10 Borderline & Bipolar Thoughts and Behaviors | BPD vs Bipolar
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- Опубліковано 8 лют 2020
- This video answers the question: Can I identify some of the beliefs and thoughts that drive or are associated with Borderline Personality Disorder versus Bipolar Disorder?
BPD has nine symptom criteria:
1. frantic efforts to avoid abandonment
2. unstable relationship pattern
3. identity disturbance
4. impulsivity in two areas that are potentially self-damaging
5. suicidal behavior
6. affective instability
7. chronic feelings of emptiness
8. inappropriate or intense anger or difficulty controlling anger
9. paranoid ideation or severe dissociation
Bipolar I Disorder:
At least one manic episode that may be preceded or followed by a major depressive episode
Li, Benjamin & Valles, Nizete-Ly & Saunders, John & Vyas, Amy & Naqvi, Mohammad & Shah, Asim. (2020). Can We Differentiate Borderline Personality Disorder from Bipolar Disorder?. Psychiatric Annals. 50. 19-23. 10.3928/00485713-20191126-01.
Lazarus, S. A., Beeney, J. E., Howard, K. P., Strunk, D. R., Pilkonis, P. A., & Cheavens, J. S. (2019). Characterization of relationship instability in women with borderline personality disorder: A social network analysis. Personality Disorders: Theory, Research, and Treatment. doi-org.mylibrary.wilmu.edu/1...
www.ncbi.nlm.nih.gov/pmc/arti...
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I think my favorite grandiose bipolar plan was starting a successful sewing business. I don't know how to sew. That one's pretty harmless, so it still makes me smile to think about it.
😂 I have been there before myself
This did make me laugh because one of my Bipolar 'big ideas' was that I would make and sell customised clothes and accessories. I bought a £200 sewing machine and easily another £100 on bits and pieces, then some more on fabric....
I have no idea how to use this damn sewing machine or read a pattern but it does look pretty on my table 🤣🤣🤣
Jajajajajjajajjaja omggg
That sounds like more fun that I usually have with my mental illnesses. I knew sewing was pretty much out for me since I was little since my mom has a sewing machine and the first time she taught me to use it, she left for a brief time and I managed to sew part of my finger down. lol Good thing I have a high tolerance for pain.
Mania = the Dunning-Kreuger Effect as an emotion
Self harm for me was a transfer of emotional pain to physical pain which was easier to handle.
Angelique Guerra Interesting insight. Thank you.
Yep! Same here.
Same for me. I took up boxing to release pain and it helped me tremendously.
Agree...i would do that sadly
Inner pain always manifests in the physical. Some people would feel its not acceptable to cause physical pain deliberately to themselves so they "unconsciously" create illnesses . .
Also I find one of my most craved symptoms of mania is the self confidence that I feel when manic. Normally I am insecure, and belittle myself and my looks. When I am manic it doesn’t matter what anyone thinks of me. I feel great I indeed.
its like being on coke lol
Does that make you want to avoid the treatments?
@@tarawalsh-arpaia3928 im not diagnosed, but i get what hes saying exactly. for me i always avoided treatment when i thought i was suddenly "healed" for a day or three. super happy, suddenly everything is bright again and i feel super good looking, as if im sexier than everyone.
@@dimitrijejovanovic6779 Exactly! Only the high is long-lasting.
Yeeees I'm so shy and insecure in nature, when manic I'm absolutely different
i love these videos of the “thoughts of...” because i think it helps people empathize with one another since we can really understand one another with these videos
Yes !!
Agreed.
I was going to leave a similar comment. Well said, thanks.
You may understand some, that's all.
That's a a lovely, humane way of looking at this. My mother handed me one of her psych textbooks once from medical school and she warned me of the 'I have it!' "disease", because ALL of the personality disorders sound like all of us and everyone else. That is what he refers to as sub-clinical symptoms, without the disorder.
Thank you for your scientifically informed, insider look at this mental health topic
Ha ha ha. Cute.
A monotone hello. This is Dr. Large. We are creating an interesting dialog in the comments.
@@seancancook1
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God rest her 🙏 god Tom she could have been anyone she really could have 🙏🙏🙏❤️
It's possible to get well someday.
Cute
I was with a lady for a year and I realized that I wasn't helping her. That this storm over our heads would be forever. I thought I could walk with her into the sunshine... until I realized she was the source of the storms. I had broken things off. I feel as though the relationship was comparable to quitting cigarettes cold turkey. The cigarettes try to pull on the strings they've hooked into you over time and you must stay strong and remember that they're only going to bring more pain and perpetuate the degeneration. Remember you care more about your health than you do cigarette smoke. On the other side you will be able to see clearly and the murk is a temporary change to the landscape as you keep moving forward. Stay strong out there folks and a very special thank you to Dr. Grande for his wonderful work.
@Beyond Bewildered, Beautifully wrote.
Good analogy
@Beyond Bewildered Why was she the source of the storms? What was she doing?
Great video! The fear of abandonment is the big BPD trait I have noticed in myself and others. The more I care, the more the fear of abandonment comes up. If I guard my feelings and control them, my relationships work. If I don’t, my fear of abandonment comes back and I act more codependent
Romantic love and fear of abandonment go hand In hand. My ex had bpd and he would push away assuming I would abandon him pre-empting my betrayal tha5 ironically it eventually caused me to leave. Fear of abandonment doesn’t mean being super clingy. Obsession is kind of normal in the honeymoon phase of a relationship and dies down naturally over time. Sometimes he’d assume I’d leave when there was no evidence and call me up but later on in the same day didn’t want to talk to me or care to interact with me. It’s not simply a case of being clingy
I can totally relate, Mello. I have BPD and in a relationship and the more I am open about my feelings, the more I fear abandonment. I struggle with keeping my feelings to myself in a relationship because I love so hard! When I love so hard I want them to know everything including my fears and insecurities. This doesn’t help at all. It pushes them away in my eyes. I am regarded as an insecure person with low self esteem and low confidence. So this is where I can relate you when you say keeping your feelings to yourself. It’s just safer.
