Their diagnosis came from how I have acted in the past 2 years while trying all kinds of meds that did all kinds of bad things to my mental state. I also do have a fairly major family history of bipolar I guess. But they refused to consider my life before I finally decided to try medication. I do go through major depression for sure which is why I finally asked for help beause it seemed to be getting worse and I didnt want to live like that anymore but hadnt had an attempt or even really any worrisome SI in 10 years.