Borderline Personality Disorder VS Bipolar

Borderline personality disorder and bipolar are often mistaken as being the same thing. They are also often misdiagnosed, one for the other. This is because the symptoms for both illnesses are startlingly similar.

Borderline personality disorder is actually less common and less known than bipolar. Borderline personality disorder accounts for only about twenty percent of hospitalizations for mental illness each year, while bipolar accounts for about fifty percent of hospitalizations. Borderline personality disorder is most common in young women, whereas bipolar is equally common in both men and women, as well as all age groups.

Borderline personality disorder and bipolar patients both experience mood swings that may involve violent outbursts, depression, or anxiety. However, while bipolar patients typically cycle through these moods over a period of weeks or months, borderline personality disorder patients may have bursts of these moods lasting only a few hours or a day.

Borderline personality disorder patients also undergo periods of having no idea who they are in terms of personality, likes, dislikes, and preferences. They may change long term goals frequently, and have trouble sticking to any one activity. Acting with impulsiveness, going on major unaffordable shopping sprees, excessive eating, or engaging in risky sexual relationships can also be experienced. These are also symptoms of mania in bipolar patients.

Borderline personality disorder patients may also undergo periods of worthlessness, feeling mistreated or misunderstood, and emptiness. These symptoms coincide with symptoms of depression in bipolar patients.

Another symptom of borderline personality disorder involves how they deal with relationships. Relationships are often viewed in extremes. Either the patient is totally in love or hates with a passion. A patient may be completely in love one minute, then hate someone totally due to a small conflict or situation. Fears of abandonment often lead to suicide threats, rejection, and depression in the patient. These relationship issues can also be found in bipolar patients.

Treatments of borderline personality disorder and bipolar are also similar. A combination of therapy and medication is typically preferred by the psychiatrist. Cognitive behavioral therapy, while successfully implemented with bipolar patients, was originally developed for use with borderline personality disorder. Various medications can also be prescribed for either mental illness with successful results.

Like bipolar disorder, little is known about the actual causes of borderline personality disorder. There is a lot of controversy about genetics versus environment in this area. However, it appears through research that, while bipolar is definitely hereditary and biological in nature, borderline personality disorder is more likely to be a result of environment and situational stimuli.

As you can see, many similarities exist between bipolar and borderline personality disorder. It can often be quite difficult to distinguish one illness from the other, even for doctors and psychologists. If you suffer any of the symptoms discussed here, it is important to obtain the assistance and diagnosis of a licensed professional for appropriate diagnosis and treatment of your symptoms. You should never attempt self diagnosis and treatment for symptoms such as those associated with bipolar and borderline personality disorder without the help of a psychiatrist or psychologist. Doing so may cause your symptoms to worsen, and make treatment less successful in the future.

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Comments

Didn't realize 'til now....these diseases in my family...

Borderlineperonalitydisordervs.Bi-polartype1 - By Sharon R.
19^th February 2009 - 7:09pm

Me? My daughter? Mt son? My parents, grand-parents?

BorderlinePersonalityDisordervsBiPolarDisease - By Sharon R.
19^th February 2009 - 7:13pm

I think the diffrence between bordeline and bipolar, is that a bordeline has experianced a ruff childhood, such as abandonment or abuse. I think if the borderline hadnt had a ruff childhood.. they would have ended up wi bipolar anyway. Personally i think both are born with bipolar genetics. But the ivalidating enviroment has a big impact on the borderlines personality whish gives them an emptyness streak

Borderline vs bipolar - By keri thomson - Homepage
25^th February 2009 - 11:18am

I have been struggling with some sort of mental illness since i was 12 now i am 28 and still dont understand what is wrong with me. I have been told by many dr that i am bipolar but then i have been told by many that i have personality disorder I am totally confused I want to know what is wrong with me my family is suffering I have put them through alot and they deserve better I love my family but i can not cont. these mood swings and the thoughts that run through my head on a daily bases I am tired of fighting I am just tired

why me ? - By Marianne
9^th December 2009 - 6:08pm

me too. ive been diagnosed with borderline personality disorder and now my new doctor tells me i have bipolar. i dont have manic episodes though. and i dont relate to bipolar as i do with borderline. i had a lonely and disturbed childhood but i dont know if its genetic. (if i have bipolar)

By sarah
23^rd March 2010 - 5:28am

I have been diagnosed with both bipolar 2 personality disorder and borderline, so Sarah and Marianne, I can relate truly, and perhaps you have both? They often co-occur.

Also I think it is important to point out a few incorrect statements in the above article: BORDERLINE PERSONALITY DISORDER IS MORE COMMON THAN BIPOLAR DISORDER. Despite the hospitalization amounts. It is just way more ignored and stigmatized for whatever reason-- the name, the history behind it, whatever it is, but I think people with borderline should know that it is actually far more common than it seems from the amount people talk about it.

