what my dx is. So far everything is working for me. If you feel your treatment isn't working then I would question your doctor about your dx and medications.