Zahra Bandali my ex had BPD and he wasn’t like that at all. He was the opposite side but if he thought he’d messed up or done something wrong he’d call me crying and love bombing me then even an hour later could completely not care. Wanting to tell all, That’s just what happens when you fall in love. If you’re pushing pulling that’s more BPD. Or assuming the other person will betray you, even if there’s no evidence then beating them to the punch, that’s fear of abandonment in BPD. All you’ve described is just typical when someone actually falls in love. Sounds more like a one sided relationship than something being wrong with you cause when that’s mutual it’s fine
I am reading about all this as the guy am seeing or ment to be is very Euphoric one minute in terms of excitement to see me . Then the text messages are distant, the phone calls are none existent. Then he’s back on form again. There is so much past trauma in his life , childhood neglect , sexual abuse , death of his partner 10 years ago still affects him, she was 26 years older than him as well, & personally he has not had enough help for . He def shows the signs of CPTSD & BPD / NPD am worried as there has been some nasty contradictory behaviours . In like he slags his female friends off & Hates them but the next min meeting up & going for lunch with them. He tells me one particular girl said he should block me ( no reason when I have been nothing but nice & patient with him ) . Seems to be some weird story telling going off. He’s always trying to make me jealous by talking about other women which is really weird , I don’t bite to this though.
Am beginning to worry am seeing narcissistic traits which I will not deal with. I feel I should run as all my mates are telling me this, but I have seen him break down on me & cry , he tells me he talks to his dead wife still . He is also still talking about his recent ex of who he split a year ago from . He hates her , but wants to be friends but doesn’t want her back but then she’s not that bad but then is again. It’s all crazy stuff . Currently I have had to take a step back from as the drama is far to much for me .
Any advice to what this is ? Because it’s not normal , I want to help him be there for him but it’s to early days to have all this trouble .
@@MJ-od5sh
I've lived with 4 different Borderlines at various times in my life, two of them are immediate family, one a friend who I lived with for 3 years and the other was my ex's mum, she was a massive issue in our 8 year relationship.
This is not going to get better until the stuff in the past has been dealt with and they can admit to and address their own behaviour.
They need professional help. Your care or love isn't enough.
Of the 4 people in my situation, 3 of them have no insight whatsoever and 1, the quiet Borderline, only has a little but is still in denial about how their behaviour affects other people.
They are ALL manipulative in their own way.
My advice would be to get out whilst you're relatively unscathed.
After more than 25 years of struggling with Bipolar 1 my younger brother committed suicide on 19 December 2021 at the age of 53.
I’m absolutely certain our late mother had Bipolar also.
Prayers for all those struggling AND their families💙
So sorry for your loss may your brother rest in peace
Yes BP is known to be a genetic trait.
Prayers 🙏 for you & yours ♥️ I am so sad for your loss 😔
Youngest daughter took her life March 2020. After going over her struggles with her husband, she was def bpd. Hindsight is 20 20. At her younger years, behavior we thought was just teen behavior. But she was married for 4 years to a very quiet, under reactor, his own words, he thought my daughter, Meghan was an over reactor, she threatened him 3 times with suicide thoughts, she did not seek help, she was a registered dietitian and had her Masters in nutrition. She did not want to be on drugs. Anger was out of control. Her husband said she could not calm herself. She left 7 notes for her husband. She was 32, in great physical health, was a rock ice climber, again her husband said she kept trying to climb higher, never felt perfect. My baby girl, I really dont know If she could have been saved. She was not afraid of death and thought mistakenly that he would be better without her, she saw this has the only solution. We had no idea what was going on between them, we knew she was depressed, anger, wanted to leave her husband, she told us those feelings, but had no idea how extreme she was . She was abusive towards her husband. I'm so saddened. Omg, Dr.. Grande is basically describing my daughter. She was text book BPD.
🙏🙏🙏
I wish there was such a thing as UA-cam when I was in my 20s. Along with Doctor Grande and many others on UA-cam sharing their knowledge. It would have helped me self-reflect and become more successful in life. Thank you for sharing your knowledge Dr. Grande.
I wish there was UA-cam in my mother’s womb so I could have educated myself about parental narcissistic abuse. Beat that!
its never too late! you survived it, you know what was going on now, and thats what matters. from here you can grow, up and onwards
@@musicobsessive123 thank you Almighty wisdom for reinforcing my statement. I'm very well aware of that.
@@pmag3200 my apologies if i came off as patronizing, it wasn't my intent. i can relate to what you said and have felt a hopelessness "if i had only known". it hurts. i was attempting to reassure myself as well. sorry again, hope you have a nice night [day?]
@@musicobsessive123 thank you for clarifying and you have a great day too I hope you're way younger than I am but I do realize and still have some time to make changes but just to let you know I'm 53 there's not much more time going for me to make things right unless I win the lottery 😁 but you take care good luck
I was diagnosed with BP1 in 2001 and I must say... this is an extremely accurate description, as usual. Thanks for sharing, Doc!👍🏽👍🏽
How has said diagnosis altered your psyche and reality day-to-day?
@@NickNicometi I can tell you my experience. Being diagnosed with bipolar 2 with psychotic symptoms back in....2016? Or something like that lol. It turned my life upside down for a good 3 years, it was absolutely horrible and also did explain things for me. But I got worse for quite some time once diagnosed, I think just because I fell too hard into the diagnosis in a bad time. The more I associated myself with the diagnoses, the worse I felt. I was prescribed risperidone for it. I took that for 2 years after trialing a few other antipsychotics with no success. I've been off risperidone for a couple years now and feel much better but quitting the risperidone was also incredibly difficult.. I didn't know if I was going to be right again, and I don't think I have been. My memory has been affected in a very bad way. It has improved but during my time on risperidone, I had the memory of a goldfish. And I wish that was an exaggeration. It's not. It was debilitating.
Thank you for providing more clarity between borderline personality disorder and bipolar disorder. Your videos are a service to behavioral science professions.
I wish I could afford to be evaluated or whatever..I've got a few issues and no clue why I'm different...I started to see a behavioral person but then I lost my insurance and just don't go to the doctor anymore lol
I've read tons about Borderline Personality Disorder, and watched loads of videos where sufferers describe their experiences/feelings. Watching the videos I'm always shouting "that's me! that's me!" My psychiatrist dismissed the idea out of hand... saying that I had "too much insight". That it was it. No further questions from him. Maybe I shouldn't self-diagnose, but "too much insight" and no thought from him wasn't very satisfying.
Get a second opinion
Definitely get a second opinion
Hmm 🤔 it seems impossible to have too much insight. I do hope you find someone that values your insight and can use it as a means of helping you.
