Optimum Quality Behavioral Health

A lot of borderline behaviors are deeply connected to fear of abandonment and unstable attachment.

Number 1.
They become extremely focused on one person at a time.

When they’re in a relationship, that person becomes their whole world.Friends, hobbies, even other responsibilities can suddenly move to the background.

And if they’re single?That intense focus often shifts onto a best friend or someone they feel emotionally attached to.

Number 2.
Everything feels all or nothing.

You’re either the best person ever…or suddenly the worst.

The day is either amazing or completely ruined.There’s very little middle ground emotionally.

Number 3.
They constantly look for reassurance.

Sometimes they pull away, create distance, start conflict, or act cold…just to see who comes back.

Not because they enjoy drama.Because deep down, they’re terrified of being left.

Number 4.
Feelings become facts in the moment.

If they feel rejected, abandoned, or unloved…that feeling becomes the reality emotionally, even if logically nothing actually happened.

When emotions are high, logic usually loses the argument.

And number 5.
Being left out feels extremely intense.

A delayed text message.Not answering the phone.Plans changing.

All of it can trigger overthinking, anxiety, or fear that something is wrong.

Relationships often become very chaotic because emotions feel extremely intense.

While therapy like DBT is considered first-line treatment for Borderline Personality Disorder, in real clinical practice I’ve also seen some patients do well with mood stabilizers and other medications when symptoms are severe.

Treatment is not one-size-fits-all.
Love, Dr. Tee 💜✌️

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Antidepressants increase serotonin, dopamine, and norepinephrine to lift mood.

That works for depression.

But in Bipolar Depression, those same chemicals don’t just stay low…
they can swing too high.

So instead of just feeling better, the mood can overshoot.

Now you’re not just improving… you may feel wired, not sleeping, or more irritable.

What I often see is this…
patients feel better at first, then a few weeks later, symptoms come back or worsen.
Sometimes it happens fast, going from 0 to 100 in days.

It’s like turning up the volume on a speaker that’s already unstable.
At first, it sounds better…
then suddenly it’s too loud, distorted, and hard to control.

That’s what can happen when those brain chemicals get pushed too high.

That’s because the issue is not just low mood…
it’s how the mood moves.

Mental health is about patterns over time, not one moment.
Love, Dr.Tomi ✨💜






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Hi, I’m Dr. Tomilola Adewolu, Doctorate prepared psychiatric nurse practitioner.
I spend my days sitting with people during some of the most vulnerable moments of their lives, helping them navigate anxiety, depression, panic attacks, and the chaos of being human.

The truth is… I understand many of those struggles because I’ve lived some of them too.

Sometimes the only difference between me and the person sitting in front of me is the chair.

The funny part is they take my advice, come back doing better, and I’m still reminding myself to follow my own advice too.

But that’s life.

At the end of the day, we’re all just doing the best that we can.

If you’ve ever felt like your mind was working against you, you’re not alone.






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Love, Dr. Tomi ✨💜

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Once someone meets criteria for Bipolar Disorder, the diagnosis of Major Depressive Disorder is no longer used.
Even if the person is currently feeling very depressed.
Why? Because depression is already part of bipolar disorder.
Bipolar disorder includes:
• manic or hypomanic episodes
• depressive episodes
So when a bipolar patient is depressed, the correct documentation is:
“Bipolar disorder, current episode depressed.”
Not major depressive disorder.

Example:
It is like diagnosing someone with diabetes and then listing high blood sugar as a completely separate disease.
High blood sugar is part of diabetes.
Same idea here. Depression can be part of bipolar disorder.

The real issue:
Often depression shows up first. During the first evaluation, the full mood pattern may not yet be clear, so someone may initially receive a diagnosis of depression.
Later, if mania or hypomania appears, the diagnosis changes to bipolar disorder.
And once it changes, it stays bipolar, even during depressive episodes.

Love, Dr. Tomi 💜






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