Psychiatry Portal: Noon Conference

Bipolar vs Borderline (10/6)

Noon Conference: October 6, 2020

Today we discussed a patient who presented with a history of BPD and new symptoms concerning for Bipolar II. The group discussed indications for Lithium, and touched on differences between the two diagnoses. 

Today's Post-Conference Reading articles:

1. Sanches M. The Limits between Bipolar Disorder and Borderline Personality Disorder: A Review of the Evidence. Diseases. 2019 Jul 5;7(3):49. doi: 10.3390/diseases7030049. PMID: 31284435; PMCID: PMC6787615.
2. Fowler JC, Madan A, Allen JG, Oldham JM, Frueh BC. Differentiating bipolar disorder from borderline personality disorder: Diagnostic accuracy of the difficulty in emotion regulation scale and personality inventory for DSM-5. J Affect Disord. 2019 Feb 15;245:856-860. doi: 10.1016/j.jad.2018.11.079. Epub 2018 Nov 13. PMID: 30699870
3. Bayes AJ, Parker GB. Cognitive and Behavioral Differentiation of Those With Borderline Personality Disorder and Bipolar Disorder. J Nerv Ment Dis. 2019 Aug;207(8):620-625. doi: 10.1097/NMD.0000000000001024. PMID: 31283725
4. Zimmerman M, Morgan TA. The relationship between borderline personality disorder and bipolar disorder. Dialogues Clin Neurosci. 2013 Jun;15(2):155-69. PMID: 24174890; PMCID: PMC3811087

Additional Suggested Readings & Collections:

1. Bipolar vs Borderline
2. Barjasteh-Askari F, Davoudi M, Amini H, Ghorbani M, Yaseri M, Yunesian M, Mahvi AH, Lester D. Relationship between suicide mortality and lithium in drinking water: A systematic review and meta-analysis. J Affect Disord. 2020 Mar 1;264:234-241. doi: 10.1016/j.jad.2019.12.027. Epub 2019 Dec 19. PMID: 32056756