Is BPD Really Just a Mood Disorder?

Recently, while engaging in a debate about Borderline Personality Disorder (BPD) with Nicholas Scott, it became clear that his understanding of the disorder was based on his vague claim that his spouse suffered from BPD. This assertion, however, came with no supporting evidence or knowledge of BPD's complexities. Nicholas responded by deleting my comment and blocking me. This reaction underscores the severity of misinformation and the real consequences of spreading incorrect information about mental health conditions.

Whereas I can proudly state that both my fiancé and I, holding two PhDs—one in cognitive psychology and another in social psychology—have a deep understanding of BPD. It is not merely a question of believing in something, but rather a matter of knowing the facts. BPD, defined as a disorder of an individual's basic personality, is not a simple mood disorder but represents a significant and complex condition that affects individuals in profound ways.

Personality Disorders vs. Mood Disorders

Personality Disorders are long-term patterns of behaviors and inner experiences that deviate markedly from the expectations of one's culture and prove troublesome and inflexible. BPD, classified as an Axis II disorder, is one such personality disorder. It is characterized by a pervasive pattern of instability in interpersonal relationships, self-image, and affects, and marked impulsivity.

Mood disorders, on the other hand, are considered Axis I disorders and are grouped under the Diagnostic and Statistical Manual of Mental Disorders (DSM). Examples include depression, bipolar disorder, and dysthymia. They generally manifest as persistent changes in mood that affect an individual's emotional state and daily functioning.

Attachment Disorder

BPD is often rooted in attachment disorders. People with BPD often have a troubled history of attachment, leading to difficulties in forming stable and meaningful relationships. The development of BPD is influenced by a combination of genetic and environmental factors. The psychological consequences of attachment disruptions can be profound, leading to a sense of insecurity, inability to regulate emotions, and fear of abandonment.

The emotional and psychological experience of BPD is not solely characterized by mood swings. Other symptoms that are often associated with the disorder include:

Intense fear of abandonment Irritability and angry outbursts Impulsivity in at least two areas (e.g., spending, sex, reckless driving) Cognitive distortions Self-harm or suicidal behaviors

The presence of these symptoms indicates that BPD is a far more complex and multifaceted condition than a mere mood disorder. It is a pervasive and enduring pattern of behavior that significantly influences how a person interacts with the world and themselves.

Conclusion

The correct understanding and diagnosis of BPD are crucial for effective treatment and management. Spreading misinformation or dismissing the complexity of BPD can have serious consequences for individuals and families struggling with this disorder. It is essential that those in the mental health community, as well as the general public, are well-informed to avoid such pitfalls. As those with professional knowledge, we have a responsibility to ensure that accurate information is disseminated to those in need.