It may ultimately come down to trial and error and a waiting game. I was diagnosed with over a dozen things, including bipolar which I was medicated for.

When I was hospitalized they said I’m not bipolar and didn’t need meds. They took me off everything. That was exactly one year ago.

I’ve done just as well, if not better, off meds than on.

Could I still be bipolar? Absolutely. We won’t know until and unless I have another hypomanic episode.

For now we’re just going with BPD, because that’s what fits best.

Diagnosis in the world of mental health is a guessing game. Clinicians will always disagree. There is no blood test to definitely confirm what we or do not have.

It’s all based on process of elimination, or as the docs like to say...differential diagnosis.