Borderline or bipolar? Distinguishing borderline personality disorder from bipolar spectrum disorders

Harvard Review of Psychiatry
Joel Paris

Abstract

This article addresses the question whether borderline personality disorder (BPD) can be understood as a variant of bipolar disorder. In the past, borderline pathology has been seen as a variant of psychosis, depression, or posttraumatic stress disorder, but there are important differences between all of these conditions and BPD. The proposal that BPD falls within the bipolar spectrum depends on the assumption that affective instability develops through the same mechanism in both diagnostic categories. There are major differences in phenomenology, family history, longitudinal course, and treatment response between BPD and bipolar disorder, and the findings of comorbidity studies are equivocal. Thus, existing evidence is insufficient to support the concept that BPD falls in the bipolar spectrum.

References

Nov 1, 1991·The American Journal of Psychiatry·R W CowdryD R Rubinow
Dec 1, 1991·The American Journal of Psychiatry·L J Siever, K L Davis
Jan 1, 1990·The American Journal of Psychiatry·M C ZanariniF R Frankenburg
Apr 1, 1995·The American Journal of Psychiatry·J M OldhamP E Gallaher
Feb 1, 1995·The American Journal of Psychiatry·C M PepperH Lizardi
Feb 1, 1995·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·P S LinksJ Patrick
Dec 1, 1993·The American Journal of Psychiatry·W J LivesleyP A Vernon
Dec 1, 1996·Acta Psychiatrica Scandinavica·K L JangD N Jackson
Oct 20, 1998·Comprehensive Psychiatry·M C ZanariniV Reynolds
Dec 8, 1998·The American Journal of Psychiatry·M C ZanariniV Reynolds
Apr 30, 1999·The Journal of Nervous and Mental Disease·E VietaC Gastó
May 6, 1999·Journal of Personality Disorders·P S LinksR van Reekum
Oct 13, 1999·The American Journal of Psychiatry·S C HerpertzH Sass
Nov 7, 1999·The Psychiatric Clinics of North America·L SanchezR Weller
Dec 10, 1999·The Journal of Clinical Psychiatry·K A ComtoisP P Roy-Byrne
Mar 24, 2000·The Psychiatric Clinics of North America·P H Soloff
Feb 24, 2001·Journal of Personality Disorders·S C HerpertzH Sass
Nov 13, 2001·Comprehensive Psychiatry·J Paris, H Zweig-Frank
Jan 30, 2002·Current Psychiatry Reports·Hagop S Akiskal
Mar 1, 2002·Journal of Affective Disorders·J DeltitoP Corless C Morse
Apr 3, 2002·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·S Nassir GhaemiFrederick K Goodwin
Jul 11, 2002·Comprehensive Psychiatry·Franco Benazzi
Jan 1, 2003·Journal of Affective Disorders·John R Kelsoe
Jul 19, 2003·Psychiatry·John G GundersonAndrew E Skodol
Aug 1, 1962·The American Journal of Psychiatry·P H HOCHH H PENNES

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Citations

Jan 25, 2013·Social Psychiatry and Psychiatric Epidemiology·Steven MarwahaMatthew Broome
Nov 21, 2013·Current Psychiatry Reports·Mark Zimmerman, Theresa A Morgan
Oct 19, 2010·Journal of Personality Assessment·Gentiana SadikajJoel Paris
Jun 9, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Joel Paris
Jul 22, 2010·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·John Little, Kate Richardson
Feb 16, 2011·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Martyn Patfield
May 23, 2007·European Psychiatry : the Journal of the Association of European Psychiatrists·Franco Benazzi
Dec 10, 2015·European Psychiatry : the Journal of the Association of European Psychiatrists·I BaryshnikovE Isometsä
Dec 10, 2015·European Psychiatry : the Journal of the Association of European Psychiatrists·H Z GvirtsY Levkovitz
Mar 12, 2008·Bipolar Disorders·James PhelpsJohn Sadler
Oct 13, 2011·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Mark Zimmerman
Apr 14, 2015·Acta Psychiatrica Scandinavica·S YenM B Keller
Feb 28, 2014·Acta Psychiatrica Scandinavica·S N GhaemiS Barroilhet
Jul 16, 2005·Progress in Neuro-psychopharmacology & Biological Psychiatry·Franco Benazzi
Jun 7, 2005·Journal of Affective Disorders·Susan L McElroyHagop S Akiskal
Apr 25, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Mark ZimmermanKristy Dalrymple
May 26, 2015·Journal of Affective Disorders·Giulio PerugiOlavo Pinto
Apr 22, 2015·Journal of Personality Disorders·Mark Zimmerman
Feb 16, 2011·The International Journal of Neuropsychopharmacology·Luis H RipollLarry J Siever
Dec 24, 2014·The Journal of Nervous and Mental Disease·Mark Zimmerman
Mar 13, 2014·The Australian and New Zealand Journal of Psychiatry·S Nassir Ghaemi, Shannon Dalley
Apr 18, 2012·The Australian and New Zealand Journal of Psychiatry·Darryl Bassett
Jun 9, 2005·Annals of Clinical Psychiatry : Official Journal of the American Academy of Clinical Psychiatrists·Joel Paris
Apr 30, 2008·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·S Nassir Ghaemi
Sep 1, 2005·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Joel Paris
Sep 16, 2013·The Medical Journal of Australia·Josephine A Beatson, Sathya Rao
Dec 1, 2009·Irish Journal of Psychological Medicine·Sharyn Byrne, Anne Jeffers
Nov 21, 2018·Brain Sciences·Filiz Kulacaoglu, Samet Kose

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