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Borderline Personality Disorder vs. Bipolar Disorder

Have you ever heard the terms “bipolar disorder” and “borderline personality disorder” and wondered what makes them different? If so, you’re not alone. 

These two mental health conditions can be difficult to distinguish, as they both involve mood swings and impulsive behavior. 

But despite these similarities, they’re actually two distinct conditions with different approaches to treatment. In this article, we’ll dive into the world of bipolar disorder and borderline personality disorder and explore their unique characteristics, differences, and treatment options. 

In this article, we will explore the similarities and differences between bipolar disorder and BPD to help increase understanding and reduce the stigma around these conditions. So, whether you’re looking to better understand these conditions for yourself or someone you love, keep reading.

Borderline Personality Disorder vs. Bipolar Disorder: Understanding the Differences

Bipolar disorder and borderline personality disorder (BPD) have some symptoms in common but are actually two different conditions with different approaches to treatment. It can be difficult to diagnose these mental health conditions because there are no biological tests that can distinguish one from another. However, they do have defining characteristics, which can make the disorders easier to identify.

One key difference between BPD and Bipolar Disorder is the duration of mood episodes. In BPD, the emotional instability may be chronic and ongoing, while in Bipolar Disorder, the episodes of mania or depression typically last for a specific period of time. Another difference is that BPD is considered a personality disorder, while Bipolar Disorder is a mood disorder.

The Characteristics of Bipolar Disorder

Bipolar Disorder, also known as manic-depressive illness, is a mental health condition that’s primarily characterized by changes in mood and energy levels, which can range from extreme highs (mania or hypomania) to extreme lows (depression).

One of the primary characteristics of bipolar disorder is the presence of manic or hypomanic episodes, which are periods of high energy, increased activity, and elevated mood. During a manic episode, an individual may feel euphoric, have grandiose thoughts, take risks, and engage in impulsive behaviors such as spending sprees or sexual promiscuity. Hypomanic episodes are similar but less intense, and may not cause significant problems with daily functioning.

Another characteristic of bipolar disorder is the presence of depressive episodes, which are periods of low mood, lack of energy, and feelings of sadness or hopelessness. During a depressive episode, an individual may have difficulty with basic activities, such as sleeping or eating, and may struggle with concentration and decision-making.

Bipolar disorder can also cause rapid mood swings, meaning that an individual can shift from manic to depressive episodes quickly and without warning. This can lead to severe disturbances in everyday life, making it hard to maintain relationships, job or school performance, and general well-being.

Some typical features of bipolar illness include irritability, anxiety, and difficulties with impulse control. People with bipolar illness may also battle with drug misuse, engage in risk-taking activities, and develop psychosis during severe manic or depressed episodes.

The Characteristics of Borderline Personality Disorder

Borderline Personality Disorder (BPD) is a mental health disorder that affects a person’s thoughts, feelings, and behavior, leading to problems in managing relationships, controlling emotions, and keeping a stable self-image. The illness is frequently identified in early adulthood and is more commonly encountered in women than in males.

One of the fundamental hallmarks of BPD is an unstable sense of self, meaning that persons with this illness may struggle with a clear and consistent concept of who they are. This might lead to feelings of emptiness or doubt about their purpose in life, as well as changes in their objectives, beliefs, and attitudes.

Another feature of BPD is powerful and unstable emotions, which can shift swiftly from one extreme to another. People with BPD may feel strongly and passionately, and their emotions can be difficult to manage, leading to impulsive and hazardous behaviors, such as substance addiction, binge eating, or self-harm.

People with BPD also commonly suffer from interpersonal interactions, which may be stormy and intense. They may have difficulties trusting people and fear rejection or abandonment, resulting in clinginess or jealousy in relationships. At the same time, they may also battle with anger and may become rapidly annoyed or angered with others, leading to outbursts or confrontations.

Some typical symptoms of BPD include a predisposition towards impulsivity, self-destructive conduct, and feeling alienated from reality. This can contribute to problems in sustaining steady work or academic achievement, as well as making it tough to establish long-term friendships or love relationships.

Mood Disorders vs. Personality Disorders

Mood disorders and personality disorders are two types of mental health conditions that can cause significant disruptions in an individual’s life. Although both types of disorders can affect a person’s mood and behavior, there are significant differences between the two.

Mood disorders are conditions that affect a person’s emotional state and include conditions such as major depressive disorder, bipolar disorder, and seasonal affective disorder. These disorders are typically characterized by episodes of high or low mood, which can last for days, weeks, or months. 

Individuals with mood disorders may experience symptoms such as feelings of sadness, hopelessness, irritability, or euphoria. The symptoms can be severe enough to interfere with daily life, including work or school performance, relationships, and overall well-being.

Personality disorders, on the other hand, are conditions that affect a person’s way of thinking, feeling, and behaving, and are typically long-standing and pervasive. These disorders are typically characterized by rigid and inflexible patterns of behavior that can cause significant problems in social, academic, and occupational settings. 

Common personality disorders include borderline personality disorder, narcissistic personality disorder, and avoidant personality disorder.

Diagnosing Bipolar and Borderline Personality Disorder

Bipolar and Borderline Personality Disorders are often misdiagnosed because they overlap symptoms including mood swings and impulsivity, making it hard to arrive at a firm diagnosis.

Mental health experts often rely on a thorough evaluation, which could include a review of the patient’s medical and psychiatric history, a physical examination, and the administration of psychological tests, to make the distinction between the two. Doctors can also use a variety of evaluation methods, like mood charts, to keep track of their patient’s emotional states and make treatment decisions.

Care for Manic-Depressive and Borderline Individuals

When treating bipolar disorder, doctors often utilize a combination of medication, such as mood stabilizers or antipsychotics, and psychotherapy to address the various aspects of the illness. 

In contrast, psychotherapy is typically the primary treatment approach for Borderline Personality Disorder, with medication being used to alleviate symptoms like anxiety and despair. 

It’s important to note that with appropriate care and support, recovery is possible for individuals with bipolar disorder, schizophrenia, and BPD. Psychotherapy can provide benefits such as improved coping strategies, emotion regulation, and better interpersonal relationships. 

Consulting with a mental health professional is crucial to determining the most effective treatment plan for each person, which may include medication to manage specific symptoms.

Summary

In conclusion, bipolar disorder, and borderline personality disorder, are distinct mental illnesses with different causes and treatments. Thus, it is vital that patients receive a proper diagnosis and treatment from medical experts who are aware of the distinctions between these two diseases.

It is also important to decrease the stigma people feel when they admit they need help for mental health issues. Individuals who suffer from bipolar disorder or borderline personality disorder (BPD) can have fulfilling lives and learn to effectively manage their symptoms with the right help and encouragement.

Many diseases have a far better prognosis and result if treated and intervened early on. Having a mental health issue can make daily life challenging, but it is possible to overcome it with the right support.

Management of bipolar disease and borderline personality disorder requires a multifaceted approach that includes therapy, education, and support. At Alvarado Parkway Institute, we know how crucial it is to treat each person with bipolar disorder or BPD uniquely. Our mental health specialists are committed to ensuring that every client has access to the care and tools they need to succeed.

Our inpatient, outpatient, and dual-diagnosis services are all geared at helping you get the help you need, no matter what your situation may be. Care for people with BPD and bipolar disorder is a top priority for our experienced personnel.

To schedule a confidential evaluation and treatment plan, please call us at 619-333-7050 or fill out our contact form to get in touch. 

Don’t let mental health conditions control your life any longer, take the first step towards recovery and reach out to Alvarado Parkway Institute today.

From our mental health blog