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Borderline personality disorder overdiagnosed

Why Borderline Personality Disorder is Misdiagnosed OCT. 03, 2017 By Alan E. Fruzzetti, Ph.D. Living with Borderline Personality Disorder (BPD) is difficult for many reasons, including unstable relationships, emotional reactivity and dysregulation, impulsivity, and other challenging features From: NIMH - Borderline Personality Disorder Even with other mental disorders, most people I know with more chronic and severe mental illness have multiple comorbid disorders. It's a spectrum, and a lot of symptoms tend to overlap so disorders tend to overlap together as well Bipolar disorder (BD) is considered one of the most disabling mental conditions, with high rates of morbidity, disability, and premature death from suicide. Although BD is often misdiagnosed as major depressive disorder, some attention has recently been drawn to the possibility that BD could be overdiagnosed in some settings Abstract Both borderline personality disorder (BPD) and bipolar disorder are considered clinically severe, chronic conditions associated with high functional impairment and public health costs. These disorders also share clinical features, most predominantly mood fluctuations and impulsivity across several areas

BPD is the most vague personality disorder of all by far. It's hard to even understand what it is, it's so vague. It's like anybody who is very messed up, they can say that person has BPD. I'm not sure BPD is a real disorder. Maybe it's just something that lazy or incompetent psychologists call everyone who has personality problems Research shows that BPD symptoms decrease in severity over time. However, a subset of patients with BPD continue to meet criteria for the disorder in older adulthood. Little is known about this subset. Perception of BPD as a young-person's diagnosis could lead to under recognition in older patients I think bipolar disorder is vastly over-diagnosed, especially in children and adolescents. Just because an adolescent is moody and has some unstable relationships does not make them bipolar. Just because a patient has treatment resistant depression does not automatically make them bipolar

Why Borderline Personality Disorder is Misdiagnosed NAMI

Borderline Personality Disorder is a complicated psychiatric disorder, and is often misdiagnosed. While there's no national data available to show how often the disorder is mistaken for another psychiatric disorder, there's at least one study that shows how often it's misdiagnosed as Bipolar Disorder The emotional symptoms of BPD are the cornerstone of the disorder. In fact, the new name for the condition is Emotionally Unstable Personality Disorder! So if you have undiagnosed ADHD and find that you suffer from persistent sadness, a mood disorder, and anxiety linked to your emotional hypersensitivity, a BPD diagnosis makes sense

Is BPD overdiagnosed?, Borderline Personality Disorde

Borderline personality disorder (BPD) is among the most frequently encountered yet undertreated conditions in clinical mental health settings (1-3).BPD may have a profoundly negative impact on the psychosocial and occupational functioning of persons with the disorder (2,4) and may severely burden family members and health systems (5,6).Despite the disorder's substantial public health. Borderline personality disorder (BPD) is a type of mental health condition that's known for fluctuations in mood and behaviors. People with BPD may also struggle with relationships as well as. Borderline personality disorder Borderline personality disorder is a serious mental health condition characterized by an ongoing pattern of varying moods, self-image and behavior that causes significant difficulties in day-to-day functioning. And it's another one that gets missed pretty frequently, though how often is unclear Zimmerman concludes, Because evidence continues to emerge establishing the efficacy of certain forms of psychotherapy for borderline personality disorder, over-diagnosing bipolar disorder in.. Sexual Minorities Over-Diagnosed with Borderline Personality Disorder Study finds that sexual minority individuals are more likely to be diagnosed with borderline personality disorder with conventional diagnostic methods

Overdiagnosis of Bipolar Disorder: A Critical Analysis of

About 20% of those with borderline personality disorder have been found to have bipolar disorder as well. 3  Finally, other patients with BPD go undiagnosed because they refuse to seek treatment. Whether they feel they don't need help or that counseling will be useless, many people go without therapy and struggle with BPD on their own Borderline Personality Disorder is often both overdiagnosed (sometimes by practitioners who don't like their patient) and underdiagnosed (sometimes by clinicians who don't believe in the. Forums Index > Mental Health Support > Personality Place > Borderline Personality Disorder Is BPD overdiagnosed? Reply: Page 2 of 2 < 1: 2 Thread Tools: Display Modes: 06-25-2013, 12:24 PM #11: Anonymous12111009 Guest. Anonymous12111009 has no updates. Edit . Posts: n/a Re: Is BPD overdiagnosed? Quote: Originally Posted by shortandcute. 11 National Collaborating Centre for Mental Health: Borderline Personality Disorder: Treatment and Management. London, National Institute for Health and Care Excellence, 2009 Google Scholar. 12 Gunderson JG, Stout RL, Shea MT, et al.: Interactions of borderline personality disorder and mood disorders over 10 years A recent article published in the journal Assessment explores the differences in the frequency of diagnosis of borderline personality disorder (BPD) based on sexual orientation.Sexual minority individuals are diagnosed with BPD at a higher rate, and the researchers question how the diagnostic criteria exacerbate bias and discrimination