As someone diagnosed with BPD and PTSD, I find it highly invalidating and dismissing when a mh professional tells me not to self-diagnose if I talk about how I have non-overlapping symptoms "exclusive" to mild autism, ADHD and Bipolar. After the rejection sensitivity plays itself out, I get myself to seek another professional's opinion.
You have a psychiatrist who spends time talking with you? More than just , so how are you doing with your meds, feeling ok? Need refills? Ok call to make your next appt. Thats about all I get.
I was diagnosed with bipolar disorder over ten years ago. For various reasons, including the fact that I am fairly successfully medicated, I question that diagnosis. But the bipolar descriptions in this video are so accurate to me it was uncanny. Even the nasty aspects of my personality described right in front of me made me feel...seen?? This is the best way I've heard this explained.
Yeah, I felt the same
it's funny. i watch your channel religiously, and the more I learn …. the more people around me seem to exibit unusual tendicies ! I must be careful to understand we ALL have bits and pieces of personality disorders, and it must be the degree it manifests before thinking a problem is presenting. thank you so much for an interesting, well thought out channel.
Yes, my mother, a doctor, told me they teach that in medical school before anyone ever opens a textbook, especially psych. They call it the 'I have that' effect. Then 'You have that. She has this. You are schizoid.' etc. So the warning is essential.
The more I watch Dr Grande videos, the more I realize that I have symptoms of many disorders. The only one I absolutely know that I have is substance use disorder (alcoholism. I've been sober 31 years and learning about my personal psychology has really helped me)
100%
I really enjoy watching your content.
In 2012, I was 16 and diagnosed with Bipolar II. My struggle with the disorder has always been depression and not so much hypomania. In 2019 I was reevaluated again and I had an additional diagnosis of BPD co-occuring with PTSD. All of the symptoms for bipolar and borderline you described really resonated with how I feel all the time. These periodic mood swings coupled with the daily ones are very intense and difficult to live with.
After I started watching your channel last year I decided to get help beyond the medication I was taking and I did DBT. I didn't know what DBT was before I started watching this channel and I'm happy that I stumbled upon it so I can work on getting better now.
Thank you 😊
An absolutely well thought out book for you " the manufacture of madness"
I agree with other commenters that the "thoughts" version of these different disorders makes them easier to relate to. I watch These more than once. ☺
Thank you for all of these videos this week, Dr Grande. You've really outdone yourself. 🌹👍
Yes, I agree. I also found, with a family member's mental illness, I take note of a consistent behaviour and then hold it up to a known symptom and there have been times where that has really opened my eyes to what was obvious but I could not see that. That was my shortcoming since I was too close to the person literally.
I have BPD and everything you said was like a light bulb switching on and very accurately put. Thank you for making people aware and helping them to understand BPD better.
I've been diagnosed with both before... I will say that it took me a lot of years to get where I am now.. a much more calm and thoughtful person. I have to really practice self reflection and examine my motives. I learned to be quiet... to listen... to allow myself the feelings I get but move through them instead of stuffing them down. It's not always an easy thing but it's important to control ones emotions. Meditation, gratitude and compassion have helped so much.
This video had my head spinning and laughing! I have had CPTSD with bipolar tendancies (hypomanic not extreme mania) and I dated someone with BPD and this video totally described what was going on behind the scenes. I really appreciate how he descibes the difference in thinking. The person I was dating was always blaming everything on me while I was always relieved by the fact that it was an "open relationship" so I could just walk away and deal with my own feelings without feeling obligated to try and work things out with them. I am really amazed at how well he intellectualized the differences and explained it so well. Being in that situation it often felt like madness but the intensity of the connection kept us coming back until I knew very clearly it had to end. The intensity of projecting blame seems unavoidable with BPD and it builds over time whereas for me I was building less trust with each episode where I was being blamed for their feelings. Watching this video gave me a kind of comical animated view of that experience.
Agreed. What I find is the depression can push you so low, the mania is such a relief when it comes around that you just want to make the most of everything before those shitty lows come back.
I have BP2 and haven’t been tested as far as personality disorders or ADD go, but high traits from ADD, and Avoidant and Schizoid personality disorders.
I feel for your struggles. I’ve struggled at least 50 years(61 now)and there is so much more help now. I hope you have a support system. That’s been the worst for me not having any. My pets are my best support but I’ve been having physical problems due to RA and it’s making it harder to give them everything . We used to take walks and rides several times a week but I can’t manage them at this point.,I hope you have a better life. 👍🏻
As someone with both, I appreciate your analyses! My bpd only started to get managed after my therapist worked with me on behavior and DBT and comfort in cognitive dissonance. I didn't even realize I thought differently. She turned to me one day and asked why I get the privilege to be right all the time and why everyone else must be wrong. It really changed my way of thinking because sometimes with how I think, even if I'm 100% sure I'm correct which I often believe, I might be wrong. It's not only humbled me but slowed me down on irrational behavior. Not all the time mind you, definitely not perfect. Thanks Dr. Grande!
Great video. I have BPD traits and I used to date a guy with bipolar; this explained the differences in our thoughts and motivations very well. Thanks!
I just figured out I’m highly BPD. My wife can easily attest to this. Kind of a bitter sweet realization 🤔
On a lighter note, you sound absolutely 100% exactly like Edward Snowden. Well done👌🏻
Hi Dr. Grande- I have bipolar 2 with more mania than depressive episodes, and you hit the nail on the head as far as interpreting the thought patterns/meaning behind behaviors (at least in my own experience). My therapist mentioned the commonality between my situation and BPD and at the time it terrified me, but your distinctions make a lot of sense and help me distinguish my bipolar symptoms/traits. Thanks for your insights.
Thank you for those clarifications. They really do seem to meld together in so many ways.
This is extremely validating and I can’t thank you enough for posting it!
Excellent commentary as always Dr Grande! You’ve got a unique ability to explain things in an understandable, easy to visualize and digest way! Thanks for all you do!
I like that is non-judgmental as well. I love that.
This video was amazing. It really hit the nail on the head for me, as my diagnosis has fluctuated between BPD and bipolar for some time. Thank you.
Thanks again Dr. Grande for taking a complicated subject and breaking it down to be better understood. It helps me realize that some of the differences between BPD and BP can be motivation which is completely different but expressed in a similar way. Which is why it is important to have a patient and thorough professional to make a diagnosis.
