This is a complex issue, depression in those with BPD (borderline personality disorder). Depression is seen in 83% of those with BPD.

There is significant symptoms overlap between depressive symptoms and BPD:
• Sullen presentation mimics depressive symptoms
• Suicide risk and selfharm
• Affective instability = Intense episodic dysphoria; Frequent temper outbursts, agitation, irritability mimic agitated depression
• Feelings of emptiness
• Stressrelated paranoia severe dissociative symptoms mimic depression with psychotic features.

Topics discussed are:
Depression BPD but not a depressive disorder
Is BPD an affective disorder?
What about early experiences?
What about Medication?
Medication or therapy?


Daniel J. Fox, Ph.D., is a licensed psychologist in Texas, international speaker, and award winning author. He has been specializing in the treatment and assessment of individuals with personality disorders for over 15 years in the state and federal prison system, universities, and in private practice. His specialty areas include personality disorders, ethics, burnout prevention, and emotional intelligence.

Emotions exercise https://www.drdfox.com/worksheets

He has published several articles in these areas and is the author of:

The Borderline Personality Disorder Workbook: An Integrative Program to Understand and Manage Your BPD https://goo.gl/LQEgy1

Antisocial, Borderline, Narcissistic and Histrionic Workbook: Treatment Strategies for Cluster B Personality Disorders (IPBA Benjamin Franklin Gold Award Winner): https://goo.gl/BLRkFy

Narcissistic Personality Disorder Toolbox: 55 Practical Treatment Techniques for Clients, Their Parents & Their Children: https://www.amazon.com/NarcissisticP...

The Clinician’s Guide to Diagnosis and Treatment of Personality Disorders: https://goo.gl/ZAVe9v

Dr. Fox has been teaching and supervising students for over 15 years at various universities across the United States, some of which include West Virginia University, Texas A&M University, University of Houston, Sam Houston State University, and Florida State University. He is currently a staff psychologist in the federal prison system, Adjunct Assistant Professor at University of Houston, as well as maintaining a private practice that specializes in the assessment and treatment of individuals with complex psychopathology and personality disorders.

Dr. Fox has given numerous workshops and seminars on ethics and personality disorders, personality disorders and crime, treatment solutions for treating clients along the antisocial, borderline, narcissistic, and histrionic personality spectrum, emotional intelligence, managing mental health within the prison system, and others. Dr. Fox maintains a website of various treatment interventions focused on working with and attenuating the symptomatology related to individuals along the antisocial, borderline, narcissistic, and histrionic personality spectrum (www.drdfox.com).

YouTube:    / drdanielfox  
Dr. Fox’s website: http://www.drdfox.com/
Facebook:   / appliedpsychservices  
Twitter:   / drdanieljfox1  
LinkedIn:   / drdfox  
Instagram:   / drdfox  
Amazon Author’s Page: amazon.com/author/drfox

Thank you for your attention and I hope you enjoy my videos and find them helpful and subscribe. I always welcome topic suggestions and comments.

Citations:

Gunderson J. Borderline personality disorder: a clinical guide. 2nd ed. Washington, DC: American Psychiatric Publishing, 2008.

Gunderson JG, Morey LC, Stout RL, et al. Major depressive disorder and borderline personality disorder revisited: longitudinal interactions. J Clin Psychiatry 2004; 65: 10491056.

Galione J, Zimmerman M. A comparison of depressed patients with and without borderline personality disorder: implications for interpreting studies of the validity of the bipolar spectrum. J Pers Disord 2010; 24: 763772.

Klein DN, Schwartz JE. The relation between depressive symptoms and borderline personality disorder features over time in dysthymic disorder. J Pers Disord 2002; 16: 523535.

Grilo CM, Stout RL, Markowitz JC, et al. Personality disorders predict relapse after remission from an episode of major depressive disorder: a 6year prospective study. J Clin Psychiatry 2010; 71: 16291635.
00:00 Introduction
07:21 BPD and Depression
13:23 Early Life Experiences
14:56 Medication and Depression BPD
21:20 Therapy