It really doesn't matter if it's Type I or Type II. It's still bipolar, and it is treated the same way. If the pdoc starts to feel differently, he will change the diagnosis.

I recently got medical records from my clinic because my old pdoc of 10 years is retiring. They will change their diagnosis if they feel it is not correct. First, when I saw my doctor, she diagnosed postpartum depression with panic disorder. Then to major depression, but that was like only one visit. Then, she had me diagnosed as bipolar I? bipolar II? I was bipolar type? for several visits. I had the bipolar II on my diagnosis sheet until she changed it to bipolar 1 after I had a huge manic episode in her waiting room and office (not on purpose, it was actually a scheduled appointment). And it wasn't even hallucinations or psychosis (if there was psychosis, it was mild) though I had a lot of that automatic handwriting stuff, couldn't stop for hours at a time., I forget what's called. And just very, very extreme mania. She wanted me in the hospital, but ultimately H came there, and things got under control once I started sleeping better; she prescribed something stronger for sleep, and I had to go back in a couple days' time. After that she left it bipolar 1. It may seem every visit I had, I got a new diagnosis, but really, this is over a 10 year period of time, and new things would come to light for her.

The new pdoc I have seems to think it has been bipolar 1 mixed awhile now. I got the beginning of his notes for me when I got the treatment records at the clinic; he is at the same place as the old pdoc. After first, I thought, no, he can't be right. No way am I mixed. But then the more I read about mixed and the symptoms, I realized he was right. My old pdoc only once told me my actual diagnosis (I didn't ask), and that was after the manic episode she witnessed. Even if she hadn't witnessed it, if it had gone on, H would have brought me there as urgent or to a psych ER it was so bad.

So sometimes a different pdoc will give a different diagnosis or your diagnosis changes over time, depending on things that happen.