Why And How Are People Diagnose With Borderline Personality Disorder And Bipolar Disorder?
I believe that there is no difference between BPD and Bipolar Disorder. The mania is equivalent to attachment (along with the risky sex) and the depression is equivalent to separation. Psychotic behavior sets in when the person loses track of reality (for example, B cannot spend all day having sex with A because A has to leave the house and be at work at 9 AM). When A separates and goes to work (like a normal person), B decompensates. B could quickly recover or call A on his cell phone 20 times a day to see where he is and when he will return). If A is also bipolar, B's behavior could result in A being depressed or manic - negatively affecting his job performance.
A person is likely to be diagnosed BPD if there are no obvious signs of mania (like rapid speech, grandiose thoughts, goal-centered activity, et al) but the mania can exist via aggression and impulsivity. In reading the information you provided, a person with BPD is likely to have a negative image of self whereas a bipolar person would have a negative image of self only when depressed (not when manic or even hypomanic). A person with BPD could go from being calm to yelling and crying that she is a bad person and no one cares about her BUT she can quickly return to a baseline emotional state. A bipolar person, unless they are a ultra-slow cycler, may not have a baseline emotional state to return to. |
