Difference Between Bipolar Disorder and Borderline Personality Disorder

Difference Between Bipolar Disorder and Borderline Personality Disorder

Bipolar Disorder and Borderline personality Disorder : These two disorders are often confused. They both have symptoms of impulsiveness and mood swings. But they are different disorders and have different treatments.

Bipolar Disorder:Also known as manic depression, bipolar disorder causes swings in mood, energy, and the ability to function throughout the day.

Symptoms: Bipolar disorder is known for alternating periods of depression and mania that can last from days to months. During a manic, hypomanic, or depressed episode with “mixed features,” symptoms of depression and mania happen at the same time.During times of mania, symptoms might include:

An excessively happy or angry, irritated mood
More physical and mental energy and activity than normal
Racing thoughts and ideas
Talking more and faster
Making big plans
Risk taking
Impulsiveness (substance abuse, sex, spending, etc.)
Less sleep, but no feeling of being tired

Drop in energy
Lasting sadness
Less activity and energy
Problems concentrating and making decisions
No interest in favorite activities
Feelings of guilt and hopelessness; suicidal thoughts
Change in appetite or sleep patterns

Treatment: Most people with bipolar disorder need lifelong treatment to keep their condition managed. This usually includes medicine — usually mood stabilizers, and sometimes also antipsychotics or antidepressants. Therapy can also help people with bipolar disorder understand it and develop skills to handle it.

Borderline Personality Disorder:

Symptoms: A person with borderline personality disorder has trouble controlling his thoughts and managing his feelings, and often has impulsive and reckless behavior. Here are the condition’s main symptoms:

  • Frantic efforts to avoid feeling abandoned
  • History of unstable, intense relationships
  • Tendency to view people and situations as either “all good” or “all bad”
  • Poor self-image
  • Impulsiveness (spending, sex, substance abuse, etc.)
  • Problems managing anger and unpleasant emotions
  • Paranoia

Treatment: Long-term  treatment is usually necessary for people with borderline personality disorder. Treatment mainly involves specific forms of psychotherapy, such as dialectical behavior therapy (DBT) or transference-focused psychotherapy (TFP) aimed at helping people manage impulses (such as suicidal urges or tendencies to self-harm when they feel upset), feelings of distress or anger, and emotional oversensitivities to interactions with other people.

  Medications are also sometimes used to help with these symptoms, although they are not always effective and not considered to be the main focus of treatment in borderline personality disorder.  Sometimes, short hospital stays are also needed to manage times of crisis that involve threats to safety and well-being.Source

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