Misdiagnosis with BPD. Some of the symptoms of complex PTSD are very similar to those of borderline personality disorder (BPD), and not all professionals are aware of complex PTSD. As a result, some people are given a diagnosis of BPD or another personality disorder when complex PTSD fits their experiences more closely ...
There are also theories that some chronic trauma disorders such as PTSD cause a person to create coping skills that mimic other disorders such as Borderline Personality disorder or Bipolar disorder.
Recent data suggest that the presence of psychotic symptoms in patients suffering from posttraumatic stress disorder (PTSD) may represent an underrecognized and unique subtype of PTSD. Among combat veterans with PTSD, 30% to 40% report auditory or visual hallucinations and/or delusions.
BPD and C-PTSD are easily confused due to the overlap in symptoms. Both are characterized by general emotional distress, which can include emotional “triggers.” These triggers can cause significant reactions including dissociation, suicidal thoughts, anxiety, flashbacks, and/or depression.
Bipolar disorder and post-traumatic stress disorder (PTSD) represent two different mental health diagnoses. But they share enough symptoms that they can sometimes resemble each other, even to experienced mental health professionals. This symptom overlap can create complications when it comes to diagnosis and treatment.
BPD can sometimes be mistaken for PTSD or C-PTSD, and vice-versa. C-PTSD is a subset of PTSD which is associated with long-term or chronic exposure to trauma – much like BPD. Both can cause emotional distress, mood swings, flashbacks, anxiety and anger.
Symptoms such as hallucinations have been shown to be clinically indistinguishable in adolescents with PTSD or a psychotic disorder. Patients with PTSD also exhibit the chronic debilitating social withdrawal, which is characteristic of schizophrenia.
PTSD can also trigger psychotic symptoms. Not everyone with the condition will experience them, but studies with veterans indicate that between 30 and 40 percent have hallucinations, delusions, or both. Some experts advocate for a sub-type of PTSD, known as PTSD-SP, or PTSD with secondary psychotic features.
Positive psychotic symptoms are characterized by the presence of unusual feelings, thoughts, or behaviors. 2 This includes experiences such as hallucinations or delusions. Hallucinations refer to sensations of something that isn't really there. They can be auditory, visual, tactile, olfactory, and/or gustatory.
The most common comorbid diagnoses are depressive disorders, substance use disorders, and other anxiety disorders. The comorbidity of PTSD and depressive disorders is of particular interest. Across a number of studies, these are the disorders most likely to co-occur with PTSD.
PTSD doesn't share key symptoms of mania, which include high energy, heightened self-esteem, and feel rejuvenated even after not getting enough sleep. But some PTSD symptoms overlap with mania, including irritable moods and engaging in behaviors that may lead to harmful consequences.
vivid flashbacks (feeling like the trauma is happening right now) intrusive thoughts or images. nightmares. intense distress at real or symbolic reminders of the trauma.
Research and experts suggest trauma, especially severe childhood trauma, can increase the likelihood of someone developing schizophrenia or expressing similar symptoms later in life. Although trauma cancause schizophrenia, traumatic life experiences usually don't lead to trauma-induced psychosis.
In PTSD, the interpretation of intrusive symptoms such as flashbacks is seen as central to the maintenance of the disorder. In psychosis, hallucinations and delusional beliefs are interpretations of intrusions [9].
Symptoms of complex PTSD
feelings of worthlessness, shame and guilt. problems controlling your emotions. finding it hard to feel connected with other people. relationship problems, like having trouble keeping friends and partners.
Psychotic disorders can last for a month or less and only occur once, or they can also last for six months or longer.
According to recent studies, Emotional Trauma and PTSD do cause both brain and physical damage. Neuropathologists have seen overlapping effects of physical and emotional trauma upon the brain.
Rare cases of PTSD may involve auditory hallucinations and paranoid ideation. Individuals who experience auditory hallucinations may experience tinnitus, a constant ringing in one's ears, or they may hear a voice or set of voices that are not physically present.
PTSD is focused on an extremely traumatic incident or a series of incidents and the symptoms tend to be outwardly noticeable, whereas BPD revolves around the fear of abandonment and tends to be inwardly displayed (self-harm, self-deprecation, self-doubt).”
BPD involves a generalized under-regulation of intense distress related to real or perceived abandonment or rejection, whereas emotion dysregulation in PTSD is characterized by attempts to over-regulate (e.g., emotional numbing, avoidance, dissociation) distress related to reminders of traumatic experiences.
One of the most common misdiagnoses for BPD is bipolar disorder. Both conditions have episodes of mood instability.
Self-destructive behavior, such as drinking too much or driving too fast. Trouble sleeping. Trouble concentrating. Irritability, angry outbursts or aggressive behavior.