Borderline Personality Disorder and Bipolar Disorder: What's the Difference Manic symptoms sometimes include flashes of deep depression. WebMD looks at borderline personality disorder and bipolar disorder, disorder is known for alternating periods of depression and mania that. Most people first encounter borderline personality disorder (BPD) on because of some Hollywood portrayal—is that of a crazed, manic.
Those with the disorder have extremely intense emotions that can shift rapidly from a negative, depressed state to an elated one, but with a predominance of negative feeling states. The illness is also characterized by rejection-sensitivity, chaotic relationships, and an overall difficulty in managing emotions.
The difference between bipolar and borderline personality disorder
For example, if a boyfriend or girlfriend does not return your call, instead of being annoyed and moving on, the combination of dejection and anger in a person with borderline personality disorder could possibly lead the person to cut their own wrists. The behavioral manifestations are often self-destructive; in addition to self-cutting, substance abuse, or sexual promiscuity are common — dramatic ways of behaving that stem from not being able to manage emotions.
In discussing disorders that involve changes in mood, it is important to make clear that not all depressed states indicate a psychiatric condition. In such cases, the depression may be an ongoing, terribly low, dejected mood but is appropriate to the circumstances.
The borderline person demonstrates more reactivity to relatively minor events and demonstrates contradictory emotions that erupt over a short time.
How does borderline personality disorder affect relationships? People with borderline personality disorder have relationships that can be chaotic and intense, veering between a desperate neediness for others to an intense anger or dismissal of others when feeling rejected, even in situations where the other person may in fact be neutral or even positive.
There is a difficulty with how the individual perceives others. Once, when a borderline patient told me a sad story that brought tears to my eyes, he became very angry because he was convinced that my tears, rather than an expression of empathy, were my way of mocking him.
Where does the behavior stem from? It comes from a combination of an emotionally charged temperament and the lack of a solid sense of self. What is the cause of this disorder? There is no single cause of borderline personality disorder, though studies suggest that certain traits, especially a temperament characterized by intense emotional reactions, stem to a large degree from genetics.
Developmental factors, including problems with emotional attunement between a developing child and caregivers, seem to play a role, as do physical or sexual abuse, or emotional neglect.
How is borderline personality disorder treated? There is no medication that successfully treats the condition, although they may help reduce some specific symptoms, such as intense anxiety. Evidence-based models of psychotherapy are the treatment of choice.
Movies That Got Borderline Personality Disorder (Mostly) Right | The Mighty
Dialectical behavioral therapy operates from the assumption that those with borderline personality disorder lack skills necessary to tolerate intense emotions or thoughts.
Transference-focused psychotherapy emphasizes the observation and interpretation of patient behavior in the relationship with the therapist to help identify unrecognized internal states and integrate them into a more coherent sense of self. Mentalization-based therapy similarly helps individuals recognize their mental states and be aware of them in their relations with others. Good psychiatric management is based on a case management model that combines a focus on the environment of the patient, psychoeducation, supportive therapy, and possibly family therapy.
Frank Yeomans What is bipolar disorder? Like borderline personality disorder, sufferers experience extreme shifts in mood but between depressed states and episodes of mania, the bipolar patient may experience periods of stable mood.
For example, someone with bipolar disorder in a depressed state could be totally dejected, hopeless, and morbid, with no will to live. If they are in a manic state, they might be up all night writing page after page of a novel or playing music, with a sense that they have passed into a special state of genius.
A full-blown manic episode shows a period of energy that could go on for days without any relief and would exhaust anybody else. In between the depressed and manic states, they may have periods of stable mood.
Additionally, some bipolar patients experience repeated manic states without full-blown manic states; this is referred to as bipolar 2. What is the cause of bipolar disorder? Bipolar disorder is rooted in brain structure and functioning, genetics, and family history. Often, this emptiness and intense fear of abandonment are the result of early childhood trauma and the absence of secure, healthy attachments in the vital formative years.
Paradoxically, the overwhelming fear manifests in behaviors that deeply disrupt the relationship and pushes partners away rather than pulls them closer, resulting in a stormy and tumultuous dynamic that typically emerges in the early days of dating.
What You Need to Know When Dating Someone With Borderline Personality Disorder
When they are in relationships they get very intensely involved way too quickly. But then what comes along with it, a couple of weeks later, is: Everything is done with passion, but it goes from being very happy and passionate to very disappointed and rageful.
Prior to her diagnosis, her boyfriend, Thomas, used to blame himself for her hot and cold behavior. Although each person has their own unique experience, these are some common thought patterns people with BPD tend to have: I must be loved by all the important people in my life at all times or else I am worthless.
Nobody cares about me as much as I care about them, so I always lose everyone I care about—despite the desperate things I try to do to stop them from leaving me.
If someone treats me badly, then I become bad.
When I am alone, I become nobody and nothing. These thoughts may be completely at odds with your own perception of your partner, but it is imperative to understand that for them, they are very real, and can drive them toward extreme and seemingly irrational behavior. Navigating through this emotional minefield can be difficult and painful for both of you, but knowing that their thoughts and behaviors are the product of intensely powerful perceptional distortions deeply rooted in their mental health disorder, rather than a reflection of your own shortcomings, can bring some comfort.