Thank you for another truly informative video! There are times I think "maybe it's BPD and not bipolar that I have" and then videos like this clear that right up. Especially the part about impulsivity being a symptom of bipolar even when not in an active episode! PLEASE PLEASE consider doing a video on bipolar symptoms that are present even between major episodes, I can't seem to find any accurate answers to that no matter how hard I research! 🙏🏻 Thanks again!
Much deserved 1 million subscribers! From someone with bipolar who was suspected to have bpd- This was a phenomenal breakdown
Dr. Grande, this is undoubtedly the best video (and the channel) on UA-cam that explains such fine differences of the mentioned disorders. This is so helpful that it is, perhaps, even beyond your comprehension, Dr. Grande. I want to thank you for your devoted work and also to congratulate you on your half of million subscribers (not that long ago, maybe in February or March this year, there was 200 000 subscribers). So, keep up the good work. Kind regards from Austria and Croatia.
It was very helpful to hear the different thoughts between BPD and Bi-polar Disorder. Thank you.
Great video doctor G, With somebody that has a family member with bipolar You always break it out perfectly. I just finished watching. Unknown archives and his channel the last video he did. Was about family members with somebody with bipolar because he has it. It was a very enlightening and interesting video. If you have 35 minutes to watch. It's a very very good. I also love that you explained things in layman's terms And you don't talk down to us. You give us tools to handle family members, work situations I love it. This video is now one of many that I have put in my favorites. I hope you have a wonderful day.
Wow this is the first video of yours I've watched so far and all I can say is wow! My friend/roommate recently mentioned he thought I was not only bipolar (which I've been diagnosed) but also BPD. I thought no. But your video today had both and it astounded me how many traits I had for BPD! Ok, now my ears are open. I watch the whole video and have to admit I had focusing issues (I'm seriously starting to think I'm adhd after all these years) and tried to stay open minded and hell most of what you explained was me in a nutshell. I can't wait to watch all your videos. Thank you for making this one!
Thank you Dr. Grande. An excellent primer, and the best comparison of the two disorders that I have seen or read.
This is very informative. The” thoughts of “series really helps us to understand why they do what they do!!🙏
? it's pretty difficult to read about people who refer to folks with certain disorders as "they" or as "borderlines" or "bipolars.". Even though narcissism has a noun form, it still isn't a helpful generalization.
Your comment is very condescending
This was an amazing vid!! So very helpful + accurate. Grateful that I live in an era where I can get on something called UA-cam + learn about mental health issues. Both disorders were explained so clearly + simply. Much thanks + healthy mental health to all ✌💜
Virtual hug for the person who made this video. Thank you for caring enough to spend time teaching us
Dr. Grande, this is an excellent summary, and I thank you for sharing it.
I would like to note that I had an ovarian cyst that grew so big that I had to have it surgically removed and, of course, it significantly screwed up my hormones too. I was reading a biochemistry textbook, yes, a biochemistry textbook and found tears running down my face without the presence of sadness and completely without relevance to what I was reading in the textbook. I wasn't even distracted while reading. It's been many years now and so now I don't remember what I was reading in the biochemistry textbook in particular but it was one of the purely chemical parts of the book with no direct bearing on emotions or anything that would trigger me to cry for any particular reason. If anything, I felt absurd that I was inexplicably crying because all the tears made it more difficult to read and then I thought it also kind of creepy because I wasn't crying due to any emotion and there were many more tears than if something had simply gotten in my eyes. I haven't had anything weird like that happen since I had that ovarian cyst removed but I must say that was the weirdest crying experience I have ever had.
The second weirdest crying experience also happened as a result of the stupid ovarian cyst but it was earlier on. I was having my period and it was really painful both physically and emotionally. I happened to not have been able to get to the store to buy any chocolate and I was on the phone with my mom. We all laugh about it now but it was serious at the time. I actually broke down and sobbed to my mom because I didn't have any chocolate. She has her flaws just like I do (but in a few different ways), but bless her heart because she drove all the way to my apartment and bought a bunch of chocolate for me. I don't think any of us can count on anyone else all of the time and sometimes we are left completely alone when we are really in need but, every so often, someone comes along and helps us out, be it our relatives or someone we know or even a total stranger. Whenever we can, we should strive to be that person who comes along and helps.
Dr. Grande I love your videos so much, i send them to my boyfriend and he watches them on his own time because i was recently diagnosed with schizoaffective disorder bipolar type. i always have to watch your videos, Dr. Tracey Marks's videos, and anything else i can find so that i remain as little of a danger to myself as possible!!! also, i tell Grant to watch videos like these so that he can help me catch my head if he sees i am having trouble doing it on my own (im currently not on anti-psychotic medication despite very-much needing to --even though i don't want to be on them again :)--) ANYWAYS i just wanted to express gratitude for your youtube channel AND i think it would be fantastic if you and Dr. Tracey Marks started a Podcast.
Incredibly insightful video and very very helpful for building awareness for my own healing. I can not thank you enough for these videos - you are literally changing and improving lives with them. :)
I will need to listen to this one again and take notes. I heard a lot of behavior patterns in someone that has mental illness that resembled many of these criteria. I like how you laid it out in this video. I would like to hear a little about the NPD and the movement between mania and depression.
Thank you for doing this video Dr Grande, it highlights some differences in possible thought processes between the two and actually I hope people actually realise that these two disorders should not be lumped together or understood as basically one in the same stereotypically. I agree mainly because treatment is very different and so is the understanding necessary to help people with either condition get to a point of helping themselves manage the disorder or condition too.
I also think though it may be helpful for people to understand that general people shouldn’t really diagnose people (at all really) by what they say if they’re solely thinking or interpret that as if it relates to one of the ways for instance a person you describe on this video as “bpd” or “bipolar disordered” way might think.
There are many potential crossovers and overlaps with other disorders which could “sound” like a person thinks in a disordered way depending on the interpretation of what is said, or how it “sounds”.
For instance, things can look like or masquerade as something else. It is much more complex than just hearing what someone says ie if a person shares their thoughts and then the other person jumping to conclusions based on that.
