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Sep 12, 2013, 08:57 PM
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Member Since: Mar 2013
Location: USA
Posts: 1,486
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Quote:
Originally Posted by IndieVisible
appreciate everyone's 10 cents lol.
Certainly as I pointed in the beginning there are two other sticking points related to this issue. One the stigma that is associated with it as u pointed out, and more importantly imho is the insurance issue regarding this. But those are not the main reasons for this debate at all. I added them in because I do feel it is worth mentioning.
You are aware that before BPD came to be, they were simply a form of bipolar. Also in the present, about half of bipolars are said to be misdiagnosed as bpd, and about half of bpd are said to be misdiagnosed as bipolar. If PROFESSIONALS can not sort that out so easily, certainly it demonstrates how similar bpd is to a mood disorder. They are not confusing it with another personality disorder, but with a mood disorder  |
As I said, I think the apparent 'difficulty' in distinguishing between the two is less a product of their similarities than due to other issues: insurance, stigma, medications (they *are* generally more effective with those with bipolar) and people presenting themselves as bipolar (perhaps not consciously) when perhaps they are not, due to the stigma.
In brief, I do not think the misdiagnoses are primarily due to similarities between the two disorders --there are other things at play.
Additionally, there was a huge study done (out of a university in Rhode Island?) of hundreds of people diagnosed with bipolar, who were given very very thorough evaluations (far more extensive than most pdocs will do) and the majority, it turned out, were misdiagnosed (most actually had BPD). So, according to this study, if you do the evaluation right, if it's very thorough, it's not so hard to distinguish.
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