Bipolar and BPD Dual Diagnosis: Symptoms & Treatment

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Living with more than one mental health condition can be confusing and hard. For people with both bipolar disorder and borderline personality disorder, the challenges can feel overwhelming. 

At Atlas Behavioral Health, we help clients find answers and healing through compassionate, evidence-based treatment. Let’s explore what this dual diagnosis means and how the right care can make a big difference.

What Is a Dual Diagnosis?

A dual diagnosis happens when someone has two or more mental health conditions at the same time. In this case, it means living with both bipolar disorder and borderline personality disorder. Each condition has its own symptoms, but they can overlap and make life more difficult.

Bipolar disorder affects a person’s energy, mood, and focus. Borderline personality disorder affects emotions, relationships, and self-image. When these two come together, they can make everyday life feel chaotic or unpredictable.

At Atlas Behavioral Health, we specialize in treating complex mental health conditions. Our team builds personalized plans that focus on each person’s full story, not just their symptoms. 

We understand that bipolar and borderline personality disorder dual diagnosis requires extra care, patience, and the right kind of support.

We don’t rush healing. Instead, we create space for people to feel safe, supported, and seen. Whether you’re just starting to explore your diagnosis or looking for long-term care, we’re here to walk with you through every step.

Bipolar Disorder Explained

Bipolar disorder is a condition that causes big shifts in mood, energy, and behavior. Some people go through periods of feeling very “up” or energized. These are called manic or hypomanic episodes. Others experience long stretches of feeling very sad, tired, or hopeless. These are depressive episodes.

With a bipolar and borderline personality disorder dual diagnosis, these mood swings can feel even harder to manage. The ups and downs may happen more often or feel more intense. It can be tough to know what’s going on without the right help.

That’s where Atlas Behavioral Health comes in. Our therapists and medical team work closely with each client to understand how bipolar symptoms show up in their lives. We use medication management, group therapy, and one-on-one counseling to help clients stabilize their moods and feel more in control.

We believe that with the right care and support, people with bipolar disorder can find treatment. And when bipolar disorder is part of a dual diagnosis, it’s even more important to treat both conditions together, not separately.

Understanding Borderline Personality Disorder (BPD)

Borderline personality disorder, or BPD, is a mental health condition that affects how people think and feel about themselves and others. It often causes intense emotions, unstable relationships, and a fear of being abandoned.

People with BPD may struggle with sudden mood shifts, outbursts, or impulsive behavior. They might also have a hard time trusting others or feeling safe in relationships. When paired with bipolar disorder in a bipolar and borderline personality disorder dual diagnosis, these symptoms can be even more difficult to manage.

At Atlas Behavioral Health, we treat BPD with empathy and skill. We know that people with BPD are often misunderstood. Our therapists use proven approaches like DBT-informed care, mindfulness, and trauma-focused therapy to help clients feel more grounded.

We don’t judge. We don’t label. Instead, we focus on helping each person understand their triggers, build emotional tools, and feel more connected. Healing from BPD takes time and trust. That’s why our team walks alongside each client through every stage of recovery.

How These Two Conditions Overlap

Bipolar disorder and BPD have different causes and symptoms, but they can look a lot alike. Both involve mood swings, impulsive behavior, and intense emotions. That’s why bipolar and borderline personality disorder dual diagnosis can be hard to spot and even harder to treat without experience. And this is just one of many examples of dual diagnosis.

People with this dual diagnosis might feel like they’re on a rollercoaster. One day, they’re full of energy. Next, they’re overwhelmed by sadness or shame. These quick emotional shifts can cause problems at work, at home, and in relationships.

That’s why the team at Atlas Behavioral Health takes time to understand what each client is really going through. We don’t rely on labels alone. We use careful assessments and one-on-one conversations to get a full picture of what’s happening.

Our therapists and psychiatric providers work together to make sure clients receive care that fits their needs. We look at patterns, triggers, and past experiences. This helps us create a treatment plan that actually works for someone with bipolar and borderline personality disorder dual diagnosis.

Challenges of Living with Both BPD and Bipolar Disorder

Living with both BPD and bipolar disorder can feel exhausting. The mood changes, emotional pain, and unstable relationships can make everyday tasks feel like a struggle. People with this dual diagnosis may find it hard to trust others, keep a job, or maintain close friendships.

Many people feel misunderstood, even by doctors. That’s why getting the right diagnosis matters so much. At Atlas Behavioral Health, we see the whole person, not just a list of symptoms. We understand how these two conditions interact and how they can affect every part of your life.

Clients with bipolar and borderline personality disorder dual diagnosis may also struggle with substance use, anxiety, or trauma. That’s why we offer full support through PHP, IOP, and sober living options. We build plans that treat the full picture, not just one part of it.

It’s not easy, but with the right care, change is possible. Our goal is to help each person feel more stable, hopeful, and in control of their future.

How Atlas Behavioral Health Approaches Dual Diagnosis Treatment

At Atlas Behavioral Health, we offer care that is kind, honest, and effective. For people with bipolar and borderline personality disorder, dual diagnosis, we provide a treatment plan that addresses both conditions together.

Our process starts with a full assessment. We take time to listen and understand each person’s unique story. From there, we create a custom care plan that may include individual therapy, group sessions, medication support, and skills training.

