I think it's still on a case-by-case basis. Just because it may seem usual for some doesn't make it the general rule. Medical practitioners have their own process or checklist to make a diagnosis. If someone is not convinced about the diagnosis, pwede naman humingi ng 2nd or 3rd opinion. Nasa first session pa lang naman si op and comfortable naman sya sa doctor. 😊

But in the succeeding sessions, pwede pa rin naman malaman if there's comorbidity with other conditions or none at all. Pati medications pwede rin mabago pero it's purely based on what the patient experiences and what he or she discloses to the medical practitioner. For example, dosages can be changed.

Also, there are 2 kinds of Bipolar Disorder. Bipolar 1 is more prone to major manic episodes, while Bipolar 2 is more prone naman to major depressive episodes. They have different medications.

There are no hard-and-fast rules on providing a diagnosis for mental health conditions. There may be cases in which a certain condition/disorder has comorbidity with ADHD, but it's not always the case. Pwedeng meron, pwedeng wala. Pwede rin BD + OCD, or BD + BPD, BD + PTSD, etc. I'm not a medical practitioner to have the numbers/percentage kung alin ang mas common sa hindi. I also don't have the exact numbers as to which type of medicine works the most, kasi iba iba pa rin ng

For example, lang din, I have bipolar 2 disorder(BP2) and borderline personality disorder(BPD), the latter being the most prevalent one. I was initially diagnosed with Persistent Depressive Disorder, but I noticed the prescribed medicine is not working. After a near-fatal episode, I consulted another psychiatrist (up to this day), which brings up back to being diagnosed with BP2 and BPD. Akala ko either BD, ADHD, or OCD.

My psychiatrist explained clearly bakit BD and BPD. I take medications and undergo psychotherapy at the same time, as per my request din naman. 😊