Onika L. Dainty

More Than One Storm: Managing ADHD with Other Mental Health Diagnoses

Being Diagnosed with Multiple Disorders - Part 3

More Than One Name: How I Manage Life with Multiple Mental Health Diagnoses

Being Diagnosed with Multiple Disorders Series - Part 2

Uncharted Territory: I’m Not Just Bipolar, I’m Also…

The day I was diagnosed with Bipolar disorder was the day my life changed forever. Then came the diagnosis of General Anxiety disorder rooted in Post Traumatic Stress Disorder. In October 2024, I was also diagnosed with Attention Deficit Hyperactivity disorder. With each new acronym, each new label felt heavy and oddly relieving at the same time. Finally, things began to make sense, even as they became more complex.

Being diagnosed with multiple mental health conditions can feel overwhelming, confusing, and isolating. Yet it can also become a roadmap for healing when we learn how to manage them together. The process has not been easy, but with the right support system and mental health team, I felt less alone and deeply grateful that the jigsaw puzzle of my mind was finally revealing the missing pieces.

This blog explores the emotional and practical journey of living with more than one diagnosis, and how to build a life that honors every layer of your mental health.

Multiple Diagnoses, One Body: What It Really Feels Like

Navigating overlapping symptoms can feel unbearable at times, but not knowing what is happening can be even worse. I spent years feeling mentally and emotionally paralyzed because my symptoms never fully fit my original Bipolar I diagnosis.

As a child, I experienced extreme anxiety and a noisy internal monologue that never seemed to quiet. I did not realize then that this constant mental chatter was connected to ADHD. Decades later, the medication prescribed to address it finally softened the noise, allowing me to focus and think clearly.

When one disorder masks or mimics another, especially within the bipolar cycle, it is easy to assume the symptoms are untreatable or simply part of the illness. Over time, we normalize symptoms so deeply that we stop mentioning them to our care teams. That internal monologue became so intertwined with my identity that I built my own systems to manage it, believing it could not be treated any other way.

At times, looking at my diagnosis profile feels like being reduced to a list of labels instead of being seen as a whole person. Living with multiple mental health diagnoses can feel daunting, but with effective dual diagnosis management, it is possible to find balance. I surround myself with people, both personally and medically, who support me in moments of crisis and wellness alike. While some symptoms require daily effort, a solid care plan built on self care, medication management, counseling or peer support, sleep hygiene, nutrition, and movement makes the weight more manageable.

Building a Personalized Care Plan (Because One Size Does Not Fit All)

Managing comorbid mental health conditions requires an intentional and personalized approach. One of the most important steps is working with a mental health care team to develop an integrated plan that treats the full picture rather than focusing on a single diagnosis.

My psychiatrist, Dr. A, has worked with me for three years to develop a treatment plan that reflects my individual needs. Alongside medication management, I engage in therapy that addresses my full experience. I have participated in Cognitive Behavioral Therapy and more recently trauma focused care for Post Traumatic Stress Disorder.

It is essential to work with providers who see beyond the loudest symptoms. Collaborative care can be the difference between long term stability and repeated relapse. You are not your symptoms and you are not your diagnosis, but you do deserve a care plan that reflects the complexity of your lived experience.

Daily Strategies to Stay Grounded with Multiple Diagnoses

Over time, I have learned that structure, routine, and healthy habits are essential when managing multiple diagnoses. The strategies I rely on are foundational to my emotional stability and mental wellness.

I build routines that allow space for both high and low energy days. On low energy days, I practice self compassion. On high energy days, I channel that energy into structured and intentional action. During my long term stay at Ontario Shores Centre for Mental Health Sciences, I learned how to track moods, triggers, and symptoms across diagnoses to identify patterns and shifts.

Because I tend to overschedule during elevated moods, I now practice gentle scheduling, daily self check ins that I call temperature checks, and a one thing at a time approach to tasks. These strategies help me remain grounded without becoming overwhelmed.

Self care for complex mental health goes beyond clinical tools. Meditation, breathing exercises, nourishing food choices, and daily movement are essential pillars of healing. Self care is not optional when managing multiple diagnoses. It is a core component of recovery and emotional regulation. I encourage anyone on this journey to speak with their care team about building self care practices that support their unique needs.

Final Thought: You Are More Than the Sum of Your Diagnoses

Receiving multiple diagnoses was not a life sentence. It was a revelation. What frightened me most was not the diagnoses themselves, but the years spent in uncertainty, fearing I would never understand my own mind.

What once felt confusing or broken now feels whole. Seeing the full picture of my mental health has given me clarity and hope. Managing my conditions together has allowed me to reclaim the agency I once lost by attributing every challenge to Bipolar disorder alone.

Bipolar once felt like a catch all explanation for symptoms I could not name. Through self advocacy, psychoeducation, and honest reflection, I discovered a unique symptom profile that extended beyond that initial diagnosis. I am more than the sum of my diagnoses, and so are you. When symptoms do not add up, seeking understanding is an act of courage. Fear lives in the unknown. Healing begins when we are willing to face the truth with compassion.

To my readers: 

What does it mean for you to be seen in all your complexity? And how can you begin showing yourself that same depth of understanding and care?

More Than One Battle: Living with Bipolar Disorder and Substance Use Disorder

Being Diagnosed with Multiple Disorders Series - Part 1

When the Battle Ends, Baseline Begins

My Journey Back to Baseline Part 5

It has been a week since my follow-up appointment with Dr. A. Although I had convinced him to let me heal at home, I knew he had reservations about whether I could manage recovery on my own. He seemed pleasantly surprised when I walked into his office last week with Grama Judie by my side, calm and steady, ready to tell him I felt like myself again.

After a few questions about sleep hygiene and impulsivity, even he could see that his patient was on the mend. He told me how proud he was of my progress and recommended I stay on the new sleep medication a little longer until my circadian rhythm was stable. I agreed, admitting that sleep, more than impulsivity, had been my biggest challenge this time.

I was finally out of the woods. It had been a hard fought battle, but I was back to my baseline. For the first time in nearly twenty years of living with bipolar disorder, I felt like I was in control of my mental health, like I was in the driver's seat on my journey toward long term recovery.

Yet even when the battle ends and baseline begins, uncertainty lingers. Each episode, whether hypomania, mania, or psychosis, teaches me something new about who I am and what I am capable of. This most recent episode reminded me of my strength, resilience, and determination. I am a fighter. And with the support of my care team and family, I now know I can meet my mental health goals.

Choosing Healing on My Own Terms

It would have been easier to accept Dr. A's initial recommendation for hospitalization. But something in me knew I needed to try a different path. Healing at home was a risk, yes, but it was a risk worth taking for the sake of my autonomy, my future, and my dreams.

Since my diagnosis, I have often felt powerless, like I was living a life dictated by my illness rather than by choice. Every episode in the past left me feeling like I was slipping further away from myself. But this time, I fought to reclaim control. I chose to believe that recovery could look different, that healing could happen beyond hospital walls.

The Blessing of Baseline

Today, I carry a renewed sense of hope. The challenges that come with bipolar disorder, the highs, lows, impulsivity, and instability, are still part of my life, but they no longer define it. My approach has changed. I now face each cycle with wisdom, patience, and compassion. I have gained a deeper understanding of how this illness operates within me, and I am equipped with tools, structure, and support to face it head on.

I am not alone on this journey. My medical care team, my family, and my support network stand beside me, ready to help me weather whatever storms may come. When the next battle arrives, I will be ready, with faith, awareness, and the knowledge that every struggle brings growth.

Because with every battle comes a blessing, the blessing of baseline, the calm after the storm, and the start of something new.