Differential diagnosis of bipolar affective disorder type II and borderline personality disorder: analysis of the affective dimension

Comprehensive Psychiatry
Suzane RenaudSerge Beaulieu

Abstract

Differential diagnosis between bipolar affective disorder type II and borderline personality disorder can be problematic yet a priority for effective treatment planning. Diagnosis is problematic when symptoms do not present enough intensity or duration to clear the issue but also when there is a relative overlap of criteria between both disorders. If for many patients, the diagnosis is more easily differentiated, confounding conditions are found in 20% of cases for which it becomes a significant issue. A research with the key words affective instability, borderline personality disorder, and bipolar disorder on Medline and Psych-Info was done. Other references were found through this review in related articles. Comparison of data about the affective dimensions concerning bipolar disorder and borderline personality disorder was noted. Affective instability is a confounding factor: quality and intensity of affects, speed of fluctuations, affective response to social stress, and its modulation are core elements of affective instability that need to be analyzed to clarify a proper diagnosis. There is further necessity for research about affective instability in the 2 diagnoses. Making a valid differential diagnosis has an important ...Continue Reading

References

Mar 1, 1992·Comprehensive Psychiatry·L BellodiV Brancato
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
Oct 1, 1987·Journal of Personality and Social Psychology·R J LarsenR S Cropanzano
Jul 1, 1983·Archives of General Psychiatry·H S AkiskalB I Yerevanian
Jan 1, 1994·Acta Psychiatrica Scandinavica. Supplementum·H S Akiskal
Dec 1, 1993·Archives of General Psychiatry·M M LinehanH E Armstrong
Jan 1, 1997·Journal of Clinical Psychology·M I SternT Kakuma
May 29, 1999·The Journal of Nervous and Mental Disease·N Atre-Vaidya, S M Hussain
Dec 10, 1999·The Journal of Clinical Psychiatry·K A ComtoisP P Roy-Byrne
Feb 26, 2000·Depression and Anxiety·H W KoenigsbergL J Siever
Mar 15, 2000·Biological Psychiatry·P H SoloffT M Kelly
Dec 19, 2001·The Journal of Neuropsychiatry and Clinical Neurosciences·L T van ElstD Ebert
May 3, 2002·The American Journal of Psychiatry·Harold W KoenigsbergLarry J Siever
Nov 2, 2002·The American Journal of Psychiatry·Stephen M StrakowskiCaleb M Adler
Jan 1, 2003·Journal of Affective Disorders·Hagop S AkiskalJean François Allilaire
Mar 6, 2003·Journal of Personality Disorders·Daniel N Klein, Joseph E Schwartz
May 24, 2003·European Psychiatry : the Journal of the Association of European Psychiatrists·Chantal HenryMarion Leboyer
Mar 17, 2004·Journal of Affective Disorders·Gilbert A PrestonDawson W Hedges
Aug 3, 2004·The American Journal of Psychiatry·Jonathan Shedler, Drew Westen
Sep 24, 2004·Progress in Neuro-psychopharmacology & Biological Psychiatry·Morgan Haldane, Sophia Frangou
Feb 19, 2005·Current Psychiatry Reports·Michael S McCloskeyEmil F Coccaro
Jul 16, 2005·Progress in Neuro-psychopharmacology & Biological Psychiatry·Franco Benazzi
Oct 22, 2005·Journal of Psychiatric Research·Christian Schmahl, J Douglas Bremner
Nov 12, 2005·Psychopathology·Franco Benazzi
Feb 16, 2006·Biological Psychiatry·Thomas ZetzscheEva M Meisenzahl
Feb 16, 2006·The Journal of Nervous and Mental Disease·Carolyn Zittel ConklinDrew Westen
Apr 15, 2006·Development and Psychopathology·Rebekah Bradley, Drew Westen
May 6, 2006·European Psychiatry : the Journal of the Association of European Psychiatrists·F Benazzi
May 13, 2006·Journal of Psychiatric Research·Xingqun NiJames L Kennedy

❮ Previous
Next ❯

Citations

Nov 26, 2013·Current Opinion in Psychiatry·Adam BayesKathryn Fletcher
Oct 4, 2015·Acta Psychiatrica Scandinavica·A J BayesG B Parker
Dec 9, 2015·The Australian and New Zealand Journal of Psychiatry·Gin S MalhiAjeet B Singh
Oct 19, 2017·Borderline Personality Disorder and Emotion Dysregulation·Mary Ellen TrunkoWalter H Kaye
Mar 9, 2019·The British Journal of Psychiatry : the Journal of Mental Science·Hua YuTao Li
Jul 10, 2019·The Journal of Nervous and Mental Disease·Adam J Bayes, Gordon B Parker
Nov 22, 2019·Current Psychiatry Reports·Adam BayesJoel Paris
May 5, 2016·Harvard Review of Psychiatry·Andrew M ChanenKatherine Thompson
Mar 19, 2021·Revista colombiana de psiquiatría·Alfredo de Jesús Garza GuerraFrancisco Javier Rodríguez Lara

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.

Attention Disorders

Attention is involved in all cognitive activities, and attention disorders are reported in patients with various neurological diseases. Here are the latest discoveries pertaining to attention disorders.

Antipsychotic Drugs

Antipsychotic drugs are a class of medication primarily used to manage psychosis (including delusions, hallucinations, paranoia or disordered thought), principally in schizophrenia and bipolar disorder. Discover the latest research on antipsychotic drugs here

Amygdala and Midbrain Dopamine

The midbrain dopamine system is widely studied for its involvement in emotional and motivational behavior. Some of these neurons receive information from the amygdala and project throughout the cortex. When the circuit and transmission of dopamine is disrupted symptoms may present. Here is the latest research on the amygdala and midbrain dopamine.

Amygdala: Sensory Processes

Amygdalae, nuclei clusters located in the temporal lobe of the brain, play a role in memory, emotional responses, and decision-making. Here is the latest research on sensory processes in the amygdala.