What is BPD usually misdiagnosed as?

In particular, there is evidence that BPD is commonly misdiagnosed as Bipolar Disorder, Type 2. One study showed that 40% of people who met criteria for BPD but not for bipolar disorder were nevertheless misdiagnosed with Bipolar Type 2.


What can be mistaken for BPD?

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)


How common is misdiagnosis of BPD?

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.


Is BPD misdiagnosed as did?

Personality disordered patients who have dissociative symptoms and identity disturbances may be misdiagnosed as DID. For example, in the cluster of symptoms in “impairment in identity”, both “unstable self-image” and “dissociative states under stress” are DSM-5 criterion symptoms for borderline personality disorder.

Is BPD often misdiagnosed as ADHD?

ADHD and BPD share many temperamental similarities, symptoms, and traits, making it challenging for clinicians to distinguish the difference. When both conditions are present, it is possible that the "more dramatic BPD symptoms can camouflage the more classic ADHD symptoms" (Littman, 2021).


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



Does Adderall help with BPD?

Among all personality disorders, BPD may be the most strongly linked to trauma. While misusing Adderall can't cause BPD, it can make the symptoms of the condition more severe. Taking Adderall with borderline personality disorder can intensify irritability and agitation, even to the point of triggering episodes of rage.

Can ADHD look like borderline personality disorder?

ADHD can present with symptoms such as irritability, mood lability, low frustration tolerance and low self-esteem, making it easily confused with mood disorders and personality disorders.

What is the most commonly misdiagnosed mental disorder?

“BPD is one of the most commonly misdiagnosed mental health conditions,” according to the National Alliance on Mental Illness.


How hard is it to diagnose BPD?

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.

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.

Why do doctors not diagnose BPD?

Clinicians can be reluctant to make a diagnosis of borderline personality disorder (BPD). One reason is that BPD is a complex syndrome with symptoms that overlap many Axis I disorders. This paper will examine interfaces between BPD and depression, between BPD and bipolar disorder, and between BPD and psychoses.


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 anxiety mimic BPD?

Borderline personality disorder (BPD) is a common condition that is characterized by a host of different challenges and symptoms. One experience that's frequently associated with borderline personality disorder is anxiety; and often people with BPD are also diagnosed with an anxiety disorder as well.

How do doctors know if you have BPD?

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


How do you prove BPD?

To be diagnosed with BPD, you must display at least five of the following symptoms:
  1. viewing relationships in extremes (e.g., everything is either all good or all bad)
  2. challenges controlling anger.
  3. frequent mood changes (i.e., periods of intense anger, depression, or anxiety)
  4. recurrent suicidal ideation.


What is the difference between cyclothymia and BPD?

Cyclothymic temperament is characterized by high mood-lability, emotional reactivity, irritability and impulsivity (Akiskal, Djenderedjian, Rosenthal, & Khani, 1977). BPD is mainly characterized by a pervasive pattern of instability of affects, identity, behavior and relationships (DSM-IV, 2000).

Why do therapists refuse to treat BPD?

Additionally, relationship instability is a feature of BPD, and clinicians may be wary of patients with whom establishing a therapeutic bond could be difficult. They may also hold the mistaken belief that treatment is ineffective for BPD patients.


Can a brain scan detect borderline personality disorder?

Researchers have used MRI to study the brains of people with BPD. MRI scans use strong magnetic fields and radio waves to produce a detailed image of the inside of the body. The scans revealed that in many people with BPD, 3 parts of the brain were either smaller than expected or had unusual levels of activity.

How do psychiatrists test for BPD?

There's no specific test for BPD, but a healthcare provider can determine a diagnosis with a comprehensive psychiatric interview and medical exam. After that, you can get appropriate treatment and begin to manage your symptoms better and move forward in your life.

What is the second most diagnosed mental disorder?

The most common are anxiety disorders major depression and bipolar disorder.


How do you tell if you've been misdiagnosed?

Even more important, you should recognize these five signs that may indicate you received a misdiagnosis.
  1. Your Symptoms Overlap with Multiple Conditions. ...
  2. Your Doctor Didn't Get All Information. ...
  3. You Didn't Receive Proper Testing. ...
  4. Your Second Opinion Doesn't Match the Diagnosis. ...
  5. Your Treatment Is Ineffective.


What can mimic psychiatric disorders?

5 medical conditions that mimic psychiatric disorders
  • Key takeaways.
  • Delirium.
  • Dementias.
  • Epilepsy.
  • Traumatic brain injury.
  • Infections.
  • Sources.


What age does borderline personality disorder develop?

Most personality disorders begin in the teen years when your personality further develops and matures. As a result, almost all people diagnosed with borderline personality disorder are above the age of 18. Although anyone can develop BPD, it's more common if you have a family history of BPD.


Can you have traits of BPD without having it?

In real life, however, people may exhibit some traits of a certain personality type without it being a full-blown disorder. People tend to be on a spectrum of more or less severe symptoms before they come anywhere near a diagnosis.

Should I keep helping my BPD daughter?

However, contrary to popular mythology and outdated thinking, BPD does not have to be an immutable state. With the right approach and treatment, you can nurture a healthier relationship with your child while giving them invaluable support as they learn to navigate their illness and find true recovery.