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Aug 30, 2013, 10:17 PM
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Member Since: Mar 2013
Location: USA
Posts: 1,486
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Quote:
Originally Posted by Supanova
This is not true. I've self harmed since I was 12 and never had a diagnosis of BPD, I dont meet the criteria.
Im still having trouble understanding how so many people can have a multiple diagnosis of both BPD and BP, It seems extremely common on this forum. Of those that have BPD and BP have you had intensive supervision/mood monitoring to provide an accurate diagnosis? I wonder how many do have BPD and are misdiagnosed as bipolar as well since their pdocs can only make a diagnosis on what they are told. How many people are put on these potentially harmful drugs when it can be treated with behaviour therapy?
I just realised this could come across not as I intend it, I dont mean to say anyones diagnosis is wrong, I just honestly wonder how many are. And how many could be getting better treatment if they were accurately diagnosed.
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I see some people who are diagnosed both bipolar and bpd whose bipolar episodes fluctuate within a given day or day to day, etc. So, in this context, I also do not understand how such rapid fluctuations, with a diagnosis of BPD, could be attributed to bipolar. It tends to be termed 'rapid cycling' bipolar, but this only makes sense if rapid cycling meant cycling so quickly, which the vast majority of the time it is not.
I can't know what really goes on in people's lives or in their pdoc appointments, so I just don't know. I've considered the possibility that perhaps there are cases where someone has been diagnosed BPD *after* a previous bipolar diagnosis and it is assumed that it is additional rather than a re-diagnosis/instead of.
BPD and Bipolar 1 as co-morbid makes sense to me (personally). But BPD and super rapid cycling bipolar, that's tough for me to wrap my head around. Such rapid cycling bipolar is extremely unusual to being with, so if you put it together with a BPD diagnosis, it's hard to understand.
I have read in different places that some pdocs don't like diagnosing personality disorders -whether it's because of the stigma, the inability to do so accurately because of never getting to know the patient well enough, and/or because some insurance companies don't compensate doctors for personality disorders, whereas they do for bipolar. However, I think none of these are good reasons not to conduct a full and accurate evaluation -they're cop-outs and I think it's very irresponsible. I have no idea how prevalent this is, though.
A recent (the other day) PC article about BPD stated that it is often misdiagnosed as BP.
We never have anyone's 'full picture' and it's important to support each other. There's a great deal of diversity when it comes to bipolar, it's a tricky diagnosis, and everyone's experience is different. And, of course, co-morbidity does exist. I guess the issue is just how prevalent is the co-morbidity, how do they co-exist in different ways for different people. Some people do have a great deal of insight into the difference between their bpd episodes and bipolar episodes and I really admire this. It's not easy for any of us.
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