Borderline Personality Disorder vs Bipolar Disorder

Understanding mental health disorders can be daunting, especially when conditions share similar symptoms. Two such disorders are Borderline Personality Disorder (BPD) and Bipolar Disorder. Despite their similarities, they are distinct in several ways, including symptoms, causes and treatments.
What is Borderline Personality Disorder?
Borderline Personality Disorder is a mental health condition characterized by instability in moods, behavior, self-image and functioning. This instability often disrupts relationships and the sense of self. People with BPD might experience intense episodes of anger, depression and anxiety that last a few hours to a few days.
Symptoms of Borderline Personality Disorder
Understanding the symptoms of BPD can be the first step toward identifying the disorder. Common symptoms include:
- Intense fear of abandonment: People with BPD are often terrified of being left alone or abandoned.
- Unstable relationships: Relationships may be intense and short-lived, swinging from extreme closeness to extreme dislike.
- Unclear or shifting self-image: Individuals may experience a rapidly changing identity or sense of self.
- Impulsive behaviors: This can include spending sprees, unsafe sex, substance abuse, reckless driving and binge eating.
- Self-harming behavior: This includes suicidal threats or attempts, often as a result of anger or emotional pain.
- Emotional swings: Intense mood swings, such as from happiness to irritability or anxiety, which can last a few hours to a few days.
Causes of Borderline Personality Disorder
BPD is believed to result from a combination of genetic, environmental and social factors. Traumatic life events, such as abuse or neglect during childhood, can increase the risk of developing BPD.
Treatments for Borderline Personality Disorder
Effective treatment is crucial for managing BPD. Treatments often include:
- Psychotherapy: Dialectical Behavior Therapy (DBT) is specifically designed for BPD, helping people manage their emotions and improve relationships.
- Medication: While there is no medication specifically approved to treat BPD, antidepressants, antipsychotics and mood stabilizers can help manage symptoms.
- Group therapy: Participating in group therapy sessions can offer support and help individuals learn from others with similar challenges.
What is Bipolar Disorder?
Bipolar Disorder, previously known as manic-depressive illness, is a brain disorder causing unusual shifts in mood, energy and activity levels. These mood episodes are categorized as manic, hypomanic or depressive.
Symptoms of Bipolar Disorder
Bipolar Disorder symptoms differ based on the type of episode a person is experiencing.
Manic episode symptoms
- Increased energy or activity levels
- Euphoria or extreme irritability
- Decreased need for sleep
- Racing thoughts or fast speech
- Impulsivity or risky behaviors
Depressive episode symptoms
- Feeling sad or hopeless
- Loss of interest in activities
- Fatigue or low energy
- Difficulty concentrating
- Changes in sleep patterns
Causes of Bipolar Disorder
Bipolar disorder can stem from a combination of genetics, brain structure and environmental factors. A family history of Bipolar Disorder can increase the likelihood of developing the condition.
Treatments for Bipolar Disorder
Treatment for Bipolar Disorder focuses on managing symptoms and preventing mood episodes. Key treatments include:
- Medication: Mood stabilizers, antipsychotics and antidepressants can help control mood swings.
- Psychotherapy: Cognitive Behavioral Therapy (CBT) can aid in recognizing and changing negative thought patterns.
- Lifestyle changes: Regular exercise, a healthy diet and consistent sleep patterns can help manage symptoms.
Borderline Personality Disorder vs. Bipolar Disorder
Despite some overlapping symptoms, BPD and Bipolar Disorder are distinct:
- Mood Patterns: BPD mood swings are typically short-lived, lasting hours to days, whereas Bipolar mood episodes can last weeks or longer.
- Triggers: BPD moods are often triggered by interpersonal stressors, while Bipolar episodes can occur without any apparent trigger.
- Self-Image: Individuals with BPD have unstable self-images, while those with Bipolar Disorder generally have a consistent sense of self.
Diagnosis and treatment
Diagnosing BPD and Bipolar Disorder requires a comprehensive psychological evaluation. Mental health professionals may use interviews, questionnaires and medical history to differentiate between the two. Treatment plans should be tailored to specific needs. While both disorders benefit from therapy and medication, the specific approach can vary. It is essential to consult a mental health professional to help recommend the most appropriate treatment.
Practical Advice for Families and Individuals
For families and individuals dealing with BPD or Bipolar Disorder, understanding and support are crucial. Here are some practical tips:
- Educate Yourself: Learn about the disorder to better understand what your loved one is experiencing.
- Encourage Treatment: Support your loved one in seeking professional help and adhering to treatment plans.
- Communicate Openly: Maintain open, non-judgmental communication to build trust and understanding.
- Take Care of Yourself: Seek support and self-care for yourself, as caring for someone with a mental health disorder can have an effect on your own mental health.
By understanding the differences and similarities between BPD and Bipolar Disorder, people and their families can make informed decisions about treatment and care. Remember, help is available, and with the right support, managing these disorders is possible. Located in Phoenix, Arizona, Valley Hospital provides inpatient and mental health services to women and men looking for help. Offering a wide continuum of care that includes stabilization in a crisis, inpatient treatment and outpatient treatment, we’re ready to meet you where you are and help get you where you want to be. Call us at 602-755-9317 to talk to our admissions team and get started on your recovery, today.
If you or a loved one is experiencing a mental health crisis, CALL 988 or seek the nearest emergency room.
For physical health emergencies, CALL 911 or get to the nearest emergency room.
About Valley Hospital
Valley Hospital is a private psychiatric hospital located in Arizona that specializes in mental health and chemical dependency care. We provide a full continuum of care to meet you where you are and help get you where you need to be. Our core principles are outstanding care, compassionate people and unparalleled services.
We provide a wide range of services with evidence-based treatment methods. These methods have been proven to have positive outcomes for our patients. Some of these services include inpatient, outpatient, women’s mental health program and more. We combine the best clinical techniques with state-of-the-art medical care to create the greatest potential for lasting recovery.
To schedule a no-cost assessment or for more information, please call our main number at 602-926-7904.