Borderline or Bipolar? Distinguishing Borderline Personality Disorder from Bipolar Spectrum Disorders

@article{Paris2004BorderlineOB,
  title={Borderline or Bipolar? Distinguishing Borderline Personality Disorder from Bipolar Spectrum Disorders},
  author={Joel Paris},
  journal={Harvard Review of Psychiatry},
  year={2004},
  volume={12},
  pages={140–145}
}
  • J. Paris
  • Published 1 May 2004
  • Psychology
  • Harvard Review of Psychiatry
&NA; This article addresses the question whether borderline personality disorder (BPD) can be understood as a variant of bipolar disorder. In the past, borderline pathology has been seen as a variant of psychosis, depression, or posttraumatic stress disorder, but there are important differences between all of these conditions and BPD. The proposal that BPD falls within the bipolar spectrum depends on the assumption that affective instability develops through the same mechanism in both… 
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Evidence is provided that BPD attenuates bipolar disorder along the spectrum of affective disorders, from non-classical bipolar presentation through to severe BAD with borderline features.
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The notion that BPD is part of the bipolar spectrum is challenged, as other axis I disorders such as major depression, substance abuse, and post-traumatic stress disorder are also more commonly diagnosed in patients with BPD than is bipolar disorder.
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The notion that BPD is part of the bipolar spectrum is challenged, as studies comparing patients with BPD and bipolar disorder find significant differences on a range of variables.
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  • Darryl L Bassett
  • Psychology
    The Australian and New Zealand journal of psychiatry
  • 2012
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It is concluded that bipolar affective disorders and borderline personality disorder are separate disorders, but have significant elements in common.
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    Progress in Neuro-Psychopharmacology and Biological Psychiatry
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Research is reported showing that BPD is chronically under-assessed and, as a result, underdiagnosed in clinical populations, and literature showing the overdiagnosis of bipolar disorder is documented.
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