Is it possible to have BPD and bipolar disorder at the same time

I hate being alone
I hardly speak up for myself cause I don't want pple to judge me
I harm myself alot
Planned suicide a couple of times
I have this occasional mood swings ranging over the time and dere are times I feel overwhelmed
I
Asked by EBLM
Answered
06/03/2021

Hi there. I'm sorry that you are struggling with the symptoms that you are experiencing. I can imagine that it is overwhelming and distressing for you. What I would like to do for your question is to give you a better sense of what BPD is in contrast with Bipolar Disorder. From what you described, it is highly likely that you have just BPD. BPD often mimics or appears like Bipolar Disorder. The difference between the two is with respect to the length of time and severity of the symptoms. For Bipolar Disorder, people often experience grandiose ideas, impulsivity secondary to those ideas, high levels of energy, and a decreased need for sleep. These symptoms occur together and are for a specific period of time therefore considered a "mood episode." With BPD, the symptoms are more pervasive and difficult to control in your day-to-day. The symptoms do include: difficulty with maintaining relationships because you go back and forth between "idealizing" to "hating" them; fears of abandonment; self-harming behaviors to help with alleviating emotional pain; frequent and intense experiences of suicidal ideation and/or gestures; impulsive behaviors (the goal being to alleviate emotional pain or to "fill the emptiness"); difficulty with managing your temper/anger outbursts; frequent and intense moodiness/mood lability; fleeting paranoia when you are under a lot of stress; lack of an identity/poor self-esteem (you often build your relationships with others by being a chamelion/blending in so that you are not rejected and feel like you belong but don't have a strong sense of self); and, chronic feelings of emptiness (which fuels impulsivity, self-harming and clinging to relationships even if they are unhealthy). Self-harming is one of the more "classic" or telling symptoms of BPD. When a person is experiencing bipolar disorder, they may become impulsive and also, during that episode, struggling with insight whereas when you are experiencing symptoms of BPD, you are aware of what is occurring but you have difficulty managing how you feel because it is so overwhelming. Can people have both? Absolutely, but there is generally a period of time when if Bipolar symptoms are under control that you are better able to see if BPD symptoms are still occurring or if they have stopped. I hope that this is helpful.

(PhD, MPhil, LMHC)