Borderline Personality Disorder Symptoms: Bipolar and/or BPD


This video explores Bipolar Disorder and Borderline Personality Disorder symptoms and is designed to lessening the confusion.  It is my hope that this video clears up some of this confusion.

BPD is characterized by transient mood shifts that occur in response to interpersonal stressors, whereas bipolar disorder is associated with sustained mood changes.
What’s the research saying and why is research important:

Individuals with BPD tedn to be dominated by heightened instability and interpersonal reactivity of negative emotion. 

BPD tends to be characterized by the dynamics of guilt and shame—high instability, interpersonal reactivity, and persistence of emotion over time.

Differentiating BPD from BD and MDD. Specifically, research findings suggest that differential diagnosis would be most effectively informed by asking people about the following: 
(a) The frequency and severity of specific emotional responses to interpersonal challenges, particularly guilt and shame; 
(b) The frequency and severity of persistent shame; 
(c) The extent to which these dynamics are problematic in their lives. 

BPD would be most distinguishable by problems with heightened interpersonal reactivity of guilt and shame and shame persistence of emotion over time. 

Treatment approaches:
Continued treatment. 
Day treatment programs. 
Substance abuse treatment. 

Medications may include:
Mood stabilizers, anti-psychotics, antidepressants, antidepressant-anti-psychotic, anti-anxiety medications. 

Psychotherapy is a vital part of bipolar disorder and BPD treatment and can be provided in individual, family or group settings. Several types of therapy may be helpful. These include:
Interpersonal and social rhythm therapy (IPSRT). 
Cognitive behavioral therapy (CBT). 
Family-focused therapy. 

Daniel J. Fox, Ph.D., is a licensed psychologist in Texas, international speaker, and award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 15 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence.

He has published several articles in these areas and is the author of:

The Borderline Personality Disorder Workbook: An Integrative Program to Understand and Manage Your BPD –COMING SOON–

Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders (IPBA Benjamin Franklin Gold Award Winner):

Narcissistic Personality Disorder Toolbox: 55 Practical Treatment Techniques for Clients, Their Parents & Their Children:

The Clinician’s Guide to Diagnosis and Treatment of Personality Disorders:

Dr. Fox has given numerous workshops and seminars on ethics and personality disorders, personality disorders and crime, treatment solutions for treating clients along the antisocial, borderline, narcissistic, and histrionic personality spectrum, emotional intelligence, managing mental health within the prison system, and others. Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along the antisocial, borderline, narcissistic, and histrionic personality spectrum (

Dr. Fox’s website:
Amazon Author’s Page:

Thank you for your attention and I hope you enjoy my videos and find them helpful and subscribe. I always welcome topic suggestions and comments.

Lish JD, Dime-Meenan S, Whybrow PC, et al. The National Depressive and Manic-Depressive Association (DMDA) survey of bipolar members. J Affect Disord. 1994, 31:281–94.

Mneimne, Malek & Fleeson, William & Mayfield Arnold, Elizabeth & Furr, R. (2017). Differentiating the Everyday Emotion Dynamics of Borderline Personality Disorder From Major Depressive Disorder and Bipolar Disorder. Personality Disorders: Theory, Research, and Treatment, 9: 192-196.


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