I believe this video thought comparison would be very difficult to do if incorporating the full complexity of Bipolar episodes (and how people could potentially think differently in such, and also considering a persons “baseline” thought patterns which are separate from the episodic thoughts too), both psychotic and non psychotic as well as Mixed affective states I think it would be difficult to predict what is actually going on internally thought wise given it would be really difficult to guess how psychosis develops in one person from the next. Mixed affective states are notoriously difficult to diagnose and often can be interpreted as BPD even by experienced clinicians.
There are overlaps with Autism and bpd, bpd and bipolar mixed affective states, ptsd and bpd and many more. Some people may even have various comorbid disorders (or no disorders or conditions, just a different way of thinking and communicating) which could be interpreted as something different than what is actually going on and then end up misdiagnosed.
People should really be aware of that rather than just educating themselves on one or two conditions at a rather basic level and then thinking they have the knowledge to differentiate.
Also there are other things which should/could be considered such as Autism and other conditions which can affect what people say or how they communicate their thoughts and how that can be “generalised” by your standard person who has some but not a really thorough understanding of these different ways of thinking/thought processes or patterns.
If someone jumps to the conclusion that a person who says something and it sounds “Bpd” (unfortunately people do think this way even without being knowledgeable about a condition in a through way) when in fact they aren’t fully understanding the picture - that could be really damaging for the person being accused.
- There is notably an increase people now, in such times where the average person is learning about psychology etcetera via youtube and other platforms (or even the media), are accusing people of “gaslighting” them because they simply do not like the way they are treated or potentially they “think” they understand what the term actually means when in actuality they know about a tenth or less. People are just using these terms flippantly which can be quite damaging to a person who is accused of something which is neither true nor based from a clear understanding of such terms.
In the UK there has been some reports in the media of a certain celebrity accusing a member of a television series as having done just that to her and quite frankly its quite scary how often such terms are being used / thrown about.
It’s good that people are learning more about psychological conditions and that awareness is being brought to them, however, in someways, and depending on people and how they use this “new found knowledge” - if anything its not helping stigma and stereotypes, its actually perpetuating them because they now consider themselves qualified to diagnose people, or perceive any slight mis communications or perceptions of behaviour etc as pathological.
Thank you for making this excellent video. 👍🏽 I feel like you understand bipolar and bpd very well. And I was diagnosed with a mood disorder and am being successfully treated.
This is a great in depth and detailed video. Great job and thank you for the break down.
Thank you once more, Dr Grande. I'd like to see a video about the characteristics of a relationship between a borderline and a bipolar people.
OMG this is enlightening, I recall growing up with the mindset that emotions make sense and the reasoning derived from them was completely if not more valid than without. I really screwed the pooch thinking myself into this state I’m in now.
Here I am into the video less than half way and my impulsivity needs "off leash." Thank you so much. Your clear articulation helps so much. Ok. Back to listening. Thank you.
Hello Dr. Grande, I have been a subscriber for quite awhile, I just want to say thank you, for your educated explanations in an understandable way. Best wishes.
Great explanation of the two. I have watched multiple videos, researched and it never clicked. Now I understand completely upon your excellent explanation. Thank you.
I remain calm while being bipolar 1 by taking my medicine , going to a psychiatrist, and attending one-on-one therapy. And telling myself hitting people is now a felony. I also maintain a multi-tasking lifestyle, so I don't overthink stuff that I can't control. I try to also make sure goals are met before bed. I have to do it or I will go manic. Which never works because i don't finish my projects. Lol. However, the crying I wish I could one day, just _STOP_ but that has never stopped. Ever. I cried today because i bought so many things, only to realize I don't want to do that project that i thought was brilliant in my damn head! But I also start on something so random . Last week, I was going to make a doll house, and I ended up with 20 boxes from the store of different fairies. Must say I spent maybe 250? Now....I got a crap ton of tiny furniture and no spring or grass to go with it. Lmao. It's funny that I think about what I did. But hey, maybe one day, my manic mind will figure something out for them darn fairies and miniatures. Cuz, my job is never done. It's overtime, baby. And it gots all day and night, sometimes weeks of magnificent stuff that is brilliant!!! But the problem is....I got TO FINISH THE DAMN PROJECT! ONE DAY THOUGH! One day, I will! Or atleast I can tell myself that. 🤣 thats one thing I can count on religiously is that my brain is optimistic!! It tells me everyday I got this!!! But at the end of the day. It never disappoints for it to flip and say you got this tomorrow. Today was not your today. Lmao.
This was a drybar comedy rant. I know it’s not funny bc I’ve been in your shoes. It’s just so spot on. My baby box turtles use my tiny stuff as photo props. They should do a tik tok skit. 👍🏻
Hey Dr. Grande! I'm currently in the process of ending my marriage. As this process progressed, her suddenly strange behaviors and skeletons in the closet started coming out. Looking back, all the red flags were there. I find myself realizing the main reason for our divorce came down to me asserting boundaries over and over. I now realize that these attempts were ultimately viewed as rejection. My wife abruptly ended the marriage with a list of things that happened 6 years ago and presented no opportunity for dispute or compromise. She is ostensibly a completely different person now. Almost like her inner persona and outer persona have flipped. At first I wanted to blame myself, but the fact is that while I'm not perfect, the people closest to our relationship were able to convince me that I was a great partner and what's going on with my wife is really all about her. This allowed me to take a step back and reevaluate the relationship from the perspective of me knowing who I am and what I want out of life rather than seeking blame. I got into this relationship because she seemed to be on a good track. We got along great and my friends liked her. In fact, I met her through my friends. I've come to realize that my wife does not maintain long term relationships. When I first met her, I met her through her latest new friend group and so their perception of her was limited. I've learned that my wife is a chameleon with a long pattern of getting into longer term relationships with a guy who has it together and then spontaneously breaking up by cheating with a "fixer upper". She craves acceptance, especially from her family more than anything else and they ultimately let her down. Her mother is bipolar and frequently flies off the handle. Her behavior is the root of much of the toxicity in the family as her episodes are often extremely emotionally destructive events. My understanding is that growing up, my mother-in-law took her anger out on my wife for all kinds of reasons and berated her successes. This got me thinking about the rate of comorbidity between bipolar and BPD. Based on my experience with my wife and her family, I can see now how this phenomenon of bipolar and BPD would occur. My mother-in-law is terribly abusive when not properly medicated. I imagine her episodes would be an extremely damaging experience for a child. Everyone I have talked to from her past suspected she might be undiagnosed bipolar when they reflected on their experience. I would have to agree. I'm also finding myself realizing she has borderline traits that would subtly manifest throughout our relationship. It would be great to see a video exploring how bipolar and BPD could be linked.
