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Dual Diagnosis: Bipolar and Borderline Personality Disorder

Is a dual prognosis possible?

Bipolar ailment covers a spectrum of temper disorders characterised by way of important shifts in temper. The shifts in mood can variety from manic or hypomanic high moods to depressed low moods. Borderline character disease (BPD), alternatively, is a character sickness marked by using instability in behaviors, functioning, mood, and self-picture.

Many of the symptoms of bipolar ailment and borderline character disorder overlap. This is mainly the case with type 1 bipolar ailment, which includes excessive manic episodes. Some signs shared among bipolar disease and BPD include:

severe emotional reactions
impulsive moves
suicidal behaviors
Some argue that BPD is a part of the bipolar spectrum. However, most experts agree that the 2 problems are separate.

According to a evaluation on the relationship between BPD and bipolar ailment, approximately 20 percentTrusted Source of human beings with kind 2 bipolar disorder acquire a BPD prognosis. For humans with kind 1 bipolar disorder, approximately 10 percentTrusted Source acquire a BPD diagnosis.

The key to differentiating the issues is asking at them at the complete. This can help decide when you have one sickness with dispositions of the opposite disease, or when you have each issues.

What symptoms arise whilst a person has both situations?

When someone has each bipolar ailment and BPD, they’ll show signs precise to every circumstance.

Symptoms unique to bipolar sickness consist of:

manic episodes causing extraordinarily high emotions
symptoms of despair within manic episodes (once in a while called a “blended episode”)
modifications in amount and satisfactory of sleep
Symptoms specific to BPD include:

every day emotional adjustments associated with factors along with family and paintings strain
intense relationships with trouble regulating emotions
symptoms of self-harm, together with reducing, burning, hitting, or injuring themselves
ongoing emotions of boredom or vacancy
outbursts of extreme, sometimes uncontrollable anger, most of the time observed with the aid of emotions of disgrace or guilt.

How can you get hold of a analysis with both situations?
Most people who’ve a twin diagnosis of bipolar ailment and BPD get hold of one prognosis earlier than the alternative. That’s because the symptoms of one sickness can overlap and every so often masks the other.

Bipolar disorder is frequently recognized first due to the fact signs and symptoms can change. This makes it greater tough to come across BPD signs and symptoms. With time and remedy for one ailment, the alternative may additionally turn out to be clearer.

Pay a go to to your health practitioner and give an explanation for your symptoms if you think you’re displaying signs and symptoms of bipolar sickness and BPD. They’ll in all likelihood conduct an evaluation to determine the character and quantity of your signs and symptoms.

Your medical doctor will use the newest edition of the Diagnostic and Statistical Manual (DSM-five) to help them make a prognosis. They’ll review each of your symptoms with you to peer if they align with the opposite disease.

Your physician may also don’t forget your intellectual fitness history. Often, this could offer perception that could help distinguish one disorder from the other. For example, both bipolar ailment and BPD tend to run in families. This approach when you have a near relative with one or both of the problems, you’re much more likely to have them.

How are bipolar sickness and BPD dealt with together?

The treatments of bipolar sickness and BPD are exclusive because every sickness reasons extraordinary signs. Bipolar sickness requires numerous sorts of remedy, which includes Medication. Medication can consist of mood stabilizers, antipsychotics, antidepressants, and anti-tension medications.
Psychotherapy. Examples include speak, circle of relatives, or group remedy.
Alternative treatments. This may consist of electroconvulsive remedy (ECT).
Sleep medicines. If insomnia is a symptom, your medical doctor can also prescribe sleep medicinal drugs.
BPD is in general treated with communicate therapy — the same form of therapy which could assist treat bipolar ailment. But your health practitioner might also advise:

cognitive behavioral therapy
dialectic conduct remedy
schema-centered remedy
Systems Training for Emotional Predictability and Problem Solving (STEPPS)
Experts don’t advise that people with BPD use medicines as their number one treatment. Sometimes remedy can worsen symptoms, in particular suicidal tendencies. But now and again a physician would possibly suggest medicines to deal with precise symptoms, including shifts in mood or despair.

Hospitalization may be necessary in treating people with each disorders. The manic episodes that go along with bipolar disease mixed with the suicidal tendencies sparked by using BPD may additionally reason a person to try and take their life.

If you have both issues, you need to avoid ingesting alcohol and doing illicit pills. These disorders growth a person’s risk for substance abuse, which could worsen your symptoms.

Suicide prevention

If you think someone is at instantaneous chance of self-damage or hurting another man or woman:

Call 911 or your local emergency number.
Stay with the individual until assist arrives.
Remove any weapons, knives, medicinal drugs, or other things which could purpose harm.
Listen, but don’t judge, argue, threaten, or yell.

What’s the outlook for someone with a dual diagnosis?

A dual diagnosis of bipolar disorder and BPD can sometimes cause severe symptoms. The person may need intense inpatient care in a hospital setting. In other cases, people with both disorders may need outpatient care, but not hospitalization. It all depends on the severity and intensity of both disorders. One of the disorders may be causing more extreme symptoms than the other.

Both bipolar disorder and BPD are long-term conditions. With both of these disorders, it’s very important to work with your doctor to develop a treatment plan that works for you. This will ensure that your symptoms improve rather than worsen. If you feel your treatment isn’t working as well as it should, talk to your doctor right away.

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