My current pdoc originally diagnosed me with bipolar II, but she has recently begun questioning it due to my medication not helping me. She diagnosed me with borderline and while I agree with it, I still believe I may be also bipolar. She said the co-morbidity of bipolar and BPD is controversial, but I've read numerous studies showing that they are very often co-morbid so I'm a bit confused about this myself. The primary reason she doesn't believe I'm bipolar is because she herself has not witnessed a hypomanic episode in me, whereas I'm pretty certain I have, especially because a past pdoc determined I was hypomanic at her appointment. She has taken me off of lithium now so I guess I'll have to see whether or not I get hypomanic again after being off of it for a while.

How much lithium are you on? The highest I was on was 900mg. While on it, I had a period in which I felt pretty stable mood-wise minus the anxiety from my BPD. It lasted about 3 weeks but then I began to dip down into depression again and have been stuck here for a month. She actually told me that bipolar meds at a therapeutic dose can often cause depression in a person who is borderline, but I honestly feel that my meds simply slowed down my cycling (I used to rapid cycle). I'm sorry that you feel your therapist is disregarding your diagnosis and symptoms. Is it possible for you to find someone else?