Bipolar Disorder vs Borderline Personality Disorder (BPD)

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DIFFERENCES BETWEEN BIPOLAR DISORDER AND BORDERLINE

PERSONALITY DISORDER

(BPD)

Feature

Type of Disorder

Mood Changes

Mood Episode Duration

Mood Triggers

Mood Baseline

Impulsivity

Anger/Outbursts

Self-Harm/Suicidality

Sleep Changes

Relationships

Identity Stability

Treatment of Choice

Family History

Onset

Bipolar Disorder I

Mood Disorder

Episodic (lasts days to weeks), distinct periods of

Sustained (mania: ≥1 week; depression: ≥2 weeks)

Often internal/biological; can occur without clear trigger

Euthymic (stable) periods between episodes

May occur during manic episodes

More common in mania

May occur during depressive episodes

Decreased need for sleep in mania; hypersomnia in depression

May struggle during mood episodes

Generally intact between episodes

Mood stabilizers, antipsychotics, and psychotherapy

Strong genetic link

Late adolescence to early hood

n impaired during a/hypomania

occur during mania or ession

Borderline Personality Disorder (BPD)

Personality Disorder

Rapid and reactive, often triggered by interpersonal stress

Hours to a few days; shifts quickly based on environment

Almost always reactive to events (e g , rejection, abandonment)

Chronic emotional instability, few stable periods

Chronic and pervasive, even outside of mood shifts

Frequent and intense, especially in interpersonal contexts

Chronic risk; used as emotional regulation strategy

Often due to anxiety or emotional dysregulation, not diagnostic

Pattern of unstable, intense relationships

Unstable self-image and sense of identity

Psychotherapy (especially DBT); limited role for meds

Some genetic and trauma-related factors

Early adolescence to early adulthood

Variable; may regret actions later but feel justified in the moment

Rare; usually transient stressrelated dissociation instead

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