Borderline personality disorder vs bipolar disorder

topic posted Sun, March 12, 2006 - 3:14 PM by  JD
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I don't know if anyone had the same confusion as I did on BPD vs BP. Is BP purely "mood swings" based, inter alia manias vs depressed episodes for extended periods and BPD not? Or do they have the symptoms in general?

As BP is incurable, yet controllable(not to sure about that one), is BPD uncontrollable, yet curable?

I think that BPD and BP, although so similar in symptoms, there is a need with BPD people for self-injury, whilst a BP's need is based on deep rooted planning and definite execution of suicide attempts with an end goal of death in mind which could just be absent in people with BPD. I don't know. How does one actually differentiate the two fully without getting confused? Both fall in the bipolar groups. Why borderline personality disorder? Is it also linked to pshytso?

Any ideas out there?
posted by:
JD
offline JD
South Africa
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  • Some of the people in my outpatient group were diagnosed as having both BP and BPD. I thought it was somewhere in between BP1 and BP2 but I am not sure. Have you tried one of the mental health websites? Has someone told you that you have BPD?
    • Unsu...
       
      To me, these are all just words and man-made criteria that have nothing to do with anything. Bottom line is you either have a chemical imbalance or you don't, it does not matter what it is called. My homeopath refuses to give me a label (or diagnosis). He just wants to know what my symptoms are that are interfering with my life so we can treat the overall imbalance and reference my "benchmark symptoms" to see if I am making any progress. Does it even matter what the name is? The doctors don't really know how to treat you anyway. They just experiment on you with all different types of drugs and dosages like you are a lab rat, until they find something that sort of works, and even that does not last. It's just a matter of time before your brain chemicals are all out of whack again and you have to go get re-evaluated and put on soemthing else.
      • I'm really sorry you feel that way. I know that it is easy to feel like a lab rat. I've certainly felt that way before. But I really wish you wouldn't give up on meds. I was diagnosed with Bipolar Disorder in 07. It took them almost a year to get my meds right, but now I'm more stable than I've been in my entire life. I'm on Depakote and Zoloft for Bipolar, PTSD, and ADHD. I've also attended therapy at least once a month for this whole time. But now I can identify when I'm cycling and know not to make quick decisions during those times.
        • zoloft is NOT indicated at all for A.D.D.
          it's a mild anti-depressant, often called "prozac-lite"

          you need ask your psych. M.D. about Adderall, etcetra for proper A.D.D. medication .
          • Zoloft is also taken for anxiety. If I go off it my PTSD goes through the roof. I'm currently not on any ADHD meds. I was on Strattera but it gave me stomach problems and insomnia. My psychiatrist won't prescribe me a stimulant and a benezo (clonopine) at the same. And I have more of a problem with anxiety and panic attacks then the ADHD.
            • Re: Borderline personality disorder vs bipolar disorder

              Mon, September 28, 2009 - 12:12 PM
              I also live with PTSD and Generalized Anxiety Disorder which I'm told causes me more symptoms than my bipolar does.
              • I know that the whole mix of the PTSD and BP has made it impossible to get or keep a job. I have applied and been waiting for a hearing for disability for 2 yrs. I should know something by the end of the yr. And I have to say that I think the anxiety effects me worst than the bipolar. I'm glad you blogged. My friends and family just don't understand how something that happened to me 3 yrs ago can still be effecting me. If it wasn't for having some friends that do understand, I would be living on the street out of my car.
    • JD
      JD
      offline 2
      No, no-one told me. I am a pure BP 1. Think you are right. Must be an in-betweener
      • bipolar self explanatory as decided - chemical imbalance or electro pulses in brain do not work correctly. BPD, as with all personality disorders, is brought on by environment and by learning from those around us. to be honest it is only treatable by head work ie counselling, cbt, dbt. meds will not 'cure' it, the brain needs to be re-taught how to think. and yes s/h is predominant in ppl with personality disorders as it is their way of trying to keep control of things that frighten them or cause them discomfort.
        sometimes differentiating between bipolar and BPD is difficult as there are a few similarities. but a good shrink can always distinguish what a patient is going through. upon my release from hospital last year i'd been told i was bipolar II. seeing my own GP a fortnight later my discharge letter also stated personality disorders and emotionally unstable (u dont say!). so it wasnt discussed with me. I know Ive got BPD but as yet no-one will admit what the others are. But im not worried as to be honest my bipolar is more pressing. so yes perhaps go and read up on personality disorders, but dont read too much into them.

        wolfie
  • Borderline Personality Disorder (BPD)
    Bipolar Assiative Disorder (BAD) not BP

    sorry pet peeve.

    I was diagnosed with both initially. I'm not sure if this helps but BPD is a mood disorder that can be controlled with therapy. There's a special type of therapy called Dialectical behavior therapy (DBT). I went through it and may go through again for the hell of it. BPD can be controlled.

    BAD however is a chemical imbalance. It's something you live with and will have for the rest of your life. It is best controlled with the combination of drugs and therapy but can be controlled drug free with just therapy alone. But in doing so it is advised you are under the watchful eye of a psychiatrist and therapist in case you any episodes.


    Sorry, someone bumped this thread.
  • To add more to the confusion...
    This is highly debated even among professionals, so I could be all off in what I'm about to say, but here's what I think. My friend who works with BPD patients thinks that the key difference is ego-dystonic versus ego-syntonic. In other words, personality disorders evidently have much more of a cognitive effect that affects your whole mental state, not just a "monster" that comes in and takes over the real "you"; whereas mood disorders like BP effect your emotions...your thought processes are affected too, but when you're not in a manic or depressive state, your cognitive view of the world is pretty much normal. There's still a different, "real" YOU under the chemical/emotional crap.

    My birthmother had BPD, and my (biological) sister does. I have repeatedly asked doctors to screen me, for those reasons, but they don't see any indication I fit a personality disorder. Bipolar sufferers don't seem to lack self-identity or empathy (I find them extremely compassionate and caring, whereas the BPD people I know like my sister have trouble with empathy and tend to use/throw away relationships). If you feel the pain of others and can easily commiserate, rather than seeing other people as cardboard cutouts that are one-dimensional, you probably don't have BPD.

    That said, I don't understand why something ego-syntonic would be easier to cure than ego-dystonic. DBT can basically help people with BPD restructure how they see the world, and they may no longer fit the criteria later. Mood disorders seem to stick around and require medical intervention indefinitely. So, I wonder if the chemical process are entirely different...even though many of the symptoms overlap. But then others think it's the same thing on a continuum, which is the opposite of what I've said here. It will be interesting in the future if/when they do figure it out.

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