Thank You! These types of videos are beyond helpful. Dr. G your channel has been a great help with repairing me. ✌
@Attie’s Mom hello , hope all is well ♥️💫🤗
Dr. Grande is so informative and inspirational! ❤️May God bless him.
Thank you Dr. Grande!! 👏🏻👏🏻👏🏻
Great job. Yes I can’t tell why I’m upset a lot of the time. At one time I applied to answer 911 calls. I could never do that calmly.
Incredibly helpful! Bravo, Dr. 👏👏
The impulsively section is spot on Dr. Especially in the mania phase. Psychotic thoughts are also very much a factor in the mania stage.
Also i also think in my head while talking to people that they want to fight with me physically and i see a whole scenario playing off. But the conversation is as normal as can come but in the back of my head I'm always thinking about how the fight will end out always planning what will cause the most damage to the person if this fight had to break out. It becomes worrying but I know its not real(all in my head) even when talking to old people.
I think that this must be part of the paranoia factor in being in the mania stage
Thank you Dr. Grande for this video. You are always so informative and this information is so helpful to many. Just want to say thank you so much for sharing your knowledge with all of us out here. Appreciate you so much.
Thank you so much for these videos.
Thank you, Dr. Grande. For your knowledge and videos
Incredibly easy to understand and extremely helpful. Thank you so much
As someone diagnosed with both, I think this is 100% accurate
God I’m a mix and match ( for many I have both ), maybe I should see a therapist....
@@jakerivera7226 me too, I'm currently getting diagnosed but they don't know what it is yet. I hope it's bipolar 2 though & not bpd
I'm finally going to talk to my pchologist. Spoke to him one but I hate I have to do it over the phone. It's irritating.
After watching this I think I have both😔
@@jlove5473 better for you to see a psychiatrist so everything will be clear and you'll have your meds
I recently got diagnosed with BPD and it's been one of the hardest roads I've been on.
Absolutely fascinating…sheds light on so many of life’s experiences
This was so incredibly helpful. Thank you!!
When I was initially diagnosed with bipolar (21yrs ago) there was significant gender bias with bpd. My psychiatrist assumed as bipolar I may have bpd. However after I was stabilised on meds she realised it was more complicated. Thankfully I was referred to a specialist who after much observation diagnosed me with a far more accurate ASPD. I showed no interest in rejection and lacked any emotional swings. Including my history it was clear I had no bpd traits. It was purely unmedicated Bipolar that mimicked certain bpd traits.
Antisocial personality disorder is still cluster b not JUST un medicated bipolar! Are you dense!?
@@joanbaczek2575 think you misunderstood.
Bipolar can mimic cluster Bs. So once bipolar is medicated and you stabilise, then an accurate assessment can be made on other disorders, like ASPD . Im bipolar WITH comorbid ASPD. Of course bipolar can be without Pds.
Doctor, the weather today is even crazier than I usually am! This isn't too easy to achieve, I would think. I sometimes think it's sad, that you don't work in a clinic. You would be the perfect one to sit at a patients bed. 🌹 Just tell me in case you want to work in a hospital, I'll try to be as sick as needed to get there. 😊
This was a good one. More useful - for me, anyway - than simply looking at behaviours. It’s closer to the root of things. I feel I can use it more. Thank you
I watch this guys videos alot and he just never stutters ever
I really appreciate this video. I'm a mental health professional and I also have a dx of bipolar disorder and I've noticed a lot of crossover and I'm very thought based when working with my patients and when working on myself, so this was extremely informative.
I have always tried to understand the symptoms and the effects on mood. Manias are when I try to slow down and realize things take time. This allows me to plan projects in steps allowing for mistakes, and time to communicate ideas to others. This allows me a springboard to understand others point of view. I can be bit of a passifist I hate arguing points because views change. I also tend to take things literally. I think a lot also.
Can you do this type of video, comparing thoughts of a vulnerable narcisst and a depressed person?
Outstanding video doc! Really enjoyed this topic! I am sucking in every word of your videos as the best learning available! I am really thrilled at what you have taught me
Can't tell you how much this helps me. My husband has multiple diagnosis and dealing with him while trying to help him cope is exhausting. I feel the more I learn, the more I can be a more supportive partner.
I have BPD. I also have rapid cycling Bipolar, Autism, ADHD, OCD and severe anxiety. So it is never easy to know why i feel or do things.
I also have ASD, ADHD, and severe anxiety and suspect I might have bipolar 2 as well.
i think im near also lol, ive became more aware of symptoms after a relationship with one girl..she told me i cant feel empathy..so probably im a psycho with bpd and bi polar..but i think she was a narcissist..so i think im loosing my mind..
Your like me lol
Stop talking about me Dr. Grande.☺️
Regardless, your videos always bring me a lot of self awareness. It does help.
I just wish there wasn’t so much stigma around mental health.
This was incredibly insightful, thank you.
Thank you ! I am on the verge of a breakthrough thanks to you.
Dr.Grande i love those videos about thoughts. Can you in the future make one on OCPD ?
Great video! 🖒
Great suggestion, Dave Jones. A video like that would be very helpful.
Yes please! 🙏🏻
Dave Jones what is OCPD?
@@PositiveMommaLife I assume Obsessive Compulsive Personality Disorder.
Also, while in mania I have put myself in some extremely dire situations to where I could have been hurt, kidnapped, or who knows what. I get to where I believe everyone I speak to is my friend. Once I was walking my dog & a couple were outside. I started talking to them & next thing I was in their house. I was extremely thirsty due to meds & it was summer. They had no electricity & no.runnong water. I asked for a glass or bottle of water & that's how I found out they didnt have any. They had a 2 year old in diapers still in that house. But they were my friends! So all was okay. They offered me drugs & I tried it. Got more energy & continued walking my dog. Once I went back home, around a week of "adventures" with strangers & some I know, I began to come to & realized that I left that baby in that house. I non stop cried for idk how long & laid in bed for days. Yeah...bipolar is something else. Later on I went to check on them at that house. No one was.there & I was told they moved. I hope that Lil girl is safe & cared for. I still carry guilt.
