Bipolar II

Has anyone ever come across a true bipolar II patient? Every single patient I've had so far diagnosed with bipolar II, I have had to change to some sort of trauma disorder/substance use. Even the patient I diagnosed as bipolar II, I changed the diagnosis over time as more history/symptoms of trauma came to surface. I am at a large academic center and I've seen pretty much most bread and butter cases (and a lot of zebras) but bipolar II seems elusive.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Psychiatry Source Type: forums