It can take some time for a pdoc to really come to a definite diagnosis. That's because they really have to get to know you as a patient and have to really see those features before they can have any confidence in their diagnosis. Your pdoc hasn't dealt with you, really observed you as, psychotic so he is just probably working on the conservative side. I know that is frustrating, but personally I rather have pdoc who was willing to observe and carefully make a diagnosis than one who jumps to a diagnosis and is inflexible about it. I think statistics have shown that it takes something like 8 - 10 years for most bipolar patients to actually receive that diagnosis. Remember, a diagnosis is purely based on observation, and observations can obviously be flawed.

If your pdoc is thinking bipolar 2 at this point, then a mood stabilizer and a anti-psychotic prescription would be pretty standard. That would still be true if it is bipolar 1, so the treatment between the two is generally pretty close to the same.