Even though I've had AD induced hypomania/mania (between November of last year and January of this year) and 4yrs ago on Effexor, I did show signs of BP before ever taking any meds, I told my psychiatrist that I was showing signs as.early as.10yrs old (cleaned my whole house at 2am and obsessively brushed my teeth every 10mins, amd got only 2hrs of sleep before going to the beach the next day, and that is only one example). I had the same teacher for 5th and 6th grade and she noticed BP symptoms in me also. But at the age of 13 I was only dx'ed MDD, severe, after 24 days in the hospital, they said they ruled out BP, idk, but things got worse in the past 4yrs with my moods, hypomanias amd depressions, then my first real dysphoric mania last year, a sui attempt, and 21 days in a PHP program, I was finally dx'ed BP1 (asked towards the end of my stay, BP1 because of delusions) because of SH and SI they could have easily dx'ed me with BPD, but neither the psych in the PHP program or my current psychiatrist have dx'ed me as BPD (though I do have traits, I won't deny that), so it's BP1 after about 11yrs of being misdiagnosed as MDD, and showing signs in childhood.