Confusing Truth About Depression and Borderline Personality Disorder (BPD)
This is a complex issue, depression in those with BPD (borderline personality disorder). Depression is seen in 83% of those with BPD.
There is significant symptoms overlap between depressive symptoms and BPD:
• Sullen presentation mimics depressive symptoms
• Suicide risk and self-harm
• Affective instability = Intense episodic dysphoria; Frequent temper outbursts, agitation, irritability mimic agitated depression
• Feelings of emptiness
• Stress-related paranoia severe dissociative symptoms mimic depression with psychotic features.
Topics discussed are:
Depression BPD but not a depressive disorder
Is BPD an affective disorder?
What about early experiences?
What about Medication?
Medication or therapy?
Daniel J. Fox, Ph.D., is a licensed psychologist in Texas, international speaker, and award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 15 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence.
Emotions exercise – https://www.drdfox.com/worksheets
He has published several articles in these areas and is the author of:
The Borderline Personality Disorder Workbook: An Integrative Program to Understand and Manage Your BPD https://goo.gl/LQEgy1
Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders (IPBA Benjamin Franklin Gold Award Winner): https://goo.gl/BLRkFy
Narcissistic Personality Disorder Toolbox: 55 Practical Treatment Techniques for Clients, Their Parents & Their Children: https://www.amazon.com/Narcissistic-Personality-Disorder-Toolbox-Techniques/dp/1683731522/ref=sr_1_1?ie=UTF8&qid=1530470509&sr=8-1&keywords=fox+narcissistic
The Clinician’s Guide to Diagnosis and Treatment of Personality Disorders: https://goo.gl/ZAVe9v
Dr. Fox has been teaching and supervising students for over 15 years at various universities across the United States, some of which include West Virginia University, Texas A&M University, University of Houston, Sam Houston State University, and Florida State University. He is currently a staff psychologist in the federal prison system, Adjunct Assistant Professor at University of Houston, as well as maintaining a private practice that specializes in the assessment and treatment of individuals with complex psychopathology and personality disorders.
Dr. Fox has given numerous workshops and seminars on ethics and personality disorders, personality disorders and crime, treatment solutions for treating clients along the antisocial, borderline, narcissistic, and histrionic personality spectrum, emotional intelligence, managing mental health within the prison system, and others. Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along the antisocial, borderline, narcissistic, and histrionic personality spectrum (www.drdfox.com).
YouTube: https://www.youtube.com/c/DrDanielFox
Dr. Fox’s website: http://www.drdfox.com/
Facebook: https://www.facebook.com/appliedpsychservices/
Twitter: https://twitter.com/DrDanielJFox1
LinkedIn: https://www.linkedin.com/in/drdfox/
Instagram: https://www.instagram.com/drdfox
Amazon Author’s Page: amazon.com/author/drfox
Thank you for your attention and I hope you enjoy my videos and find them helpful and subscribe. I always welcome topic suggestions and comments.
Citations:
Gunderson J. Borderline personality disorder: a clinical guide. 2nd ed. Washington, DC: American Psychiatric Publishing, 2008.
Gunderson JG, Morey LC, Stout RL, et al. Major depressive disorder and borderline personality disorder revisited: longitudinal interactions. J Clin Psychiatry 2004; 65: 1049-1056.
Galione J, Zimmerman M. A comparison of depressed patients with and without borderline personality disorder: implications for interpreting studies of the validity of the bipolar spectrum. J Pers Disord 2010; 24: 763-772.
Klein DN, Schwartz JE. The relation between depressive symptoms and borderline personality disorder features over time in dysthymic disorder. J Pers Disord 2002; 16: 523-535.
Grilo CM, Stout RL, Markowitz JC, et al. Personality disorders predict relapse after remission from an episode of major depressive disorder: a 6-year prospective study. J Clin Psychiatry 2010; 71: 1629-1635.
00:00 Introduction
07:21 BPD and Depression
13:23 Early Life Experiences
14:56 Medication and Depression BPD
21:20 Therapy
36 Comments
Thank you for this. I have major depression and BPD and this really helped me understand myself more
Seen all of his videos years ago
Honestly just want to end it all.. I’ve been seeking help for 17 years now and therapists don’t help.. doctors only want to treat the co-morbidities and stigmatize the BPD. I’m done being judged and criticized for having a debilitating disorder. Obviously family doesn’t care otherwise I wouldn’t have abandonment issues.