Second: BORDERLINE OCCURS JUST AS OFTEN IN MEN AS IN WOMEN. Earlier on it was believed it occurred in more women, but it was eventually discovered that many men had the disorder as well, only they felt uncomfortable coming forward with it since it was being termed a "woman's disease." Furthermore, women felt less comfortable accepting the diagnosis because they felt it was a diagnosis based on their gender, not their symptoms. That's all, but the article really should be updated or changed to recognize these things.

Borderline actually more common - By Kelly
16^th May 2010 - 12:26am

I feel so many of the same things previously written. I have been diagnosed with Bi-Polar by one Dr. and Borderline Personality Disorder by another a few months later. I just want to know what is wrong with me. I had a pretty decent childhood, I trust people easily. I do not like to be alone. My mood swings cycle from day to day vs. period of mania and depression. I am also so tired of fighting every day. I don't think anyone can help me.

I can relate - By Colleen
19^th May 2010 - 11:27pm

i hve had prblems mentally and emotionally since i was a child was initialy diagnosed with bipolar now its borderline.i had a pretty scarey childhood with very little support and a hell of a lot of bullying in almost every form for very long periods of time both from adults and other children.this has left me with all the symtoms of bipolar and borderline and a fragmented thought and emotional pattern. though mental health teams say that people like myself can make a recovery into a satisfactory fullfilling life i fail to see it , almost everyday is a battle i can not invisage ever attaining any major life goals the problem is the damage was done so early and the patterns solidified inside me made so solid coupled with the years of mistakes and conflicts caused by dealing with this mind set.the sad bottom line is ive been damaged through no fault of my own leaves me angry depressed and often in despair

borderline/bipolar - By william
28^th May 2010 - 1:26pm

I'm diagnosed as bi2. I take 900mg of lithium,

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Bipolar Disorder - By Dave - Homepage
1^st March 2011 - 10:04am

I'm a therapist and I'd love to shed some light for whoever is interested. There a few ways to differentiate between bipolar and borderline personality disorder. If there are clear triggers that set the individual into a change in mood, it is borderline. If the changes in mood last for days (not minutes or hours) and are unelicited by the environment, it is bipolar. Also, bipolar is almost purely genetic...aka: if you have no family history of bipolar, you likely don't have it. Hope that helps. Take care!

Logic - By lindsay Michele
1^st March 2011 - 11:10pm

I am not not a therapist, but I would like to respond to Lindsay Michele's comment about family history. Just because no one in your family has been diagnosed as bipolar, doesn't mean that you don't have a family history of it. Mental illness is something that people don't want to admit they suffer from. Many people suffer in silence to avoid ridicule. You could very well have a family history and not know it.

By Carri
16^th March 2011 - 5:18pm

I was wondering if BPD might be the result of untreated Reactive Attatchment Disorder. I was diagnosed BAD 2, sev. Depression, and ADD when I was 12 years old. Symptoms have not improved with treatment, 7 years later. I suffered from early adoption, leading to symptoms of RAD. I was not treated for that, instead, for a "rapid cycling" bipolar 2. I now have all of the symptoms of BPD and cannot get a diagnosis other than MDNOS. If anyone can help, email me. Life has been falling apart since I turned 12 and is getting steadily worse. I am extremely interested in finding the cause and what treatment to take.
Thanks.

BPD/RAD - By Meg
6^th April 2011 - 1:38pm

I had a abusive childhood which has left me suffering Bio polar 1 for 10 years. Medication does not stop the yearly devastating manic rituals. I find it harder each year to cope with this never ending illness. With no one to stop it or no medical cure.

Bio polar 1 - By sharon
25^th April 2011 - 7:37am

When I was hospitalized, they diagnosed me with Bipolar. When I was released and seen a psychologist, he diagnosed me with BPD. I feel like I relate more to BPD, but it's hard to tell because I also suffer from paranoia and I deal with being a manic depressive. Every day I wake up wondering if I'm going to be able to deal with my mood swings, and if I will hurt those around me. I guess why I'm posting this is because I refuse to take medication because I don't feel like it will help all the things wrong with me and sometimes I feel like giving up on everyone and everything. I was hoping to get some feedback on what other people think of taking medication for my disorders. Please and thank you,
Miss R.

