Can you have bipolar disorder and borderline personality disorder at the same time? This question has been asked many times, and I have always answered it. This is often called borderpolar by some. This term is not an official one, but it was created by professionals in the field.
The mood instability is a key area where bipolar disorder and bpd overlap. You can experience rapidly changing mood states, which can last for hours or even days. Episodes of depression or hypomania last for a minimum of four days, and for hypomania it can last for up to two weeks.
Recent research shows that about 20% people suffer from both disorders. Although twenty percent is a low rate, it’s still less than half. However, people who have both of these conditions at once tend to be more severely ill.
This is important for the treatment you receive. Therapy is second and medication is the first line of treatment for bipolar disorder. Social rhythm and interpersonal therapy are all helpful as well as cognitive behavior therapy and psychodynamic therapy.
The primary treatment for borderline personality disorder is therapy. If medication is necessary, then therapy is the first option. Dialectical behavior therapy is the best treatment for borderline personality disorder.
You will need medication and DBT if you have one or both of these disorders. It is unlikely that medication alone will be sufficient.
Your doctor or therapist can help you to navigate this area and decide the best course.
Reference
Patel RS and Manikkara GA, Chopra A. Comorbid Borderline Personality and Bipolar Disorder: Outcomes and Characteristics in US Hospitals. Medicina (Kaunas). 2019;55(1): 13.
You want to learn more about mental health, self-improvement and other topics? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. Click here to subscribe if you don’t wish to miss a video.
Disclaimer: The information contained on this channel is intended for education purposes only and does not constitute specific/personal medical advice. The videos and the answers to questions/comments do not create a doctor-patient relationship. These videos may be helpful for you if you are a patient of your own doctor.
https://medbusiness.net/is-it-possible-to-have-bipolar-disorder-and-borderline-personality-heres-why-it-matters/
Dr Sanil Rege discusses the diagnosis and management of Generalised anxiety disorder (GAD).
GAD is characterised by fearful feelings and worry about everyday situations that are difficult to control. GAD is usually diagnosed 10 within a few years of onset. At that point, the patient may have been diagnosed with comorbid conditions such as depression, panic disorder, or chronic pain disorders. All patients with anxiety disorders should be tested for depression.
Initial assessment should focus on behaviour and somatic symptoms. The evaluation of psychosocial stress or developmental issues can be done in the context past medical history to rule out other organic causes.
A pragmatic approach to anxiety disorders, which includes psychoeducation and information about lifestyle factors (e.g. It is important to make healthy lifestyle choices regarding diet, exercise, sleep, and other factors.
SSRIs (e.g. SSRIs (e.g., sertraline, paroxetine and escitalopram), and SNRIs. RCT data supports venlafaxine (and duloxetine), to reduce symptoms and increase remission rates.
Clinicians need to be aware of the many comorbid conditions that can present with GAD. Psychoeducation and lifestyle changes are the best forms of therapy, according to evidence. SSRIs /SNRIs can be used first-line, or if CBT fails to work.
Full article:
No comments:
Post a Comment