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Someone who has both bipolar and BPD have a pretty tough mix - they might be in a manic phase from the bipolar, but then still get triggered by mising that train and then have a depressive (or a mixed episode), right then and there for a few minutes and then go right back into the manic state.
This is why it's so complicated. Because, in theory, you just don't go in and out of mania like that, it just doesn't work that way. The only way I can conceive of it is, manic episode, then this happens, there's a 'reaction' to this, but this doesn't mean a change of 'mood' into depressed or mixed. I would think it would be mania throughout, underlying all the time, it's just that something happened and there is a reaction to that, in the midst of the rest.
I think it gets tricky when labeling a 'reaction' as a 'mood.' For example, someone (anyone really) could be very depressed, but then has a very reactive reaction to something and gets very angry. This is a reaction, not a mood. Still depressed. I hope this makes some sense -it's the only way I can think of of putting the two together in this kind of scenario.
I think if you label 'reactions' as 'moods' it can seem like one's 'mood' is all over the place, when it's more a matter of momentary reactions, not any kind of sustained 'mood.'
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