As mental health conditions that both involve abrupt shifts in mood, bipolar disorder and borderline personality disorder (BPD) can appear to be closely related. Despite their similarities, these psychological disorders are actually quite distinct from one another. To better illustrate these differences, here is a brief comparison of the symptoms, causes, and treatment options associated with these conditions.   

Bipolar vs. Borderline Personality Disorder

Symptoms

Both psychological disorders are known to cause similar symptoms—such as depression, mood swings, and impulsiveness. However, these symptoms manifest differently for each condition.

Classified as a mood disorder, bipolar symptoms come on with no apparent trigger. When a bipolar person is having a depressive episode, for example, they may experience increased fatigue, hopelessness, irritability, anxiety, poor concentration, and suicidal thoughts. Conversely, those that have a manic episode will often exhibit a combination of increased energy, sleeplessness, happiness, and recklessness.

People with borderline personality disorder may exhibit similarly intense emotional reactions. However, these mood shifts occur more rapidly, become part of long-term patterns, and are distinctly related to relationships with other people. These relationships are typically unstable and usually produce alternating episodes of conflict and closeness.

Individuals with BPD may also feel insecure, have changing interests and opinions, distrust others, exhibit attachment issues, and have a distorted self-image.

Causes

Although there isn’t a specific cause behind bipolar disorder, it’s typically linked to biological anomalies and chemical imbalances in the brain. The condition also has a genetic component, as people who have relatives with the disorder have an increased risk of developing bipolar symptoms.

BPD may also be caused by genetic predisposition and brain anomalies. However, this psychological disorder is also linked to environmental factors. For example, people with BPD often have experienced emotional trauma, neglect, or abuse in their childhood.  

Treatment

Bipolar disorder is almost always indefinitely managed with mood-stabilizing medications. These medications are prescribed on a case-by-case basis. Individuals with this condition can also benefit from therapy.

People with BPD may take medications to manage certain symptoms, such as anxiety and depression. However, the disorder is primarily treated with continuous therapy. While there are many therapeutic approaches to managing BPD, most focus on helping individuals develop tools and techniques to better respond to emotional triggers and stabilize interpersonal relationships.

Whether you are suffering from bipolar disorder, BPD, or another mental health condition, Lincoln Psychiatric Group is qualified to provide an accurate diagnosis. Based in Lincoln, NE, these psychologists will introduce you to potential treatment options—including prescription medications and counseling. Through individualized therapy, these professionals can help you better understand the mechanisms behind your conditions and how to appropriately manage various symptoms—including depression and anxiety. Visit this provider online to learn more about these services or call (402) 476-7557 to schedule a convenient consultation in a comfortable, compassionate environment.