Does the dsm-v acknowledge mixed episodes in bipolar ii disorder? my mood shifts: depression, hypomania, mixed episodes but no mania is this bpi or ii

Yes: The DSM-4 did not, but DSM-5 removed that oversight. There is very little real world distinction between the two classifications apart from full mania or hypomania. Might even be the same illness but simply a matter of severity on a spectrum (like Rheumatoid Arthritis for instance). Please visit with a capable psychiatrist for top notch care!

This distinction may: Be understood & applied to ur case on talking w ur MD. In very basic terms, what distinguishes bipolar I from bipolar II is presence of mania, as opposed to hypomania only. Some sxs are severe enough that they only occur in Bipolar I or mixed episodes including delusions, sxs, necessitating immediate hospitalization, catatonic sxs. Talk with ur md abt ur case specifically for best dx & care! :)