I have can be down in the dumps upon waking, 2 hours later be on top of the world and 2 hours later be depressed and laying in bed staring at the wall so I definitely can relate with you....however I would have to say that it is hard for doctors to pin point exactly which "type" of bipolar disorder you have, especially since this is a progressive disorder(so I have read). For me it has been much easier just being okay with dx "bipolar affective disorder" and focusing on getting the right meds adjustment and balancing my life so I can thrive. I think we all are changing and evolving so it is just easier to explain my symptoms and let the dr take it from there ya know? Although, I can understand why you would want to have a specific diagnosis just so you "know" what is going on. Also, I think it depends on the person whether you swing into mania after taking a SSRI. I know I did when I first started on Effexor(although at the time I didn't know I was manic...I just thought I was feeling ALOT better...haha!) My pdoc added risperdal to the effexor and that worked for a while and now I am off the risperdal and taking lamictal along with effexor and feeling a little bit better (but it varies day to day). I may have to add on AAP, time will tell for me( I have a tendency toward mixed states).