Affective Bipolar Disorder and Borderline Personality Disorder - Comorbidity or Continuum

Authors

  • Berta Ferreira Serviço de Psiquiatria, Hospital Prof. Doutor Fernando Fonseca, EPE
  • Bárbara Lopes Serviço de Psiquiatria, Hospital Prof. Doutor Fernando Fonseca, EPE
  • Alexandra Lourenço Serviço de Psiquiatria, Hospital Prof. Doutor Fernando Fonseca, EPE
  • João Carlos Melo Serviço de Psiquiatria, Hospital Prof. Doutor Fernando Fonseca, EPE
  • Teresa Maia Serviço de Psiquiatria, Hospital Prof. Doutor Fernando Fonseca, EPE

DOI:

https://doi.org/10.25752/psi.6086

Keywords:

bipolar, borderline, personality, comorbidity, diagnostic

Abstract

The association between bipolar disorder and borderline personality has been studied by several researchers. Comorbidity has been emphasized by some authors which observe a prognostic impairment of bipolar disorder because the delay of the diagnostic. Symptoms related with alcohol and drugs abuse, suicidary behaviour and impulsivity, often present in borderline patients, make the treatment difficult. Other authors consider these symptoms as being part of the bipolar disease, proposing a continuum between the two entities. In this case, borderline personality would be a mild form of an affective disorder. We will discuss different opinions and their cli- nical and therapeutic consequences.

Published

2004-06-01

Issue

Section

Review Articles