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I do have black and white thinking, feelings of emptiness and unstable relationships
I think as you mentioned, the above is one way pdocs/T's distinguish between the two conditions. Another way is 'reactivity' to environmental issues (I think mentioned by your pdoc), in other words moods being the result of reacting to something in the environment in the moment, rather than a protracted episode per se. And finally, I think another distinction is how long moods last, and you say the blissful feelings will last only for hours. My understanding is that anxiety can exist co-morbidly with both BPD and bipolar (and I guess anything else, really).
That said, of course you're only giving us a piece of the puzzle (none of us can explain everything in a post, or even to ourselves oftentimes!), so there may be other things going on pointing to bipolar 2.
It sounds like you've already discussed this with both pdoc and T, but you're still unsure, so maybe you can ask them how specifically they are distinguishing between the two? Also, as far as meds, my understanding is that mood stabilizers help some people with BPD, so if you feel that the antidepressants and therapy aren't working and you really need a different medication, then you could discuss the possibility of a mood stabilizer with your pdoc.
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