We believe in working as a team, with our clients and with each other. That means everyone gets support from multiple staff members, not just one provider. Our 3:1 client-to-staff ratio ensures that no one feels lost or alone in treatment.

We also offer sober living and long-term support through our alumni program. Recovery doesn’t stop when therapy ends. We’re here for the whole journey.

If you’re facing a bipolar and borderline personality disorder dual diagnosis, know this: healing is possible. And you don’t have to do it alone.

What Recovery Can Look Like

Recovery looks different for everyone, especially with a bipolar and borderline personality disorder dual diagnosis. Some people need help managing intense mood swings. Others need support for relationships or learning to cope without turning to substances.

At Atlas Behavioral Health, we help clients define what healing means to them. For some, it means fewer outbursts. For others, it’s feeling safe in their own skin. Whatever the goal, we’re here to help make it happen.

We focus on building skills that last. Our therapy programs teach clients how to recognize triggers, manage emotions, and build healthy habits. We offer structure, consistency, and a lot of support along the way.

Progress isn’t always fast. But every step matters. With time, effort, and the right kind of care, people with bipolar and borderline personality disorder dual diagnosis can build a stable, fulfilling life.

Finding Peace

If you’re living with both bipolar disorder and BPD, you’re not broken. You’re human, and you deserve care that sees your full story. 

At Atlas Behavioral Health, we’re ready to help you build a life that feels steady, safe, and strong. Contact us today to start treatment.

FAQ

Frequently Asked Questions

What types of therapy do you offer?

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

We believe in a personalized, holistic approach to wellness! We utilize many different treatment modalities, combined with the power of the 12 Steps to support you in achieving your goals. We offer three different levels of care, and make recommendations based on individual needs.

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Josh Camadeca, CARES, CPS-AD, CPS-MH, RCP, CIT (he/him)

Program Director

Josh Camadeca serves as the Program Director at Atlas Behavioral Health, where he oversees organizational workflows, supports program development, and ensures high-quality service delivery across clinical and peer-support departments. In this leadership role, Josh applies both his administrative expertise and his extensive recovery knowledge to strengthen team coordination, improve client care systems, and uphold the agency’s mission of providing accessible, person-centered behavioral health services. Josh is a Certified Addiction Recovery Empowerment Specialist (CARES), a Certified Peer Specialist in Addictive Diseases (CPS-AD), a Certified Peer Specialist in Mental Health (CPS-MH), and a nationally Certified Recovery Coach Professional (RCP). He is currently working on obtaining his Certified Addiction Counseling (CAC) certification through the Georgia Addiction Counselors Association (GACA). With over a decade in sustained recovery from substance use and more than 25 years of personal engagement with mental health therapy, he integrates lived experience with evidence-based recovery support to provide comprehensive peer-driven care. In his direct client work, Josh specializes in recovery coaching and mentoring, supporting individuals in developing personalized pathways to health, wellness, and long-term recovery. He is highly skilled in connecting clients and families with appropriate resources, recovery communities, and supportive services that enhance continuity of care and foster positive treatment outcomes. His clinical focus emphasizes recovery-oriented systems of care, the power of social connection, and the vital role of community integration. Josh’s strengths center on his ability to build trust, empathy, and empowerment within the therapeutic relationship. He is deeply committed to promoting resilience and helping clients move toward meaningful, self-directed lives in recovery. Outside of his professional work, Josh values healthy leisure and community engagement; his interests in hiking, biking, fitness, sports, and collecting sneakers and streetwear often serve as additional pathways for rapport-building and connection with individuals from diverse cultural backgrounds.

Julie River, M.S., LPC, NCC, CPS-MH, RCP, EMDR Trained (she/her)

Clinical Director

Clinical Director Julie River is the Clinical Director at Atlas Behavioral Health, where she provides leadership in clinical programming, staff development, and evidence-based service delivery. She is a Licensed Professional Counselor (LPC), National Certified Counselor (NCC), Certified Peer Specialist in Mental Health (CPS-MH), Recovery Coach Professional (RCP), and an EMDR-trained psychotherapist. Julie earned her Bachelor of Science in Human Services from Kennesaw State University and her Master of Science in Clinical Mental Health Counseling from Capella University. She specializes in the treatment of trauma, addictions, adoption-related issues, and identity development. Her clinical approach is postmodern, inclusive, and affirming, with a strong emphasis on the intersectionality of identity and culture. She integrates holistic and systems-based frameworks into her therapeutic modalities, supporting clients in developing deep self-understanding rooted in their formative experiences. With over a decade of experience across the continuum of care, Julie has worked in psychiatric hospitals, wilderness therapy programs, art therapy initiatives, outpatient treatment for addictions and eating disorders, trauma-focused therapy, private practice, and peer support. This diverse background informs her vision for Atlas: to provide evidence-based, client-centered, culturally competent, and identity-affirming care. She is equally committed to the wellbeing of the clinical team, recognizing that staff wellness directly impacts the quality of client care. Julie is passionate about psychology, neurobiology, and sociology, and actively pursues ongoing professional development in these fields. Outside of her clinical work, she enjoys training for marathons and ultramarathons, international travel, and exploring new cultures through hiking and meaningful connection with others.