COMPARISON: BiPolar Disorder vs BPD

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CVA:
This is all great information, And input.

I just have been struggling with this, as her mom is paronoia schizo , and my estranged wife's T gave me the book, stop walking on eggshells. and also that my T believes she has BPD, and with all the whacked out hurtful push and pull i been thru, I do have my doubts.

She thinks she has bi-polar, and is self medicating with ,amino acids, and various alternative approaches while not being supervised.

She has been gone for almost a year now, and wants to reconcile, but our phone conversations, go from 1 step forward to 3 steps backward in days, at times even minutes,

I hurt, and just want to know i am doing all i can do to save my marriage and do the right thing... its so confusing, and i feel she can be very manipulative...

Chazz:
Quote from: CVA on August 02, 2010, 10:27:32 AM

This is all great information, And input.

I just have been struggling with this, as her mom is paronoia schizo , and my estranged wife's T gave me the book, stop walking on eggshells. and also that my T believes she has BPD, and with all the whacked out hurtful push and pull i been thru, I do have my doubts.

She thinks she has bi-polar, and is self medicating with ,amino acids, and various alternative approaches while not being supervised.

She has been gone for almost a year now, and wants to reconcile, but our phone conversations, go from 1 step forward to 3 steps backward in days, at times even minutes,

I hurt, and just want to know i am doing all i can do to save my marriage and do the right thing... its so confusing, and i feel she can be very manipulative...

Hi CVA

If she's as manipulative and into "push/pull" as you say, it's probably BPD (AXIS 2 Disorder).

Borderlines I, II and III (Axis 1 Disorders) typically display manic or hypomanic features.  

She could possibly have a mood disorder, too. It's been my experience that BPDs can sometimes fit the criteria for Cyclothymia (a long-term condition with fluctuating mood disturbance involving numerous periods of hypomanic symptoms and numerous periods of depressive symptoms - not to be confused with BPD w/narcisistic features).

Given the way they live and "love", how could BPDs not have some kind of mood disorder? It's a chicken and egg thing with the BPD causing the mood disorder.

Personality Disorders may not be the primary diagnosis because of whatcha gotta tell insurance companies. Insurance companies and SSI Disability don't pay for Axis 2 diagnoses, so you tend to see many personality disordered people diagnosed with with Axis 1 disorders.

Substance abuse rehabs are notorious for diagnosing clients with BPD with mood disorders. I've seen a huge increase in the diagnoses of Biploar Disorder in substance abusers since managed care took over. The overwhelming majority of people in drug treatment are on some sort of mood altering medication, anymore. But here's the thing... .Biploar and Depressive Disorders disorders aren't suppose to go away just because you get clean and sober, though the rate of miraculous cures for my clients is nothing short of astounding. And BTW, 12 Step Programs are often BPD maintenance programs (in a good way).



PotentiallyKevin:
To be honest, every person with borderline personality disorder I have ever met or heard a story about has at one point been diagnosed as having bipolar disorder. In my opinion, it is a wastebasket diagnosis.

Furthermore, I think one of the reasons why bipolar disorder is so negatively stigmatized is really because of  BORDERLINES who are improperly diagnosed as bipolar... .

To a non-professional, and even many so called "professionals", it can be really confusing to distinguish between the two illnesses, which share common symptoms, (lack of self-control, impulsiveness, grandiose thinking, depression, promiscuity, alcoholism etc etc etc) but the core CAUSE of these symptoms (and the love/hate dynamics of borderline personality disorder) are really what separates the two.

For example, many people have digestive problems with similar symptoms. But many things can effect the digestive system. It could be your liver, stomach, diet, kidneys, intestines, colon, glands... .etc etc etc, and without a trained professional's expertise and testing, it would all appear to be the same illness.   

Bipolar disorder is theorized and generally accepted  by the psychological community as being a mood disorder caused by chemical imbalance. The hereditary component of bipolar disorder is very strong. If a close relative has bipolar disorder or another mood disorder, the chances of having bipolar disorder skyrocket. Bipolar disorder does not discriminate. Emotionally Sound, happy, successful, healthy families have just as much a chance as having a child with bipolar disorder as any "dysfunctional" family.

This is not the case with BPD. The evidence suggesting borderline personality disorder is caused by a combination of a highly neurotic personality to begin with, and then being subject to an invalidating or smothering environment. Childhood trauma and abuse is extremely common in BPD. ":)ysfunction" within the family, is also extremely common.

Can people be born with BPD? Possibly, but BPD seems to be more of a problem with interpersonal relationships than a chemical imbalance. There is plenty of evidence that suggests problems with brain structure and inherent mood - which further confuses psychologists, but it is not nearly as cut and dry as it is with bipolar disorder.

In my opinion - and please only take it as is - a person can be born with highly sensitive, erratic, or combative emotions, which then leads to early interpersonal relationship problems, such as not fitting it, not bonding with siblings and parents, and failing at attaining any personal/emotional growth. So in essence, a person CAN be born with a BPD-like nature to begin with. That is why we shouldn't be so fast on crucifying the parents. But, most borderlines that I have come in contact with, have been from extremely invalidating or abusive childhoods.

Bear in mind, that an extremely invalidating/abusive childhood environment DOES NOT guarantee a person developing BPD. That is why there seems to be two factors - environment and predisposition. 

MrHope:
I have a question and I think I know the answer but I want to here from others here that have a better knowledge of disorders in general.

The question is what the main differences between BPD and Bipolar I, II, III?

A number of the traits are very similar and I have heard that some people can have both.

I have talk to my T and they think she has Bipolar and a case of paranoia and may be some other issues too.

I had my physical today and told my doctor about how she’s acting and how it’s stressing me and think that’s probbaly the root to some of the problem sleeping and weight issues I have. I’m under wait not over. He said that he really want to talk to her and see just what is going on, he also said that it sound like Bipolar as well.

elvis77:
BPD "episodes" are almost always triggered by perceived rejection or abandonment (or fear thereof). Bipolar cycles have no obvious triggers (though self-care/lifestyle choices do have a significant influence). BPD issues show up due to relationships/interactions; Bipolar symptoms have no significant correlation to this.

Also, while anger may be part of a manic episode, its less commonly so, and is very rarely the dominant emotion. Most people with bipolar disorders genuinely enjoy the manic phases (though their loved ones clearly suffer), while this can't be typically said of BPD's. It's because they feel miserable that they want others to suffer as well.

Hope that helps.

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