Bipolar vs Borderline Personality Disorder – How to tell the difference

Dr. Tracey Marks10 minutes read

Dr. Tracey Marks explains the distinctions between bipolar disorder and borderline personality disorder, noting that while both share mood swings and impulsivity, they differ in diagnosis criteria and treatment approaches. Borderline personality disorder is characterized by unstable relationships and self-image, with treatments focused on dialectical behavioral therapy, while bipolar disorder is managed with medication.

Insights

  • Bipolar disorder is classified as a psychiatric illness, while borderline personality disorder is considered a personality disorder, with the former likened to weather conditions and the latter to climate, emphasizing the fundamental distinction between the two disorders.
  • While both borderline personality disorder and bipolar disorder share similarities in mood swings and impulsivity, the duration of symptoms required for diagnosis and the treatment methods differ significantly, with dialectical behavioral therapy (DBT) being a primary approach for borderline personality disorder and medication management typically used for bipolar disorder, highlighting the importance of tailored interventions based on the specific disorder.

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Recent questions

  • What is the difference between bipolar disorder and borderline personality disorder?

    Bipolar disorder is a psychiatric illness, while borderline personality disorder is a personality disorder. Bipolar disorder is characterized by mood swings, while borderline personality disorder is defined by unstable relationships, self-image, and emotional expression.

  • How are borderline personality disorder criteria defined?

    Criteria for borderline personality disorder include frantic efforts to avoid abandonment, unstable relationships, identity disturbance, impulsivity, suicidal behavior, mood instability, chronic feelings of emptiness, intense anger, and dissociative symptoms. These criteria are outlined in the DSM-5.

  • What are the similarities between borderline personality disorder and bipolar disorder?

    Borderline personality disorder and bipolar disorder share similarities in mood swings and impulsivity. However, they differ in the duration of symptoms required for diagnosis. Both disorders can involve intense emotional experiences and difficulties in relationships.

  • What are the practical differences in treating borderline personality disorder and bipolar disorder?

    Treatment for borderline personality disorder primarily involves dialectical behavioral therapy (DBT), while bipolar disorder is typically managed with medication. Manipulative behavior is often related to personality in borderline personality disorder, while self-harm can be influenced by coping skills and personality type.

  • How can individuals with both borderline personality disorder and mood disorders be treated?

    There can be an overlap in treatment approaches for individuals with both borderline personality disorder and mood disorders. Mood stabilizers, typically used for bipolar disorder, may also be beneficial for managing mood instability in borderline personality disorder. It is essential to tailor treatment plans to address the specific needs and symptoms of each individual.

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Summary

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Differences Between Bipolar and Borderline Personality Disorders

  • Dr. Tracey Marks, a psychiatrist, discusses the differences between bipolar disorder and borderline personality disorder based on a viewer question.
  • Bipolar disorder is categorized as a psychiatric illness, while borderline personality disorder is a personality disorder.
  • Personality is likened to climate, while illnesses are compared to weather conditions.
  • Borderline personality disorder is defined by unstable relationships, self-image, and emotional expression, with specific criteria outlined in the DSM-5.
  • Criteria for borderline personality disorder include frantic efforts to avoid abandonment, unstable relationships, identity disturbance, impulsivity, suicidal behavior, mood instability, chronic feelings of emptiness, intense anger, and dissociative symptoms.
  • Borderline personality disorder and bipolar disorder share similarities in mood swings and impulsivity, but differ in the duration of symptoms required for diagnosis.
  • Practical differences include manipulative behavior being related to personality, and self-harm being influenced by coping skills and personality type.
  • Treatment for borderline personality disorder primarily involves dialectical behavioral therapy (DBT), while bipolar disorder is typically managed with medication.
  • There can be an overlap in treatment approaches for individuals with both borderline personality disorder and mood disorders, with mood stabilizers potentially beneficial for mood instability in borderline personality disorder.
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