Guidelines for when BPD and depression occur at the same time

Many people with borderline personality disorder (BPD) also experience depression problems. In fact, it is very rare that BPD and depression do not occur at the same time.But what is unique about depression in BPD, and how will having both diseases affect your treatment options?

What is depression?

The word depression is not actually a specific diagnosis. Instead, the term refers to the experience of depression (blue or low) emotions. Depression is more important than normal sadness. There are many mental health conditions that may include components of depression, including mood disorders, schizoaffective disorder (a mental disorder that includes mood symptoms), and some personality disorders (such as BPD).

Individuals who have experienced one or more episodes of depression may be diagnosed with major depression or other diseases, depending on whether there are other symptoms.

For example, a person who experiences both depression and elevated mood (mania) may be diagnosed with bipolar disorder (a condition often confused with BPD).However, depression may also take other forms, such as dysthymia, which is characterized by chronic, low-level depression. Depression may also occur outside of these diagnostic categories, such as bereavement.

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BPD and depression: the scope of the problem

The comorbidity rate between borderline personality disorder (BPD) and depression is very high.This means that many people with BPD also experience depression.

A study found that approximately 96% of BPD patients meet the criteria for mood disorders. In this study, about 83% of BPD patients also met the criteria for major depression, and about 39% of BPD patients also met the criteria for dysthymic disorder.

Is there any difference in depression in BPD?

Many experts have noticed that patients with BPD often have different manifestations of depression compared with patients without BPD. In other words, the quality of depression seems to be different in BPD.For example, although depression is usually associated with sadness or guilt, depression in BPD is described as being associated with anger, a deep sense of shame (ie, feeling emotionally like a bad or evil person), loneliness, and emptiness .

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People with BPD often describe that they feel very bored, restless, and/or extremely lonely when they are depressed. In addition, depressive episodes in patients with BPD are usually triggered by the loss of interpersonal relationships (for example, relationship breakdown).

How does BPD affect depression treatment?

There is quite conclusive evidence that patients with both personality disorder and depression respond worse to treatment than patients without personality disorder. A meta-analysis of a study of the treatment outcomes of patients with both personality disorder (PD) and depression found that regardless of the type of treatment (i.e. medication or psychotherapy), people with PD respond better to treatment. Difference.

The good news is that research shows that if patients with both BPD and depression receive BPD treatment and see these symptoms improve, then the symptoms of depression seem to be reduced. This effect seems to work in only one direction (ie, treatment for depression alone does not seem to alleviate the symptoms of BPD in patients with these two diseases).

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Very good sentence

If you think you may have BPD and depression, discuss the best treatment with your mental health provider. Studies have shown that treatments for the symptoms of BPD may be the most effective in reducing the symptoms of these two diseases.