In this episode of Holding Space, Dr. Christopher Barker answers a listener’s question that many people wonder: What’s the difference between Bipolar Disorder and Borderline Personality Disorder (BPD)? While the two are often confused—especially Bipolar II and BPD—they are distinct diagnoses with different origins, symptoms, and treatments.

Dr. Barker breaks down the clinical criteria for Bipolar II Disorder, including hypomania, depressive episodes, and fluctuating energy levels. He then contrasts it with Borderline Personality Disorder, exploring symptoms such as unstable relationships, identity disturbance, emotional dysregulation, impulsivity, and chronic feelings of emptiness.

Throughout this thoughtful discussion, Dr. Barker emphasizes the importance of not pathologizing normal emotions, avoiding casual misuse of diagnostic labels, and understanding that mental illness exists on a spectrum. He also speaks to the nuance of diagnosis, the impact of early trauma, and the controversial age limits for identifying personality disorders.

This episode is a must-listen for anyone navigating questions about mood instability, emotional regulation, or trying to better understand themselves or a loved one.

📌 Dr. Barker also previews future episodes on self-harm, dissociation, emotional trauma, and therapy resistance in personality disorders.

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