WEDNESDAY, May 7 (HealthDay News) — Bipolar disorder may be overdiagnosed, say researchers at Rhode Island Hospital and Brown University. They found that fewer than half of patients previously diagnosed with bipolar disorder were assessed using a comprehensive psychiatric diagnostic interview — the Structured Clinical Interview for DSM-IV (SCID).. The depression is at times more closely related to chronic self-criticism and a feeling of intrinsic badness than in MDD without BPD. 5. It is associated with chronic self destructive. Borderline Personality Disorder (BPD) is currently conceptualized as an intense instability in mood, affect, and relationships. Named for the borderline between psychosis and neurosis, distinguishing traits of BPD include disturbances in self-image and chronic feelings of emptiness (Paris 2007; American Psychiatric Association 2013)

Personality Disorder (PD) is defined by the World Health Organisation as a severe disturbance in the characterological condition and behavioural tendencies of the individual, usually involving several areas of the personality, and nearly always associated with considerable personal and social disruption[].The nature, diagnosis and categorisation of PD has been widely deliberated among mental. Dr. Strakowski: Although certainly there are interface difficulties in adults with mania and with intermittent explosive disorder, as well as other personality (eg, borderline personality disorder. Aug. 28, 2019 — The study analyzed data from studies across eight different psychiatric disorders, including major depressive disorder, bipolar disorder, borderline personality disorder.

Bipolar disorder is sometimes underdiagnosed, but studies show it's more common for someone to get diagnosed with bipolar disorder when they do not have it. Some of the ups and downs of bipolar disorder mimic those present in borderline personality disorder (BPD), which contributes to rates of misdiagnosis Medication Management for Patients With Borderline Personality Disorder John G. Gunderson, M.D., Lois W. Choi-Kain, M.D., M.Ed. For 5 years now, we have been teaching clinicians that lamotrigine is a useful drug for patients with borderline personality disorder, based on evidence from two very small studies(1,2).Lamotrigineseemedtous.

Think about your deepest convictions; The sky is blue. Grass is green. Gravity pushes you down. Sugar is sweet. These are probably physical realities you subconsciously hold as established. Proven. Settled. For example, try as I may, I bet that I. Hannah Belcher, who was diagnosed with Asperger's Syndrome at 23, shares her experience: Throughout my life, I've been diagnosed with anxiety, depression, bipolar, traits of borderline. which personality disorder is overdiagnosed? Borderline personality disorder. Liz is uncertain about her goals, values, loyalties, career, and friends. Sometimes she is not even certain if she is heterosexual or a lesbian. She feels bored, empty, and is terrified of being alone. She clings desperately to her friends because of her fear of. borderline personality disorder. part of the dramatic group. dramatic group includes. borderline, antisocial, histrionics, and narcissistics all personality disorders usually _____ over time from a change in hormones or a change in their mindset. sloppily and overdiagnosed. ADHD is _____ Diagnosed and _____ 7

Borderline Personality Disorder (BPD) is a misunderstood and misrepresented mental enigma that really doesn't have the floor as much as it should. Common misconceptions are as follows: 1.) BPD is rare. It's not. It has been diagnosed in one person out of every 50. I believe it's more than that, but until we take the scary out of mental. Differential diagnosis between bipolar disorder (BD) and borderline personality disorder (BPD) is often challenging due to some overlap in symptoms and comorbidity of disorders. We investigated correlations in self-reported symptoms of BD and BPD in screening questionnaires at the levels of both total scores and individual items and explored. Did Versus Borderline Personality Disorder. In 1993, Lauer, Black, and Keen12 concluded that DID was an epiphenomenon of borderline personality disorder, finding few differences in symptoms between the two diagnoses. They described, rather, a syndrome of symptoms that occurs in persons with disturbed personalities, particularly borderline personality disorder

