almedafan, that's great you had a productive session.

Diagnosis is not that important to me (or my T). I think that if the adderall is helping you and you want to continue with it, then it doesn't really matter if you have a diagnosis of ADD. Just stick with what is working. (Personally, I would like to try adderall.) I wonder why your T is so concerned with diagnosis? Is he worried you are on the wrong meds? I think it sounds good that your scaling back of the meds has made you more self aware (of your moods). That sounds very positive to me.

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I guess I'm wondering now if the real diagnosis is ADD and cyclothymia.

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Maybe there is no real diagnosis. How will your diagnosis change T's approach in therapy with you? Or do you want the "real" diagnosis as help in choosing your meds?

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I'm hoping this is my answer.

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There may not be one right answer. The human is a complex organism. It's hard to divide us all into dozens of sometimes artificial categories. I think an important question is what use you will make of a diagnosis, as that should drive the need to have one. For myself, I would not make use of a diagnosis, so I do not request one from my T. What he is doing with me is helping me, without a diagnosis.