Bipolar Disorder vs. Borderline Personality Disorder: Biology vs. The Self
Psychology Unplugged
Dr. Corey J. Nigro
4.1 • 825 Ratings
🗓️ 25 January 2026
⏱️ 37 minutes
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| 0:00.0 | Hi, everyone. It's Dr. Niagara again. Our next episode of Psychology and Plug. Thanks, as always, to all of our new and long-term listeners. Follow us on Instagram. I will give you contact information at the end to reach out to me with any questions, and I look forward to seeing a lot of people coming from faraway places in the next few months for neurosankevals. |
| 0:28.9 | I'm going to revisit a topic that I've done separate episodes on and tried to combine these together because I've had a lot of people reach out recently and basically |
| 0:37.1 | talking about bipolar disorder versus borderline personality disorder, very similar symptoms, |
| 0:48.0 | but completely different stories, development, and trajectories. |
| 0:52.5 | And this is something that I encounter very regularly doing |
| 0:58.8 | neuropsychological evaluations, is that this one, both, or the other. So if you've worked |
| 1:07.1 | in mental health long enough, or you've been involved in the mental health system, |
| 1:10.6 | you start to see system, um, |
| 1:11.3 | you start to see something, |
| 1:13.4 | again, |
| 1:13.9 | as a diagnostician, |
| 1:15.0 | it could be kind of disturbing. |
| 1:16.2 | The two people walk into two different offices, |
| 1:19.5 | uh, |
| 1:19.9 | they describe the same symptoms and they leave with completely different |
| 1:23.7 | diagnoses. |
| 1:25.0 | And sometimes neither is right. |
| 1:29.3 | And in my opinion, I think bipolar disorder and borderline personality are the most misdiagnosed, |
| 1:40.3 | self-diagnosed, underdiagnose, and misunderstood conditions in psychiatry. |
| 1:48.4 | And there's a cost to getting the wrong, I think the cost could be really detrimental. |
| 1:55.4 | And, you know, Julie's always referred to as bipolarity is just pure neurotransmission. But when, you know, the cost of getting |
| 2:02.8 | these diagnoses wrong is years on medications that, that never really work, therapy, that can |
... |
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