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Bipolar Disorder or Borderline Personality Disorder?


Formerly referred to as bipolar disorder, manic depression is characterized by wide swings in mood and energy state. Periods of extremely high energy, euphoria, and feelings of grandiosity are some of the symptoms of mania. In contrast, extreme sadness, low energy, and hopelessness indicate the depressive cycle of this disorder. During a manic phase, the person may engage in risky and impulsive behavior. Thoughts become in no time paced, and therefore the need for sleep is significantly reduced. During the depressive phase, an individual with manic depression feels extremely tired, sad, and hopeless. Many patients who have manic depression are misdiagnosed with depressive disorder.

Symptoms of bipolar disorder:

Manic depression is known for alternating periods of depression and mania, which will last from days to months. During a manic, hypomanic, or depressed episode with “mixed features,” symptoms of depression and mania happen at an equivalent time.

During times of mania, symptoms might include:

  • An excessively happy or angry, irritated mood

  • More physical and psychic energy and activity than normal

  • Racing thoughts and concepts

  • Talking more and faster

  • Making big plans

  • Risk-taking

  • Impulsiveness (substance abuse, sex, spending, etc.)

  • Less sleep, but no feeling of being tired

During periods of depression, symptoms might include:

  • Drop-in energy

  • Lasting sadness

  • Less activity and energy

  • Restlessness and irritability

  • Problems concentrating and making decisions

  • Worry and anxiety

  • No interest in favorite activities

  • Feelings of guilt and hopelessness; suicidal thoughts

  • Change in appetite or sleep patterns

Treatment options for bipolar disorder: