Understanding Bipolar and Borderline Personality Disorder Dual Diagnosis

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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 (he/him)

Program Manager

Josh Camadeca is the Program Manager and a group facilitator at Atlas Behavioral Health. He 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). As a person in long term recovery, he has personally been working with mental health therapists for 25 years and has over 10 years in recovery from a substance use disorder. Josh uses his unique lived experience in effective recovery coaching; mentoring others in finding health, wellness, and discovering their own personal recovery pathway. Josh has adopted a lifestyle of mental health recovery and has a passion for sharing his lived experience to help others. His abilities of empathy and connection helps empower and support the clients he is passionate about helping. He uses his vast knowledge of recourses to assist linking clients and their families with said resources and communities helping them foster the connections needed for sustaining long-term recovery. He considers it a privilege to inspire wellness and support clients into a life of meaning and fulfillment. Josh understands the importance of social connections and uses his hobbies of hiking, biking, exercise, watching football, and collecting sneakers/streetwear to connect with people from a diverse range of backgrounds and cultures.

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

Clinical Director

Julie River is the Clinical Director at Atlas Behavioral Health. 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. She earned her Bachelor of Science in Human Services from Kennesaw State University and holds a Master of Science in Clinical Mental Health Counseling form Capella University. Her specialty is working with those struggling with trauma, addictions, adoption, and identity challenges. She is a postmodern inclusive and affirming non-traditional psychotherapist who understands the intersectionality of identity and culture. She incorporates holistic and systems approaches into her integrative therapeutic modalities helping clients form in-depth understanding of themselves beginning in childhood. Julie has over a decade of experience in the mental health field is in all levels of care and includes psychiatric hospitalization, wilderness therapy, art therapy, out-patient treatment for addiction and eating disorders, trauma therapy, private practice, and peer support. This extensive background fostered her knowledge and vision of ensuring Atlas provides evidenced-based, client-centered, culturally competent, identity-affirming treatment at Atlas. She ensures that the health and wellness of the staff team is a priority as this directly reflects in quality of services provided. She is passionate about anything related to psychology, neurobiology, and sociology – in her free time you will find her reading or in a training related to these fields of study. If she’s not continuing her education, you will find her training for a marathon or some random 50k trail race. She loves international travel and couch-surfing her way across different countries while hiking, learning, and making friends along the way.