“All of these things that you are telling me lead me to believe that you’ve been misdiagnosed,” Leila said as she leaned back against her chair.  Nina rolled her eyes and let out a sigh.

“The OCPD, the anxiety and depression, or the borderline personality disorder?” She asked in a tone dripping with sarcasm. Leila laughed, she knew that the sarcasm was aimed at the girl’s previous therapists rather than at herself.

“Well, all of them really, but it makes perfect sense that you’ve been misdiagnosed so many times.  What you really have is Bipolar II disorder.  It’s a tough one to diagnose because it is a less severe form of the disorder.  Your manic episodes are subtle, but your depressive episodes are severe which explains the previous diagnosis of anxiety and depression.  And your substance abuse was making the bipolar worse, which explains the borderline personality disorder diagnosis.  The OCPD is your subconscious attempt to control the mood swings.  I recommend that you start a combination of antidepressant and mood stabilizer.”

As Leila was explaining all of this it hit her.  This constant battle of spiraling out of control then fighting to regain it was permanent.  It would never end.

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