Borderline Personality Disorder Symptoms: Could You Have

Borderline personality disorder, a condition characterized by volatile and intense interpersonal relationships, impulsive and reckless behaviors, fears that the person will be abandoned by loved-ones and efforts to prevent that, suicidal feelings, and — pay attention to this — highly changeable moods, has the potential to be misdiagnosed as. For borderline personality disorder, the prognosis is not as good: responding to a medication so well that symptoms disappear completely, which is frequent in bipolar disorder (at least one person in 4 gets that kind of response; and only about 1 in 5 shows no improvement, with the rest of the group in the middle somewhere)

Is Borderline Personality Disorder Underdiagnosed and

  1. Looking at these results another way, nearly 40 percent (20 of 52) of patients diagnosed with DSM-IV borderline personality disorder had been over-diagnosed with bipolar disorder
  2. WEDNESDAY, May 7 (HealthDay News) — Bipolar disorder may be overdiagnosed, say researchers at Rhode Island Hospital and Brown University. They found that fewer than half of patients previously diagnosed with bipolar disorder were assessed using a comprehensive psychiatric diagnostic interview — the Structured Clinical Interview for DSM-IV (SCID)..
  3. Borderline Personality Disorder Mark Zimmerman, MD Director of Outpatient Psychiatry Director of the Partial Hospital Program • Development of screening scales Is Bipolar Disorder Overdiagnosed? Bipolar Disorder Overdiagnosis in Patients with Substance Abuse SCID = Structured Clinical Interview for DSM-IV
  4. Borderline personality disorder (BPD) often onsets during adolescence and contributes to 'adaptive failure' in the areas of school, work, and relationships, and subsequent psychosocial debilitation [1,2].Early intervention for BPD is crucial because early onset predicts more severe course, and intervention 'late' in the course of the disorder is associated with more negative outcomes.

Is BPD overdiagnosed by incompetent psychologists

  1. Yes. It is a fundamental fact that many diagnoses of bipolar (sometimes presently or formerly called manic depression) violate or seriously fail to meet the criteria of the diagnostic guidelines in official documents like the DSM and ICD. By v..
  2. Borderline personality, bipolar disorders have similar unemployment rates. Unemployment poses a significant burden on the public no matter what the cause. But for those who have been diagnosed.
  3. The demographic characteristics of the depressed patients who had been previously diagnosed with bipolar disorder did not differ from the depressed patients who had not been previously diagnosed with bipolar disorder ().Patients in the overdiagnosed bipolar group were diagnosed with significantly more lifetime Axis I disorders (5.8 ± 3.1 vs 4.4 ± 2.7, t = 2.9, P = .003) and were.
  4. In my (more limited experience than you) when I have a patient who is endorsing a whole range of symptoms related to MDD, GAD, PSTD, more often than not there is a personality disorder at play. It's anecdotal of course, but these patients are often resistant to a personality disorder diagnosis and may even downplay symptoms of BPD
  5. Borderline personality disorder (BPD) is a type of personality disorder. You might be diagnosed with a personality disorder if you have difficulties with how you think and feel about yourself and other people, and are having problems in your life as a result
  6. 40% of patients with borderline personality disorder mistakenly diagnosed with BD: Zimmerman et al. (2010) Outpatients SCID: Patients overdiagnosed with BD were significantly more likely to receive disability payments: Chilakamarri et al. (2011) Child outpatients DSM-IV criteri

Borderline personality disorder. This condition makes it hard to control your emotions. You may have intense bouts of anger, depression, and anxiety that stick around for hours or days. Borderline. The diagnosis of borderline personality disorder is a categorical one made if five or more of nine possible personality traits are present, 16 however, many authors have noted that a categorical system may not be optimal for diagnosing personality disorder. 17 Personality pathology can also be characterised dimensionally as a continuum, and the. Bipolar disorder is often overdiagnosed, Another factor has to do with bipolar disorder sharing some symptoms with other illnesses, such as borderline personality disorder,. BD was also underdiagnosed in some patients. Three times as many patients had been overdiagnosed as had been underdiagnosed (82 vs. 27, as reported by author). In a follow-up study, the same group found that nearly 40% of the patients diagnosed with DSM-IV borderline personality disorder had been overdiagnosed with BD (Zimmerman, 2010) Histrionic personality disorder (HPD) is defined by the American Psychiatric Association as a personality disorder characterized by a pattern of excessive attention-seeking behaviors, usually beginning in early childhood, including inappropriate seduction and an excessive desire for approval. People diagnosed with the disorder are said to be lively, dramatic, vivacious, enthusiastic, and.

