This was a question from a person on Quora. It is a very important question because it raises the question of misdiagnosis and the ramifications of that on the patient. Here is how I answered the question by explaining the differences between the two diagnoses.
There are some very clear differences between the two diagnoses so let us take a gander and see what is really going on with you as mental health pros misdiagnose all the time.
Bipolar: One is going to have much longer periods between the moods they experience. A rapid cycle is considered 3 weeks – though many go months before going from one extreme to the other.
Borderline Personality Disorder: the moods are labile meaning that in a split second when triggered a person can go from happy to throwing things and cursing.
Both illnesses have a lot of anger involved – however, the BPD person will be enraged when they don’t get their way. It is a personality disorder which means the person though as intelligent as anyone is acting at the emotional age of a very young person – it is always about the ‘id’ wanting what it wants NOW and when it doesn’t get it, has a tantrum such as a 2-year-old would.
Both are master manipulators of themselves and others but go about it differently
Bipolar people will manipulate to get what they want usually by creating their fantastical ideas in business exaggerating what they can do and what they have to work with.
BPDs will manipulate to get the hole in their soul-filled usually through buying things they do not need, always asking for favors from others, and usually glomming on to one particular person more than anyone else – when that person does or says something that the BPD person finds hurtful, the BPD will drop them in a second and talk shit about them to the next person they glom onto. This is called ‘splitting’ between two people and is something that only BPDs do.
BPDs will self-harm – usually superficially while in a very depressed state.
Bipolars – 85% will self-medicate themselves with drugs – so while up they will take depressives, while down they will take amphetamines.
BPDs have a great fear of abandonment – they will do anything to stop others from abandoning even to the degree that they will abandon others before others have the chance to abandon them.
Bipolars do not have a fear of abandonment.
There are more differences between the 2 diagnoses, however, this gives you enough to better understand where you fall. DO NOTE THAT A PERSON CAN INDEED HAVE BOTH AT THE SAME TIME as we found out was true with my mother from the psychiatric staff at the nursing home where she lived the last 7 years of her life.
If you think you have BPD the best thing that you can do is to learn how to stop the impulses you have to be overly emotional, and instead use logic to make your decisions. It is also very helpful to just be more mindful of how you are coming across to others. It isn’t an easy thing to do at all, but it can be done if one wishes to stop pushing people away with what would be considered infantile behavior.
If you have Bipolar the best thing you can do is deal with feelings of unworthiness by figuring out what your best attributes are and owning them, dealing with your anger and your issues of sadness. I was diagnosed with bipolar 2 back in 1990 and was lucky enough to turn it around so that it is no longer a part of my life on any level back in 2004. Unfortunately, those with personality disorders are unable to truly overcome them, however, if you do those things that I suggested above and maybe get some Dialectical Behavior Training by a person who specializes in working with BPDs, you will be able to gain much control over the almost instantaneous shifts in mood and learn how to reduce the impulses to act out to get your way if you are indeed a BPD.
Thank you for asking this question because these 2 diagnoses are mixed up all the time as are those with schizophrenia and bipolar with psychotic features and many other types of diagnoses because the Diagnostic Statistical Manual has so many symptoms that overlap from one diagnosis to the next, especially in the 5th revision which basically notes that every normal human emotion receives its own diagnosis so the pharmaceutical companies can make even more money on their poison – NOTE: the only people that I believe ought to be placed on psychotropic medications are those who have psychotic features and at the most minimal dose to minimize their hallucinations. I have come to this conclusion after 30 years in the business both in conventional psychiatry and in complementary mental health in the form of hypnotism and neuro-linguistic programming (for 20 years now so plenty of time to have lots of case histories to prove the point that the mind is the best asset anyone has to make transformational change. However, I am unable to help those with psychotic features or those with personality disorders. Though I am able to help those with anxiety, major depression, bipolar, OCD, eating disorders, and sex addictions as I have been successfully doing this since 2002.
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About Suzanne
Suzanne Kellner-Zinck founded Dawning Visions Hypnosis in 2002, She has become an innovator in the use of hypnotism and neuro-linguistic programming in the areas of obsessive compulsive disorders such as: eating disorders, sexual addiction and substance abuse as well as working with those with anxiety and mood disorders.
Her clients have come to work with her from across the United States and as far away as Africa to help them to finally be freed from these emotional issues that once ruled their lives. Today she is in the process of bringing her work to many more in the form of ebooks and other downloadable formats.
She is a member of American Holistic Medical Association and the American College for Advancement in Medicine.
Prior to founding Dawning Visions Hypnosis, Kellner-Zinck worked within vendor programs for the mentally ill working to help them to live up to their fullest potential. Many of her previous clients were able to move out on their own and find fulfilling work.
Kellner-Zinck is a Certified Trainer of Hypnosis and Neuro-Linguistic programing through Tad James Company, Inc. and a Master Hypnotist and Master Practitioner of Neuro-Linguistic Programming through Advanced Neuro Dynamics. She holds a bachelor’s degree in education and political studies from Curry College.
Dawning Visions Hypnosis is teaching people that they can indeed leave their unwanted behaviors behind as they move forward to living fulfilling and joy filled lives.