Q.I was diagnosed 12 years ago with bipolar disorder and take numerous medications which include:
neurontin 3300mg per day
celexa 60 mg per day
serzone 250 mg per day
seroquel 125 mg per day

I also take multiple meds (seizure type) for migraines

I have begun to show extreme dissociative symptoms, which no one has been able to account for. MANY of the symptoms for bipolar and bpd are the same. A psychiatrist that only reviewed my symptoms as reported by a family member suggested that I may indeed be suffering from bpd instead of bipolar disorder.

  A. I view dissociative behaviors as an anxiety symptom. This is a bit simplistic, but dissociative behavior is part of panic disorder (an anxiety disorder). I would probably suggest increasing your Celexa to 80 mg/day (more if you smoke cigarettes), and seeing what happens. If this fails, I would use either Serzone at 500 to 750 mg at bedtime (if you are not obsessive) or Effexor XR at 450-600 mg (my favorite and good if you are obsessive). The migraines probably are caused by the same chemical imbalance as your dissociative behaviors. Correct treatment will eliminate both.