Hmm...have you noticed with the increases the sleeplessness and extra energy get worse? That's kind of how I got diagnosed. My former pdoc, he just left the practice so I see a new guy in Aug, suspected I was bipolar and basically did a little "experiment" on me. I was depressed so I didn't think anything of it when he would increase my paxil...that's what I was on at the time. As he would increase it I would get worse and worse manic wise. So the last time he increased he kind of did it more for the experiment than for my depression and I went through the roof. He decreased the paxil, but I still had problems so he took me off of it all together. And looking back before I was diagnosed any SSRI I took did this to me. So don't just think it's paxil because that's what I was on when I was diagnosed and that's what you're on. Zoloft was a big trigger for me too early on when they just fed me sedatives to try to bring me down. I would be bouncing off the walls, almost crawling out of my skin, running around like a mad woman, lots of shopping, lots of risky behaviors...etc.
A psychiatrist is your best bet for being diagnosed. Most therapists aren't medical doctors which is why most of them don't prescribe meds, but they can give you an opinion on what they think you might have, but that wouldn't be a definite diagnosis. So if you don't have one already find yourself a good pdoc and tell him your story. It may take them a while to officially diagnose you because they need to get to know you and figure it out on their own. I highly doubt in one visit they'd diagnose you bipolar especially if you're diagnosed borderline. Like I said there are tons of similarites between the two disorders. It takes a good pdoc to figure out if you are one or the other or even both. So be patient and hopefully you'll be on your way to a definite diagnosis whether it be the same as the one you have now or a new one. *hugs*
Bipolar, panic disorder, PTSD, PCOS, hashimoto's disease/hypothyroidism, acid reflux, and in the process of being diagnosed with either crohns, colitis, or even lupus...who knows really! the docs sure don't lol. Now possibly even celiacs disease!Lots of tests coming up so hopefully I'll know more soon. Too many meds to list!