The Similarity of Symptoms in DID and Other Disorders. One of the difficulties in properly diagnosing DID is the similarity of DID symptoms with symptoms of other psychological disorders. Those with DID can show signs of anxiety, depression, substance abuse, borderline personality disorder, eating disorders, and/or mood disorders. Therefore, it. Gunderson JG, Weinberg I, Daversa MT, et al. Descriptive and longitudinal observations on the relationship of borderline personality disorder and bipolar disorder. Am J Psychiatry. 2006;163(7):1173-1178. 11. Paris J, Gunderson J, Weinberg I. The interface between borderline personality disorder and bipolar spectrum disorders A diagnostic chameleon. Mixed features can look like anxiety, ADHD, borderline personality disorder, or depression with an agitated edge. The Table contrasts the features of hypomania as they appear in mixed and pure forms. Unlike euphoric hypomania, mixed symptoms are not pleasurable, and the interview needs to be adjusted to capture that Dissociative identity disorder (DID) is defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as an identity disruption indicated by the presence of two or more distinct personality states (experienced as possession in some cultures), with discontinuity in sense of self and agency, and with variations in affect, behavior, consciousness, memory.

Borderline Personality Disorder Awareness Month | Tumblr

Borderline personality disorder (BPD) is a common comorbidity in depressed patients that is also underdiagnosed. 11 that is at least as frequent as the problem with underdiagnosis. 45 BPD was frequently diagnosed in patients who were overdiagnosed with bipolar disorder. 46 Some authors have been critical of our assertions about the. Bipolar Disorder Is Overdiagnosed And Underdiagnosed. of bipolar disorder might be influencing clinicians who are unsure whether or not a patient has bipolar disorder or borderline personality disorder to err on the side of diagnosing the disorder that is medication responsive. He continues, This bias is reinforced by the marketing.

Borderline Personality Disorder: mental health with KatiBorderline Personality Disorder (BPD) PowerPoint TemplateBorderline Personality Disorder ¦ Treatment and Symptoms

Zimmerman concludes, Because evidence continues to emerge establishing the efficacy of certain forms of psychotherapy for borderline personality disorder, over-diagnosing bipolar disorder in. found that the patients overdiagnosed with bipolar disorder were 4 times more likely to be diagnosed with borderline personality disorder compared to patients who were not diagnosed with bipolar disorder.30 In summary, bipolar disorder and borderline personality disorder share some clinical features, individuals with bor

New, and Larry J. Siever 3. Borderline Personality Disorder, Atypical Depression, and Cyclothymia: Diagnostic Distinctions Crossing Mood and Personality Disorders Borders Lois W. Choi-Kain and Ana M. Rodriguez-Villa 4. Is Borderline Personality Disorder Underdiagnosed, and Bipolar Disorder Overdiagnosed? Theresa A. Morgan and Mark Zimmerman 5 Clinicians are inclined to diagnose disorders that they feel more comfortable treating. We hypothesize that the increased availability of medications that have been approved for the treatment of bipolar disorder might be influencing clinicians who are unsure whether or not a patient has bipolar disorder or borderline personality disorder to err. Is bipolar disorder overdiagnosed? of bipolar disorder might be influencing clinicians who are unsure whether or not a patient has bipolar disorder or borderline personality disorder to err on.

Differences between older and younger adults with

major depressive disorder, have, in fact, bipolar disorder More recently, some reports have suggested that bipolar disorder is also overdiagnosed at times. Bipolar disorder is a serious illness result-ing in significant psychosocial morbidity and excess mortality. During the past few years, a series of research reports, review Stone MH. Relationship of borderline personality disorder and bipolar disorder. Am J Psychiatry. 2006;163(7):1126-1128. 17. Gunderson JG. Clinical practice. Borderline personality disorder. N Engl J Med. 2011;364(21):2037-2042. 18. American Psychiatric Association. Practice guideline for the treatment of patients with borderline personality. Borderline personality disorder often co-occurs with mood disorders, and when criteria for both are met, both should be diagnosed. However, some features of borderline personality disorder may overlap with those of mood disorders, complicating the differential diagnostic assessment. Mood disorders Which of the following disorders is Veena living with? schizophrenia A panic disorder is a type of _____disorder characterized by panic attacks, along with at least one month of worry about panic attacks or self-defeating behavior related to the attacks. anxiety Exhibiting a personality that _____ is a common characteristic of all personality.