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BPD vs Bipolar - By Mama Tiger
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I wrote too much to be posted; If you first dont succeed try try again. First our son was diagnosed w/CP @ birth. At age 5 ADD-HD, then BiPolar. We finally got his brain under MRI (CP doesnt go away w/a pill!),only to be told he's got Cognitive Atrophy = a brain of a 50 Yr old when he was only 17, and wasn't to have passed the 8th grade "with a brain like that". We are having him take Lithium Orotate, a natural mineral NOT Lithium Carbonatewhich is man made. You can get it at most Natural Health Stores. We are also using REAL Chinese Accupuncture, not some Dr. who took a 9wk crash course. A true accupuncturist should also prescribe Natural Herbs. Psychotherapy helps some, when one can find a GOOd therapist and not one who's just draining your money flow. Then last but not least find your Creator, however your path may be. DON'T GIVE UP. You ALL deserve a healthy, happy and productive life. Yes,; sometimes you have to make yourself fight like a tiger to keep on, but do it. Make yourself by telling yourself you deserve to live a better life. Do Not Give Up. If one Dr or therapist doesn't work out keep trying another after another until you get the right one for you. Lastly I'll reccomend a book "New Hope For people with Borderline Personality Disorder" by Dr Neil R.Bockian,Ph. D., with Valerie Porr, and Nora Elizabeth Villagran,M.A. No one will have THE perfect pill or answer, you just got to put your game face on and don't give up.

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I feel like people have come to accept bipolar disorder more than borderline personality disorder. It seems that there is empathy and sorrow for the person suffering from bipolar (once it's found out that he/she suffers from this.) But everywhere I look (books, forums, online articles,) people (family, loved ones)speak of those suffering from borderline personality disorder with disdain. Normal people see the borderline blow up over seemingly small matters and then feel victimized (and rightfully so.) However, what people fail to realize is that the bipolar person can take meds and regulate their moods, but borderline personality is more than just mood irregularities, so medication can't completely help. These "unfair moods" that disrrupt normal people's lives are based on many very real and severe traumas that the borderline person has experienced. So, when he/she blows up at seemingly random and small matters, it's not really so random and small to the borderline. What normal people have learned to move past and ignore on a daily basis, the borderline sees. Like, when a normal person sees a friend continuously blow off lunch dates, he/she probably will look past it, let it slide, possibly make excuses for the friend, and continue about his/her day. What I see in this situation is that the friend has consistently placed me as a lower priority. Thus, I assume that I am not that important, or as important as other things. To me this is a logical assumption. What happens after is what differs from normal people. This creates such a gigantic sorrow and feeling of being wronged inside me that it consumes my thoughts and emotions. No matter how much I try to think rationally, no matter what other activities I try to do, these thoughts and feelings don't leave. The only thing that seems to quelch them is a confrontation/standing up for myself. So, what normal people see as a small matter,"Hey, I just postponed a lunch date on a Thursday and made plans to do it another day. Give me a break!" is not that simple or small to us. Borderlines have super charged defense mechanisms to prevent further pain.

They don't just see one incident at a time- they see it all, and their bodies and minds are continuously trying to be aware of patterns so that they don't have to be hurt. What no one gets is that the pain we borderlines feel is like life or death, flight or fight to us. It doesn't just come and go, enabling us to move on, it fills us and tears us a part. Doctors and writings say that borderline sufferers see things in black and white. This denotes seeing things from a very small perspective. If anything, I'd say borderlines have a wider range of awareness concerning other people. We see expressions, notice mood changes, learn a person's specific preferences more easily. Because of our fear of abandonment, we try harder to please in relationships, so when others seem to be apathetic, it's devastating.

I haven't been diagnosed with borderline personality disorder simply because I don't have the money to seek help, but at one point, a military doctor said that I had borderline traits. I know that I can't speak for every borderline sufferer, but for me, it's not about manipulation or rationality. This is one thing I've noticed that people say concerning borderline sufferers: They're manipulative. I suppose it's easy for a normal person to assume this when he/she is being accused and raged against. But for me, the feelings concerning "small" things are just as real and strong as they would be for a normal person dealing with a "bigger" issue. What others see as manipulation or uncalled for reaction is self preservation. Things have to be broken down into good or bad if the results end up devouring us mentally, emotionally, and thus physically.

What Goes On Inside a Borderline Sufferer - By Veronica
9^th August 2011 - 9:50am

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Veronica, thanks for your posting on Borderline. It is one of the most insightfull I have read. And even though you said you don't have the money for treatment (nor do I right now, gotta love our capitalistic health care system) it seems you understand your self well, and od a geat job explaining the lack of understanding and compassion for those suffering from BPD. I am still trying to get my head around the fact that BBP is such a terrible affliction, amoung the most dibilitating and painfull in the mental health filed, but from what I read people have only hate and distain for the afflicted. How can people decide what disease they will have compassion for, and which they will hate the hate the sick. Very strage.

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