As someone with bpd I always feel this anxious distress, this inability to speak my feelings, and a constant feeling of sadness and grief. It is tough to navigate. This video is a light in the middle of a dark sea to me. Very useful.
I feel like I’m going down a never ending rabbit hole at this point of trying to get better.
Thank your very much
Been strugling my whole life…. lately its worse
Playing guitar helps clear my mind. But when the fingers hurt and you gotta stop everything rolls back… im alone nobody to talk to. Not easy !
What about depression and sadness…. Yeah, exactly though.Can you make that video too 2:50
Brrrrr is right. All my life. No other way to describe it, but you nailed it🎉
I have trigger related depressive episodes. I stay in that phase for days, weeks and sometimes a whole month. However, my mood still changes throughout the day. My dr thinks it’s just major depression but I feel like I have BD2 with my bpd diagnosis.
I got my BPD diagnosis in 2016 and was 25. I Have C-PTSD and PMDD. I never really felt depressed. I would say in a perpetual stage of the grief cycle. When I am chatting in the PMDD support groups there is definitely an overlap between BPD and PMDD although not officially researched. Those of you who are female and tend to feel really horrific after like two weeks feeling everything is manageable is usually hormones. I am not a medical professional but I have seen many about this. Never underestimate how powerful hormones are. I found my destructive behaviour would flare significantly 2 weeks before a period. I remember at 25 getting the diagnosis it felt like a death sentence. MBT and meditation, some medications as well as lifestyle changes all helped me heal and at 33 I feel I can survive this after almost ten years thinking this illness would claim me. I am happy alone and don't seek things from a partner. I nurture myself so I can be strong and resilient for future flare ups. to all of you younger than me, around age 28 things significantly improve. you can beat this and heal
When my ex every time leaving me I was feeling so bad I eas yelling him and got agresiv
This makes me believe i have been misdiagnosed with bipolar 2, when I really have BPD. This sounds exactly like me.
I've always been pretty self-aware and able and attempting to try to explain WHY I reacted to this or that… I want my loved ones to truly UNDERSTAND me and to know HOW and WHY I got to the state that I did….
THEY don't effing care or bother to listen! That's MY biggest problem! They don't care to understand or listen and find out WHY or HOW I got to the place I did…they just wanna blame me and be pissed and remind me of how horrible I am.
Dr. Fox, I cannot thank you enough! You've been such a beacon, for YEARS, and I thank you so much! 🙏
I have PTSD, Clinical depression, chronic pain, generalise social anxiety and was born 3 months premature with Spinabifida and BPD.
How do I know if I have disassociave tendencies? How do I tell the difference? Also how do I find a decent shrink?
BPD has been a challenging journey but the therapeutic benefits of mushrooms and other psychedelics like DMT and LSD have also proven to be remarkable and transformative
Great video
That’s why antidepressants don’t work! It makes total sense! I’m so disappointed that all these years of my suffering no one has explained me this. The health system doesn’t let us dye in peace but also doesn’t help to get out of hell
HOLY S**T!!! This explains SO MUCH! At 17 I was diagnosed as bipolar and possibly secondary BPD, and put on Prozac. Because of my "anger issues" while on prozac, I was taken off that and put on some kind of sedative (I was literally told by my psychiatrist "you dont need an antidepressant, you need something to sedate you"). My mother eventually got them to take me off that, because she knew it wasnt right that i would just be sleeping all the time. 8 months later i was put on Lithium, but that didnt really help either, and eventually I just wasn't on anything or getting any treatment. Then at 35 I was again diagnosed as bipolar, and put on both a mood stabilizer and anti psychotic, but they didn't seem to be helping, even though they kept massively increasing my dosages on both. That combined with changes in my job situation, and thus doctors because of insurance, they just kept piling on the medications. I was on Lamictal, Seroquel, Lithium, Propranolol (because of tremors from the lithium) Resperidone, and Geodon, all at the same time, with a few other meds thrown in and taken out of the mix to try to "fix" me (Lexapro and Doxepin), and I felt WORSE, not better. I was constantly having major meltdowns over stupid stuff like ice cream. My doctor wouldnt listen to me, so eventually i decided to take myself off everything except the lamotrigine and seroquel (i did tell bith my psychologist and psychiatrist that i was going to do this, and had daily visits with them during the process, but it SUCKED big time. Eventually