Helping Someone You Love Recover From Borderline

BPD vs. PDD vs. MDD/ BPD overdiagnosed? Student Doctor ..

Suggested Articles. Differentiating Psychotic Disorders: Does It Matter? May 7, 2020 How do we understand the range of psychotic disorders in children and adolescents and how; Principles of Trauma Informed Care August 5, 2020 Trauma is a ubiquitous and expanding aspect of all mental health work, particularly in th You are right. Depression, like all borderline personality disorders, must last for a long period of time, more than 6-12 months. Clinical depression often causes serious problems in daily activities Borderline Personality Disorder. Borderline personality disorder (BPD) is also frequently misdiagnosed for a number of reasons. First, there is a popular misconception that borderline personality disorder primarily affects women. As a result, even professionals may be less likely to diagnose a man with BPD Is borderline personality disorder underdiagnosed and bipolar disorder overdiagnosed? In: , Choi-Kain L, Gunderson J (eds). Borderline Personality and Mood Disorders. New York, NY: Springer; 2015:65-78. Google Scholar; 7. American Psychiatric Association

3 Reasons Why Borderline Personality Disorder Is Often

most personality disorders are not actual PDs such as Borderline PD, also PDs are overdiagnosed, other info. Thread starter forumuser23; The core cause of a personality disorder is parenting style and the enduring experiences of our childhoods- how our parents and close circles showed us how to think and behave, and those early experiences. The premise that bipolar disorders are being overdiagnosed is unsupported by reasonable science. 1 INTRODUCTION Methodological paradigms, research models, and statistical methods are ever evolving in the ongoing pursuit to assure the highest standards of research, nosology, and treatment Overdiagnosed is ADD, underdiagnosed is Borderline personality disorder in guys. Studies say its like is 50/50 but some 80% of diagnoses are women. 6. Share. Report Save. level 2. 1 year ago. There's still an issue with getting most psychologists to recognize BPD and MPD as a real mental illness. 3

Remember, a personality disorder is an ongoing, life-altering problem, so there's no need to worry if your mom has been moody off and on, or if you only occasionally argue Post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD) commonly co-occur. Between 25% and 60% of people with BPD also have PTSD—a rate that is much higher than what is seen in the general population. Both BPD and PTSD are believed to stem from the experience of traumatic events. 1  The thoughts, feelings, and. Up to half of people diagnosed with a narcissistic personality also met the criteria for other personality disorders, like histrionic personality disorder or borderline personality disorder.

i have mentioned this elsewhere on many occasions and in different ways, as well as to my therapist ( which she agrees with pretty much everything i say and not because she is just trying to be nice but because i know what im talking about, and dont talk out of my ass ) which is that logically.. true when it involves patients with borderline personality disorder (BPD). While the cooccurrence of BPD and BD seemstobequitecommon[ ], the similarity between borderline personality and bipolar disorder may contribute to the diagnostic confusion involving these two conditions. Instability is a core feature in BPD, and one of the mos 40% of patients with borderline personality disorder mistakenly diagnosed with BD: Zimmerman et al. (2010) [13] Outpatients SCID: Patients overdiagnosed with BD were significantly more likely to receive disability payments: Chilakamarri et al. (2011) [14] Child outpatients DSM-IV criteri

My Emotional Hypersensitivity Wasn't Borderline

Rather than being diagnosed with complex PTSD, many will be misdiagnosed with borderline personality disorder (BPD), says Sly Sarkisova, a Toronto-based psychotherapist who specializes in trauma In Borderline Personality and Mood Disorders: Comorbidity and Controversy, a panel of distinguished experts reviews the last two decades of progress in scientific inquiry about the relationship between mood and personality disorders and the influence of this empirical data on our ways of conceptualizing and treating them.This comprehensive title opens with an introduction defining general.

