Personality Disorders Community

Can You Have Both Bipolar and the BPD?

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QUESTION:

I have been suffering from "something" for years. My primary doctors prescribes 1 antidepressant after another. When I read about Bipolar and Borderline disorders they both sound like: "what's wrong here". Is there any way you can have both disorders? I know I may seem crazy asking this but I feel crazy. Please help. I am too embarrassed to see a therapist. I don't want to be labeled "crazy".

DR. HELLER'S ANSWER:

Absolutely, it's not uncommon to have both. I don't like to use the word "crazy". If you have both the BPD and bipolar you do experience psychosis. You've likely already labeled yourself as "crazy" and are afraid a therapist would agree with you. Some therapists do label people, but you have two medical brain disorders that can be successfully treated.

The BPD responds best to Prozac (fluoxetine) with Tegretol (carbamazepine). Fortunately, Tegretol is an excellent anti-mania drug. If bipolar depression or mania is present and the patient is already being treated with Prozac (fluoxetine) and Tegretol (carbamazepine) then Zyprexa 10mg nightly for 3 nights usually settles things down. Lithium is usually needed for persistent bipolar depression and suicidality.

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