I'm kind of in a similar boat. I know there's subjectivity about it, and it can vary from provider to provider. Sure, some cases are clear cut, but others are foggier. My dx was changed from 2 to 1, but I'm not sure when it was changed or why exactly. I suspect it was hallucinations etc. experiences, but I don't consider that to be problematic as it's infrequent and I'm aware what I see isn't real (well, not immediately, but soon after). Or maybe they judged some of my earlier elisodes to be more severe than a previous provider(?) I did have a major extended mixed episode. Positively hell. Definitely should have been hospitalized. That might have been it too. Who knows.