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• #Bpd manic episode manual

There is also ambiguity of the relationship between impulsiveness and the diagnostic syndromes between BD and BPD. A concern that has compounded these issues is the increasing recognition that mood can be highly variable in people with BD outside of frank manic or depressive episodes, a move away from the traditional view of euthymia in BD (Bonsall, Wallace-Hadrill, Geddes, Goodwin, & Holmes, 2012). For instance, differences in intensity or frequency might exist when comparing the two conditions for AI, but it is also unclear whether the anger and anxiety that BPD patients experience are distinct in nature than the mood experienced in a dysphoric or irritable manic state (MacKinnon & Pies, 2006). However, in practical terms these distinctions are far from clear, particularly when there is no history of manic episodes (Sanches, 2019). Henry et al., 2001 Renaud, Corbalan, and Beaulieu, 2012). The clinical evidence against for the existence of a ‘bipolar-borderline continuum’ argue that although there are common symptoms between the two, they present these traits differently (e.g. The common features that are frequently stated in the literature are affective instability (AI), impulsivity, troubled relationships, distractibility, irritability, suicidality, flight of thoughts and childhood adversity (John & Sharma, 2009).

#Bpd manic episode manual

There is an ongoing debate over whether BPD should be considered as part of the spectrum of BD disorders (Akiskal, 2004 Benazzi, 2006 Deltito et al., 2001 McGlashan, 1983 Zimmerman, Ruggero, Chelminski, & Young, 2009) or not (Bassett et al., 2017 Paris & Black, 2015).Īlthough BD and BPD are defined as distinct psychopathologies in Diagnostic and Statistical Manual of Mental Disorders (DSM-5 American Psychiatric Association, 2013) and International Classification of Diseases (ICD World Health Organisation, 2015), there are many common features between these disorders that contribute to diagnostic confusion. The prevalence of BD and BPD was 21.6% and 18.5% respectively (Fornaro et al. Differential diagnosis between bipolar disorder (BD) and borderline personality disorder (BPD) is often difficult due to the high frequency of comorbidity and overlap of symptoms between the two disorders (Baryshnikov et al., 2015).