you sound a lot like me. I am not sure where bipolar ends and emotional/psychological problems begin. It makes it very confusing for myself, T and Pdoc. I have thought for a long time that my pdoc thinks it is all my background and trauma issues but the drugs she prescribed were ones that I looked up and found to be for bipolar. It really confuses me whether she has made the diagnosis or not at this point. I was hypomanic last time I saw her and there was one exchange about bipolar when I asked if this hypomania meant I had bipolar, she responded with "yes, I see this as a progression of the mood disorder, that we talked about when I prescribed Latuda"...very frustrating session, I never remember talking about it when she prescribed Latuda.

Also, you are right the psychodynamic Ts don't seem to need/care about diagnosis.