Substance abuse is so common with BPD sufferers that most estimates say it is co-morbid in over 75%. The DSM-IV says this about BPD:Īffective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days). Emotions are immediate and the behaviors, impulsiveness, rage, “moods”, etc. Although many want to classify it as a subclass of mood disorders (like Cyclothymia), it is more a dysregulation of the emotional system. It is characterized by wildly swinging emotions – not moods. Substance abuse and suicide are both common with Bipolar Disorder and it effects about one half to 1 and one half of a percent of the population.īorderline Personality Disorder is actually more common than bipolar disorder – some estimates say that it is up to 5% of women and about 2% of the population at large. There is the case of Bipolar II in which a person may experience hypomania – which is possibly why the media has reported Britney to have “a” bipolar disorder, rather than just “bipolar disorder” (although some of the media has removed the “a” from in front of the reported disorder). In the case of Bipolar Disorder the length of the manic and depressive episodes (and mixed episodes) usually lasts days or weeks, if not longer. One of the main differences between bipolar and BPD is the length of the mood swings. Why? Because clearly a large part of BPD is biological. Experts are considering changing the name of BPD to Emotional Regulation Disorder (or emotional dysregulation disorder) and making it Axis I. Unfortunately, this distinction is a fallacy. Bipolar is an Axis I disorder, BPD an Axis II. Bipolar disorder, on the other hand, is not considered just the result of “bad behavior” – it is considered biological in nature – and therefore many celebrities have come out and admitted they have bipolar disorder. Borderline Personality Disorder is so maligned that not a single celebrity has come out and stated that they have the disorder. I think the language here is quite important. TMZ reported that Spears’ friends “have known for a while that Britney has a very serious mental condition - likely a bipolar disorder that is now in the red zone.” It was widely reported in the press after Britney Spear’s “breakdown” and stand-off with the police over the return of her children that she has “a bipolar disorder.” See this excerpt from TMZ.com:
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