In fact, depressed patients often have the opposite problem—they feel only one emotion all the time. While living with BPD is like constantly riding a roller coaster of emotion and turmoil, depression is like living in a painting with only one color.
Although individuals with BPD at times do feel intensely depressed and down, this is just one of the many fluctuating emotions that dominate their life. Medication-based treatments for BPD typically utilize selective serotonin reuptake inhibitors SSRIs , a class of antidepressants that are also used to treat depression. However, depression is also treated with the numerous other classes of antidepressants such as serotonin-norepinephrine reuptake inhibitors SNRIs and tricyclic antidepressants, all of which are not preferred medications for treating BPD.
In fact, many antidepressants can cause mood swings as a side effect, which can amplify the flurry of emotions that you are already feeling due to BPD, highlighting the necessity of proper diagnosis and receiving the appropriate antidepressant medication.
Furthermore, people that suffer from anxiety along with their depression are typically treated with benzodiazepines such as Xanax, which can actually reduce inhibitions and increase impulsivity, exacerbating symptoms of BPD. The similarity between BPD symptoms and depression, as well as the possibility of other co-occurring mental disorders , makes misdiagnosis a reality for many.
Ask yourself if the treatment that you are receiving is really helping you take positive steps forward, or if you still feel stuck in the same pattern. Through residential treatment, you will have access to comprehensive diagnostic testing that will reveal the real root of your mental health issues that have been affecting your life.
With access to treatments such as Cognitive Behavioral Therapy CBT , Dialectical Behavioral Therapy DBT , and mindfulness , you will begin to cope with the fluctuating emotions that dominate your mind and restore balance to your life. Living with BPD can make you feel like you are constantly out of control, but with the proper coping skills and an understanding of how and why you feel the way that you do, you can take back control of your life and mend the relationships that you have lost.
Borderline Treatment at Bridges. Contact us to learn more about our renowned Los Angeles programs. Article type. Author's surname. First page. Issues by year. Article types. Research letters. Guidelines and statements. Narrative reviews. Ethics and law. Medical education. Supplement — Clinical Focus. Volume Issue 6 Suppl. Depression and borderline personality disorder. Josephine A Beatson and Sathya Rao. Med J Aust ; 6 : SS Topics Mental disorders. Summary Borderline personality disorder BPD is a serious mental illness characterised by dysregulation of emotions and impulses, an unstable sense of self, and difficulties in interpersonal relationships, often accompanied by suicidal and self-harming behaviour.
This is a republished version of an article previously published in MJA Open B orderline personality disorder BPD is a serious mental illness characterised by dysregulation of emotions and impulses, an unstable and inconsistent sense of self and of others in close relationships, and marked difficulties in interpersonal relationships, often accompanied by suicidal and self-harming behaviour. BPD is not a variant of affective disorder Given the prominent overlap of symptoms between BPD and affective disorders, it has been suggested that BPD is a variant of affective disorder — either depressive disorder or bipolar disorder.
Depressive symptoms in BPD in the absence of major depression Depressive symptoms that occur as part of BPD are usually transient and related to interpersonal stress eg, after an event arousing feelings of rejection. Polypharmacy and BPD There is increasing pressure worldwide to limit the use of medication for BPD because of its limited effectiveness and concerns about the obesity-related health problems that can occur, particularly with polypharmacy.
Prioritising psychosocial treatment for BPD co-occurring with MDD The principal treatment for BPD is psychosocial — that is, some form of psychotherapy, which may be combined with psychotropic medication aimed at specific symptoms. View this article on Wiley Online Library. Correspondence: jobeatson ozemail. Competing interests:. Axis I comorbidity of borderline personality disorder. Am J Psychiatry ; Depress Anxiety ; Borderline: an adjective in search of a noun.
J Clin Psychiatry ; Akiskal HS. The bipolar spectrum — the shaping of a new paradigm in psychiatry. Curr Psychiatry Rep ; 4: Gunderson J. Borderline personality disorder: a clinical guide.
Major depressive disorder and borderline personality disorder revisited: longitudinal interactions. Phenotype, endophenotype, and genotype comparisons between borderline personality disorder and major depressive disorder. J Pers Disord ; Galione J, Zimmerman M. A comparison of depressed patients with and without borderline personality disorder: implications for interpreting studies of the validity of the bipolar spectrum.
Beatson J. Borderline personality disorder: history of the borderline concept. Future studies could include those with BPD and no current depressive disorder compared to those with remitted depression to further investigate this possibility.
Moreover, the studies of mental pain need to move beyond self-report instruments and include laboratory [ 54 ] and psychobiological methods [ 55 ]. Ecological momentary assessment [ 56 ] can capture the immediate precipitants and contextual factors associated with mental pain. Our sample of healthy participants was not matched on sociodemographic variables, which may have contribute to a source of error variance even though the differences between samples on such demographics were statistically controlled.
Lastly, due to our limited sample size, we may not have had the power to detect the small to medium effect size differences between BPD and DD. A future replication study in a larger and more representative sample will be needed to further understand the construct of mental pain in various types of psychopathology. However, one aspect of mental pain that BPD exhibits that was unique was a perception of the self as worthlessness depreciated and an experience of rejection from others i.
The degree to which mental pain is specific to forms of psychopathology, or, behaviors such as suicide and NSSI is an important area of future investigation [ 28 , 57 ]. Diagnostic and statistical manual of mental disorders: DSM-5 Zimmerman M, Mattia JI.
Axis I diagnostic comorbidity and borderline personality disorder. Compr Psychiatry. The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder.
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New York: Basic Books; Janoff-Bulman R. Shattered assumptions: Toward a new psychology of trauma. Psychiatr Q. Silk KR. The quality of depression in borderline personality disorder and the diagnostic process. Your Privacy Rights. To change or withdraw your consent choices for VerywellMind. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page. These choices will be signaled globally to our partners and will not affect browsing data.
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