I really appreciate the effort and time you put into these videos that explore the nuances between easily confused pathologies. A lot of people make videos about mental disorders, but the insight you bring really adds to our understanding in a way the others don’t. I know it takes years to acquire this kind of specialized knowledge and making it easily consumed is a talent in and of itself.
Thank you Dr Grande. This is soooooooo very helpful.
I was diagnosed with bipolar II for two years, but I was in psych ward for 3 weeks and they diagnosed me with borderline p. disorder, but I think I’m bipolar and this video just confirm my thoughts. Especially with not-clear thinking, I was not vey good able to say how my mania look, I feel great high energy, I making plans on coloring my hair, get tattoo, great plans on studying (make 2 years in one year) etc.. It’s things that I plan (I know what tattoo I want, I want coloring my hair) but I get courage to do it while hypomanic. I writing but while hypomanic I want to write book in two months (I never wrote a book, but I can write A LOT materials in hypomania). I’m angry without reason and cry without reason. My hypomania end with anger and frustration. It’s like you have Porsche and you want to ride 300 km/h, but you losing fuel, but you want to go and get angry and frustrated because you can’t ride so fast anymore.
I was in relationship with BPD person and now I read a lot about BPD it was very common type of relationship with BPD patient. First she spoke to me like to only one person she can trust, person who can save her and never left her. Then she started being manipulative “I’m terrible and you will leave me!” then she started blame me for her feelings of emptiness and sent me photos of her bloody hands (she had problems with self-harm and anorexia) she idealised me and then was diappointed because I wasn’t like she want. Very short and intensive relationship. She didn’t knew her sexuality or if she like something or not. After my experience with her, I think I don’t have BPD.
I think I have problems with recall my thoughts in mania or depression. If I’m in mania I don’t “remember” how bad us depression and while in depression I don’t “remember” the bad things that happen in mania (anger, frustration, hurting people I like) just “MANIA IS SO GOOD” so while in psych ward I could not describe them my thoughts in hypomania exactly. I can see why they think I’m BPD, but I think they interpred what I told them in wrong way. But I would never gambling, I want to go out and drink dance, go to concert or I start doing something new (embroidery, painting, writing) and then drop it when I haven’t energy to do everything at one time - because in depression I feel so bad I can’t do everything that I want to did and feel so worthless. Two of my therapists I had think I have schizoid traits, I think it’s quite accurate. I have problems to concentrate while manic and problems to remember while depressed.
While in psych ward they said “You have to know reason for your feelings” and they didn’t accept “I don’t know” so I start to made up reasons that didn’t exist so they stop bothering me - big mistake.
They still giving me same meds and treatment after changing my diagnosis to BPD, because my antipsychotics and antidepressants work for me.
Sorry for my english.
I know this is a while later, but I wanted to say I have bipolar disorder. The hospital would diagnose me with BPD because I would get very angry when manic. Outside of the hospital the mental health professionals were very surprised I was diagnosed with BPD. I act borderline when I'm manic but not much otherwise. They have now removed the BPD diagnosis.
Maybe see how the mental health professionals observe you when you are not hospitalized to see if you really have BPD. I hope things are going well for you!
Thanks! 😊
Oh wow! Thank you for clarifying the bipolar. It’s helps me explain and understand.
Excellent question. Thank you for addressing it.
Thank you so much for this! It's really helped me understand the difference between these two conditions! :-)
Dr. Todd, thank you for your videos. I have a question I hope you get to answer. I feel that, in many videos, the outlook on things is from an observer's point of view, how can I assess myself -not to come up with an accurate analysis of my mental condition- but to notice myself when I'm behaving according to the influence of a condition, like bbd or bipolar. I think the patients might not be able to notice that they have a condition simply because they can't observe themselves. I appreciate any insight. Thank you
as someone with bipolar 2 , your hit everything on the head 💛🤙🏻 love this video
These systems run in my family .
Being careful of the friends I have makes a huge difference .
Just keeping myself in check .
Dr. Grande, thank you for this series. I was diagnosed with Type 2 bipolar seven years ago after a crisis. I'm in my late 60's now, through therapy with two wonderful psychiatrists it was discovered that I had been bipolar since early teens, and misdiagnosed all those years because I only went to the doctor when I was depressed. I wonder if you could speak to possible crossover between bipolar disorder and the autism spectrum?
Very useful video. I wonder if thinking that someone else is responsible for their feelings may make a person with BPD speak ill of the one they feel is the cause because they don't want to take responsibility for their own feelings.
Thank you for this, I have been doing research into D.I.D. And this really helped me understand the state of mind of the persecutor alter and why they change from their original role as protector. They seem to be so depressed and angry carrying all the trauma that that alter lashes out because I think they are so severely depressed or traumatized, like BPD or PTSD, the amount of trauma has made them so sick that the persecutor becomes almost bipolar or narcissistic or psychopathic, just it’s a pathological being so that explains the behaviour. It lashes out at the other alters and other ppl. It’s been an interesting journey studying this topic in person through experience with someone and through literature and other first hand accounts from patients and drs. I truly think it is severely under diagnosed and misunderstood and I plan or gathering peoples experiences and writing a book. During a period of high stress when the persecutor begins their attack on the host it presents as psychosis with command hallucinations to self harm and abusive voices berating the patient. The voices make it seem like psychosis to the majority of people and drs who don’t understand D.I.D. The persecutor alter may also have Bipolar and mood swings and need meds. But this patient mostly needs therapy and is usually misdiagnosed and medicated instead healed through therapy and working with the alters. It is interesting and I would love to know more about your firsthand knowledge with this topic or any research and ideas you have on it, here is a very informative and accurate article that I thank god I found because it explains so so so much. www.nurseslearning.com/courses/nrp/NRP-1618/Section%205/index.htm
This was a very good video. You really described the differences quite clearly.
Dr. Grande, could you please cover a topic of Xenoglossophobia (fear of a second language/ foreign language) in one of your videos, if you know anything about it?
Thank you for your wonderful videos!
This was really interesting. I need to listen again and take notes :) My teen daughter is struggling right now. Her therapist thinks she has borderline but says DD's too young for the dx, her psychiatrist is leaning bipolar, but taking her time with the dx as we seek better living through chemistry and therapy. I'm just confused :-/ (edited out TMI) Anyway, thanks so much for these videos. I really appreciate the fact-based, more detailed approach. I hope you've done a video on mixed episodes (off to search for that right now).
