Can BPD be misdiagnosed as anxiety?

BPD Looks Like So Many Other Mental Health Conditions
People with BPD typically also meet the criteria for multiple other diagnoses, including depression, anxiety, post-traumatic stress disorder, substance use disorders, eating disorders, bipolar disorder, and so on.


Can BPD be mistaken for anxiety?

Because young people with BPD may project symptoms that seem similar to other personality disorders, it is often confused with bipolar, depression, or anxiety disorders.

How do I know if I have anxiety or BPD?

The difference between BPD and anxiety or panic disorders is the latter cause symptoms more frequently and for a greater period of time, for at least six months. “Their anxiety is more pervasive and chronic than the anxiety that is related to BPD,” Cullen says.


What can mimic borderline personality disorder?

The symptoms of BPD are very broad, and some can be similar to or overlap with other mental health problems, such as:
  • Bipolar disorder.
  • Complex post-traumatic stress disorder (C-PTSD)
  • Depression.
  • Anxiety.
  • Psychosis.
  • Antisocial personality disorder (ASPD)


Can BPD be mistaken for GAD?

Generalized Anxiety Disorder (GAD) consists of an over-reactive and/or unstable mood that could be mistaken with mood swings and affective instability of bipolar disorder and borderline personality disorder.


What It's Like When BPD Is Misdiagnosed as Bipolar Disorder



How often does BPD get misdiagnosed?

One study cited that almost 40% of people who were diagnosed with BPD were provided with a misdiagnosis of BD at some point in their lifetime in comparison to only 10% of people in the general population receiving a misdiagnosis of BD. The exact reasoning for this high rate of misdiagnosis is debated among researchers.

Does anxiety cause BPD?

Although anyone can develop BPD, it's more common if you have a family history of BPD. People with other mental health conditions, such as anxiety, depression or eating disorders, are also at higher risk. Nearly 75% of people diagnosed with BPD are people assigned female at birth (AFAB).

What is the most common BPD misdiagnosis?

One of the most common misdiagnoses for BPD is bipolar disorder. Both conditions have episodes of mood instability.


Why is BPD so misdiagnosed?

Many mental health professionals do not have a lot exposure or education on BPD, so it's easy for BPD to be misdiagnosed as something else such as bipolar disorder since both disorders involve shifting moods and periods of depression.

What does untreated borderline personality disorder look like?

If left untreated, the person suffering from BPD may find themselves involved with extravagant spending, substance abuse, binge eating, reckless driving, and indiscriminate sex, Hooper says. The reckless behavior is usually linked to the poor self-image many BPD patients struggle with.

How do you rule out BPD?

Personality disorders, including borderline personality disorder, are diagnosed based on a:
  1. Detailed interview with your doctor or mental health provider.
  2. Psychological evaluation that may include completing questionnaires.
  3. Medical history and exam.
  4. Discussion of your signs and symptoms.


Do I have BPD or am I just sensitive?

The big difference is that people with BPD tend to be willing to express themselves in any and all environments regardless of who is present. Whereas people with HSP tend to be more withdrawn in front of others and reserve their mood swings for a few safe people.

How do therapists know if you have BPD?

A licensed mental health professional will use a book called the DSM-5 to help diagnose BPD. Some professionals may ask you to complete specific assessments while others may ask a lot of open-ended questions about you, your family history, and what kind of problems you may want to work on in treatment.

Can you be aware of your own BPD?

No, you cannot diagnose yourself with BPD.

This will include an interview where you'll be asked lots of questions. The symptoms of BPD often overlap with such diagnoses of bipolar disorder, ADHD, OCD, depression, and anxiety.


What is the hardest mental disorder to treat?

Personality disorders are some of the most difficult disorders to treat in psychiatry. This is mainly because people with personality disorders don't think their behavior is problematic, so they don't often seek treatment.

Is a BPD diagnosis hard to get?

Borderline personality disorder (BPD) can be hard to diagnose because the symptoms of this disorder overlap with many other conditions, such as bipolar disorder, depression, anxiety, and even eating disorders.

What can undiagnosed BPD lead to?

Some of the most common effects of untreated BPD can include the following: Dysfunctional social relationships. Repeated job losses. Broken marriages.


What other disorders overlap with BPD?

BPD typically coexists with depression, anxiety, and substance abuse. Symptoms of these conditions may lead the clinician to miss the diagnosis of personality disorder entirely.

Can you have BPD and seem normal?

Some people with quiet BPD may feel as though they do not deserve help because their problems are “not that bad.” Perhaps you appear to be functioning in most areas of your life, and to all outward appearances things mostly seem to be fine.

Can you have symptoms of BPD but not have it?

It's used to describe people who meet the criteria for BPD but whose symptoms don't manifest in the typical, overt way associated with BPD. While people with BPD tend to "act out"—such as having angry outbursts—people with quiet BPD "act in," directing their symptoms and emotions at themselves.


How do I stop BPD anxiety?

How can I help myself in the longer term?
  1. Talk to someone.
  2. Keep a mood diary.
  3. Plan for difficult times.
  4. Make a self-care box.
  5. Try peer support.
  6. Focus on what matters to you.
  7. Look after your physical health.
  8. Find specialist support for contributing factors.


What causes BPD flare ups?

Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.

What does a borderline episode look like?

When a person has BPD, they often experience periods of intense feelings of anger, anxiety, or depression that can last for a few hours or a few days. The mood swings experienced by people with BPD can lead to issues with impulsive behavior and can contribute to relationship problems.


Is BPD on a spectrum?

It is now clear that DSM-IV-defined BPD is a heterogeneous construct that includes patients on the mood disorder spectrum and the impulsivity spectrum (Siever and Davis, 1991), in contrast to the original speculation that these patients might be near neighbors of patients with schizophrenia or other psychoses.

What does mild BPD look like?

Wide mood swings lasting from a few hours to a few days, which can include intense happiness, irritability, shame or anxiety. Ongoing feelings of emptiness. Inappropriate, intense anger, such as frequently losing your temper, being sarcastic or bitter, or having physical fights.