Bipolar Disorder and Borderline Personality Disorder

  • A. Fiorentini
  • L. Cremaschi
  • C. Prunas


Bipolar disorder (BD) and borderline personality disorder (BPD) are two disabling psychiatric conditions that are associated with a high rate of comorbidity and mortality (approximately 10% of BPD patients suffer from BD I disorder and another 10% show a comorbid BD II disorder). Up to date, the relationship between BD and BPD is controversial, and the debate on whether or not BPD should be considered within a broader bipolar spectrum is still ongoing. According to the literature, the underestimation of comorbidity rates between these disorders could lead to a significant delay in diagnosis and planning of appropriate treatments. In addition, this would lead to an increased risk of exposure to improper medications, a poorer outcome and a higher risk of complications. In this chapter we present a clinical case of a patient who suffers from BD and BPD. The discussion of this case report draws attention to the challenges associated with the diagnosis and treatment of a wide population of psychiatric patients, whose symptoms and clinical history appear to be somehow overlapping between BD and BPD, considered as distinct disorders according to the current nosography.


Bipolar disorder Borderline personality disorder Comorbidity Differential diagnosis 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • A. Fiorentini
    • 1
  • L. Cremaschi
    • 1
  • C. Prunas
    • 1
  1. 1.Department of Neurosciences and Mental Health, Fondazione IRCCS Ca’ Granda Ospedale Maggiore PoliclinicoUniversity of MilanMilanItaly

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