A LOT of people who are diagnosed with Bipolar at a younger age are later found to be misdiagnosed and end up with a BPD diagnosis. He does a great job of explaining this. Just a heads up, much like other Cluster B personality disorders, psychology...which is a loose science to begin with, uses models for age that are WAYYYY outdated. Her maturity level would be a big factor. While pwBPD are usually diagnosed in their early 20's or later, it's NOT as if there's a time clock. Schizophrenia, for example, is a disorder where oddly the people suffering from it are triggered and the same age. I'll put this here if you ever wanna print it out. It's just a summary. I know it's an old post, but I pray your daughter found a therapist she really likes and got the medication situation straitebed out and she's on the FastTrack to healing❤🙏
Both of these are very complex disorders. First, let's look at Borderline Personality Disorder:
What kind of behavior indicates borderline personality disorder? What makes a psychologist think that a person might suffer from BPD?
All persons with BPD are different and have a mix of different symptoms, but here are some symptoms of Borderline Personality Disorder:
• Unstable relationships (Swings between Idealization/devaluation of friends and partners. This is called “splitting” or black/white thinking. All good/all bad. No grayscales. Often a pattern of leaving/ghosting friends and intimate partners because of this).
• Chronic feelings of emptiness.
• Fear of abandonment/fear of rejection.
• Clingy behavior.
• Fear of intimacy.
• Sudden and often extreme mood swings.
• Anger issues.
• Impulsivity.
• People-pleasing behavior.
• A need for validation.
• Hypervigilance and suspiciousness and many other paranoid traits.
• Dissociation is quite common to many with BPD.
• Feelings of being misunderstood.
• Chronic feelings of boredom.
• Low self esteem.
• Shame/guilt issues. Often also Internalized.
• Often anxiety and depressive issues.
• Some have self harming and suicidal behaviors.
• Some have eating disorders and some have substance abuse.
• Some could be seen as both shy and outgoing, depending on the situation.
A person with Discouraged/”Quiet” BPD is much more difficult to see/diagnose for a psychiatrist. It could look more “on the surface” like Avoidant Personality Disorder or Vulnerable/covert NPD.
A person like this will turn some of the above traits and emotions inward instead and hide their true feelings. Some have given up romantic relationships and live alone/isolated. People pleasing is common. Often strong paranoid traits with hypervigilance, suspiciousness and jealousy feelings. Having hard time to forgive people (taking small things personally, “Thin skinned”). Inability or hard time to build and sustain connections with others. Strong intimacy issues. Very poor self esteem. They often appear to be “high functioning” but this is not always true. Generally, it is found that there is a link in heredity and also a link to trauma in early childhood development that may or may not be remembered by someone with BPD.
The most MISDIAGNOSED DISORDER IS BIPOLAR DISORDER. There are 2 types of Bipolar Disorder: Bipolar1 and Bipolar2.
All types of bipolar disorder are characterized by episodes of extreme mood. The highs are known as manic episodes. The lows are known as depressive episodes.
The main difference between bipolar 1 and bipolar 2 disorders lies in the severity of the manic episodes caused by each type.
A person with bipolar 1 will experience a full manic episode, while a person with bipolar 2 will experience only a hypomanic episode (a period that’s less severe than a full manic episode).
A person with bipolar 1 may or may not experience a major depressive episode, while a person with bipolar 2 will experience a major depressive episode.
What is bipolar 1 disorder?
You must have had at least one manic episode to be diagnosed with bipolar 1 disorder. A person with bipolar 1 disorder may or may not have a major depressive episode. The symptoms of a manic episode may be so severe that you require hospital care.
Manic episodes usually characterized by the following:
• exceptional energy
• restlessness
• feelings of euphoria (extreme happiness)
• risky behaviors
The symptoms of a manic episode tend to be so obvious and intrusive that there’s little doubt that something is wrong.
What is bipolar 2 disorder?
Bipolar 2 disorder involves a major depressive episode lasting at least two weeks and at least one hypomanic episode (a period that’s less severe than a full-blown manic episode). People with bipolar 2 typically don’t experience manic episodes intense enough to require hospitalization.
Bipolar 2 is sometimes misdiagnosed as depression, as depressive symptoms may be the major symptom at the time the person seeks medical attention. When there are no manic episodes to suggest bipolar disorder, the depressive symptoms become the focus.
What are the symptoms of bipolar disorder?
As mentioned above, bipolar 1 disorder causes mania and may cause depression, while bipolar 2 disorder causes hypomania and depression. Let’s learn more about what these symptoms mean.
Mania
A manic episode is more than just a feeling of elation, high energy, or being distracted. During a manic episode, the mania is so intense that it can interfere with your daily activities. It’s difficult to redirect someone in a manic episode toward a calmer, more reasonable state.
People who are in the manic phase of bipolar disorder can make some very irrational decisions, such as spending large amounts of money that they can’t afford to spend. They may also engage in high-risk behaviors, such as sexual indiscretions despite being in a committed relationship.
An episode can’t be officially deemed manic if it’s caused by outside influences such as alcohol, drugs, or another health condition.
Hypomania
A hypomanic episode is a period of mania that’s less severe than a full-blown manic episode. Though less severe than a manic episode, a hypomanic phase is still an event in which your behavior differs from your normal state. The differences will be extreme enough that people around you may notice that something is wrong.
Officially, a hypomanic episode isn’t considered hypomania if it’s influenced by drugs or alcohol.
Depression
Depressive symptoms in someone with bipolar disorder are like those of someone with clinical depression. They may include extended periods of sadness and hopelessness. You may also experience a loss of interest in people you once enjoyed spending time with and activities you used to like. Other symptoms include:
• tiredness
• irritability
• trouble concentrating
• changes in sleeping habits
• changes in eating habits
• Thoughts of suicide
What causes bipolar disorder?
Scientists don’t know what causes bipolar disorder. Abnormal physical characteristics of the brain or an imbalance in certain brain chemicals may be among the main causes.
As with many medical conditions, bipolar disorder tends to run in families. If you have a parent or sibling with bipolar disorder, your risk of developing it is higher. The search continues for the genes which may be responsible for bipolar disorder.
Researchers also believe that severe stress, drug or alcohol abuse, or severely upsetting experiences may trigger bipolar disorder. These experiences can include childhood abuse or the death of a loved one.
Very helpful. Presented in a different way.
we love you Dr Todd .You are always amazing .