5 Types of Borderline Personality Disorder The Might

Recent reports suggest that under-diagnosis of bipolar disorder may be an issue, while this study indicates that there's an equal or greater problem with overdiagnosis, the study authors said Borderline Personality Disorder: Anyone Have a Relationship with Someone(Parental, Spousal, Ect.) with BPD? but about personality disorders and various nebulous syndromes which are nothing if not overdiagnosed. For what it but disease is what lay people hear when you say disorder or syndrome. We can decry the ignorance or the. Borderline personality disorder (BPD) can cause a wide range of symptoms, which can be broadly grouped into 4 main areas. The 4 areas are: emotional instability - the psychological term for this is affective dysregulation. disturbed patterns of thinking or perception - cognitive distortions or perceptual distortions 69% of people with bipolar disorder are initially misdiagnosed. More than 1/3 of patients remain misdiagnosed for 10 years or more. On average, patients remain misdiagnosed for between 5.7-7.5 years. Rates of misdiagnosis do not appear to be getting better. And the effects of misdiagnosis can be life-threatening The nosological status of borderline personality disorder as it relates to the bipolar disorder spectrum has been controversial. Studies have supported, in part, the validity of the bipolar spectrum by demonstrating that these patients, compared to patients with nonbipolar depression, are characterized by earlier age of onset of depression, recurrent depressive episodes, comorbid anxiety and.

Bipolar Disorder is Overdiagnosed - How and Why

WEDNESDAY, May 7, 2008 (HealthDay News) -- Bipolar disorder may be overdiagnosed, say researchers at Rhode Island Hospital and Brown University. They found that fewer than half of patients previously diagnosed with bipolar disorder were assessed using a comprehensive psychiatric diagnostic interview -- the Structured Clinical Interview for DSM. Borderline Personality Disorder. Borderline personality disorder (BPD) impacts millions of people in the United States. Once thought to predominantly affect women, current research shows that BPD affects men and women about equally. This myth can lead to BPD being overdiagnosed in women and underdiagnosed in men Unfortunately, in 1980 the APA willed Borderline Personality Disorder into being. The APA's idea of empathy and understanding led to vast numbers of survivors of abuse being labelled as disordered individuals. In many ways the diagnosis of BPD is an easy target for criticism and satire. The diagnosis of BPD is defined by a series of social.

Tekuma Recovery - Borderline Personality Disorde

The standard questionnaire for diagnosing narcissism involves 40 questions. Now, researchers believe they can reliably diagnose this personality disorder with just one question Later I saw borderline personality disorder and it was describing her. The ability to shift from social to selfish was baffling me until I have read this statement. I now finally have peace in finding out the alien that swallowed my beautiful adorable girlfriend. say it January 3, 2017 at 9:07 am - Reply

Diagnosing Bipolar Disorder in Clinical Practice

A year ago, a study by Rhode Island Hospital and Brown University researchers reported that fewer than half the patients previously diagnosed with bipolar disorder received an actual diagnosis of bipolar disorder after using a comprehensive, psychiatric diagnostic interview tool --the Structured Clinical Interview for DSM-IV (SCID). In this follow-up study, the researchers have determined the. OBJECTIVE Bipolar disorder and borderline personality disorder share some clinical features and have similar correlates. It is, therefore, not surprising that differential diagnosis is sometimes difficult. The Mood Disorder Questionnaire (MDQ) is the most widely used screening scale for bipolar disorder. Prior studies found a high false-positive rate on the MDQ in a heterogeneous sample of.

The extremely strong suspicion that ADHD is being overdiagnosed in young people in the United Stated is underlined by the fact that The American Psychiatric Association estimates the true number of ADHD sufferers to be around He has published several books including The Link Between Childhood Trauma And Borderline Personality Disorder,. Borderline Personality Disorder Much controversy surrounds the diagnosis of Borderline Personality Disorder (BPD). In some circles, it is considered to be the most overdiagnosed condition in the DSM-IV, a label that gets attached to the clients who do not get well, whose problems seem intractable and whose relationships with their therapists. Borderline personality disorder, or BPD, is characterized by quick changes in mood, unstable self-image, and erratic behavior. People with BPD often act impulsively and have difficulty in forming healthy relationships. They may be prone to intense anger, depression, or anxiety Variables Predicting Overdiagnosis of Borderline Personality Disorder, Combined Analysis Variable Combined analysisa Intense relationships; Over/undervaluation (Borderline #2) (Overdiagnosed if present) Impressionistic speech (Histrionic #5) (Overdiagnosed if present) Patient gender (Females overdiagnosed) Reads threatening meaning into benign.