due to losing insurance I couldnt see anyone anymore, and couldnt afford those meds anymore, so I slowly weaned myself off them, with what I had left in my bottle. I also had taken up buddhist meditation on a whim, and actually felt MUCH better for years. But about 2 years ago, I started sliding downhill again. I did have a crisis situation in January, but luckily made it through the night, and decided I NEED HELP. So ive been trying to find a therapist (Im trying to avoid psychiatrists because i dont actually trust them anymore) but fall into the category of making too much money to get affordable care, but not enough to afford care, and while i do have insurance, i cannot afford the deductible i would have to pay before they start covering 80%. I finally got in to see a psychiatrist last week (only person i could get into that was willing to help with the fees) and he asked me if I had ever been diagnosed with BPD, because I had told him that i truly did not believe I had bipolar (was "cycling" way too quickly between moods, like DAILY), and I refuse to go on any medications. So I started looking into BPD, because of the "possible" diagnosis when I was 17, and the fact that this Dr seemed to think that is what it is. And as much as I wanted to reject the idea of having BPD, it just makes sense, all of my messed up pieces fit the puzzle. And now I see this video, and that even explains why the meds didn't work. Sadly, i still cannot afford therapy, so I bought a DBT workbook 2 days ago (the psychiatrist recommended dbt therapy to me), and I'm gonna give it a go on my own, until the day comes that I win the lottery jackpot and can afford an actual therapist.
Tank you for explaining so well, you can put words where i can't, i wish someone explained me things this way, is helpful and makes sense when i see my behavior/ emotions
I wish you could make a simple to understand video I can show my boss about BPD and how to provide supervision to someone with BPD in a manner that is helpful and doesn't focus on fault and blame and wrongdoing and actually supports professional success and development! She doesn't seem to get it and I'm struggling to describe it to her or what would help me rather than trigger me!
Wow wow wow. I’m further understanding myself.
This was really helpful. Now, can you do a piece on the differences in BPD in autistic versus allistic folks?
I watch these types of videos to better understand my parents and continue healing for their horrendous abuse. These videos help me to continue to realize it wasn’t me. It also helps me maintain my strict boundaries. May the survivors of people with this disorder continue to heal and find beauty in themselves. ❤
Thank you for this video, I feel it has helped me understand better, BPD is horrible, and it's not an easy subject to talk about, depression is recognised and accepted however. And treatable!!
Just got diagnosed at age 27 my dad puts me down daily tells me to go through killing myself etc etc and I do nothing wrong he knows I have suicidal thoughts alot it's hard and he's making everything worse . I'm about to give up 😢 I've told my doctors they don't care Noone does here I wish someone would actually help me and my issues. Also having those thoughts rightnow crying aswell. Sorry
6 years later, now that we've had several papers come out exposing.Exposing the harm caused by these drugs used to treat depression.That often caused a worsening of the state.Do you still stand by them Cause if you do , that's why a lot of people don't fucking trust you
I am literally physically sick from it.I have been to the hospital and called out of so many different jobs that I can't remember half of the amount of times.The suicidal ideation, especially after my only child passed away 3 years ago is insane.
Doctor I didn't have any stressors until I lived in a one room apartment with a fucking cat
I didnt know that in extreme stresses or depressions I'll have hallucinations colored to bpd amd was almost got diagnosed schizophrenic. Bu5 I'm aware what is and isn't real or extreme paranoia spikes.the DR also didn't know inwas bpd… so I always tell people to dr shop now.
I don't know if I have bpd. I do have some traits, but Idk if it's bpd or just past trauma..
I'm pissed off about the absolute shit that has been assigned to me in the life lottery.. the only lottery I've ever won is the dad lottery.
My trigger is this world.. All the misogyny and homophobia, mainly from religious ppl. And I can't do jack sh1t to make anything in this world better.. I feel tired, disappointed and helpless.
Man I know some people who could use this😊
Great video. Thank you!
I already lost hope
LOL. SOUNDS LIKE THIS GUY NEEDS TO HEAL MULTIGENERATIONAL GRAPE OR PDFFILE EXPLOITATION TRAUMA IN HIS GENETIC LINE. THIS IS NOT REAL ITS ECOLOGICAL ILLNESS FROM POLLUTION AND WIRLESS AND TRAUMA – CPTSD – BUT YOU DONT HAVE TO HEAL AND YOU CANT MAKE MONEY OFF A CURE CAN YA. I HATE QUACKS LIKE THIS.