Case: 36 years old physician is admitted to ICU with a suicide attempt after failing "maintenance of certification' (MOC) exam. If diagnosed with a mental health disorder, which diagnosis is most likely? (select one)
A) Borderline Personality Disorder (BPD)
B) Bipolar disorder (BD)
Answer: A
It is hard to distinguish between BPD and bipolar disorders. The two major diagnostic features which contrast each other are:
1. Mood syndromes in BPD are usually triggered by environmental stress, mostly perceived as rejection or failure. In contrast, mood syndromes in bipolar disorder are less connected to events.
2. The depressive part of bipolar disorder lasts way longer than BPD.
#psychiatry
Reference:
Paris J, Black DW. Borderline personality disorder and bipolar disorder: what is the difference and why does it matter? J Nerv Ment Dis. 2015 Jan;203(1):3-7. doi: 10.1097/NMD.0000000000000225. PMID: 25536097.
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