Clinical differences between bipolar disorder and borderline personality disorder: a case report.

Autor: Garza Guerra AJ; Departamento de Psiquiatría, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, México. Electronic address: alfredo.garza.g@outlook.com., Adame Rocha GH; Departamento de Psiquiatría, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, México., Rodríguez Lara FJ; Departamento de Psiquiatría, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, México.
Jazyk: English; Spanish; Castilian
Zdroj: Revista Colombiana de psiquiatria (English ed.) [Rev Colomb Psiquiatr (Engl Ed)] 2022 Oct-Dec; Vol. 51 (4), pp. 330-334. Date of Electronic Publication: 2022 Nov 25.
DOI: 10.1016/j.rcpeng.2020.12.007
Abstrakt: The clinical difference between bipolar disorder and borderline personality disorder has always been a diagnostic challenge, especially with type II bipolar disorder and subthreshold symptoms, opening a diagnostic bias with the consequent repercussions of inappropriate treatment. Both pathologies are often misdiagnosed initially. The objective of this article is to emphasise the main clinical differences between the two pathologies. We present the case of a patient with a long history of psychiatric symptoms that started in childhood, with considerable functional impairment, who met the criteria for both disorders, pointing to comorbidity. During follow-up, she responded favourably to psychotropic drugs, pushing the diagnosis towards the bipolar spectrum, due to the notable improvement. However, comorbidity should not be neglected due to its high presentation.
(Copyright © 2021 Asociación Colombiana de Psiquiatría. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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