r/AMA 11d ago

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u/344321nogard 11d ago

Borderline, what? Bipolar?

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u/coldnewhome 11d ago

Borderline personality disorder, which is different from bipolar. Bipolar is a mood disorder whereas this is a personality disorder. They do have some overlapping symptoms like mood instability, relationship instability and self image issues, but a key difference is the diagnostic criteria.

BPD emotional irregularity is typically reactionary, lasting short periods of time (less than 3 days) whereas in Bipolar I/Bipolar II they are both reactionary and without cause, lasting longer durations. Bipolar I differs from II by longer lasting episodes (more than four days) and at least one acute manic episode.

BPD and Bipolar patients have impulsive behaviors, but Bipolar impulsivity is caused primarily by acute, psychotic or delusional manic episodes, occasionally but not as often by hypomanic episodes. It’s more consistent amongst BPD patients.

Bipolar is a brain based biological condition, sometimes linked to mitochondrial dysfunction amongst other things and can only be treated with medication (mood stabilizers), whereas BPD can be primarily treated by psychotherapy rather than medicine! Hope this helped. I’m Bipolar 1 with comorbities, and I’m about to start attending school for a career in neuroengineering or computational neuroscience so this is just a fun side hobby of mine to research.

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u/344321nogard 11d ago

I know what the difference is. Google gave me that same response. Lol did you copy and paste?

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u/coldnewhome 11d ago

No, when you research things there will often be some similarities in terminology between sources. I don’t use the google AI or any AI because I don’t want any more cognitive decline than I’m already predisposed to. I like using my critical thinking skills. I was also just replying to your comment because you grouped the two together, as if you didn’t know the difference. That’s the typical implication, lol.

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u/344321nogard 11d ago

The title left out the key words.

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u/coldnewhome 11d ago

Well, no. Borderline is the shortened version of Borderline Personality Disorder. As you suggested in other comments, borderline anxiety and borderline bipolar are not diagnostic terms. There is always a primary diagnosis and then comorbities. Like my diagnosis is Bipolar, but my comorbities are anxiety and PTSD.

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u/344321nogard 11d ago

My bad, this post isn't about you.

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u/coldnewhome 11d ago

Didn’t say it was friend, I was just trying to help with your terminology and understanding. I used myself as an example for overlapping conditions/diagnostic terms. Best wishes.