Differential Diagnosis of Borderline Personality Disorder

Psychiatr Clin North Am. 2018 Dec;41(4):575-582. doi: 10.1016/j.psc.2018.07.001. Epub 2018 Oct 16.

Abstract

Borderline personality disorder (BPD) has a wide range of symptoms and clinical features that overlap with other diagnostic categories. Diagnosis is important because different disorders respond to different forms of treatment. Differential diagnosis is particularly relevant for distinguishing BPD from bipolar spectrum disorders, requiring a careful evaluation of affective instability and hypomania. BPD may also be confused with major depression, schizophrenia, attention-deficit/hyperactivity disorder, and posttraumatic stress disorder.

Keywords: Affective instability; Attention-deficit/hyperactivity disorder; Bipolar disorders; Borderline personality disorder; Major depression; Personality disorders; Posttraumatic stress disorder; Schizophrenia.

Publication types

  • Review

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / diagnosis
  • Borderline Personality Disorder / diagnosis*
  • Borderline Personality Disorder / therapy
  • Depressive Disorder, Major / diagnosis*
  • Diagnosis, Differential*
  • Humans
  • Stress Disorders, Post-Traumatic / diagnosis