Friday, 11 March 2022

ADHD & BPD - what do we know

I keep finding information about the overlap & co-occurance of these & im just especially fascinated, I don't know why..... my Daughter in Law has a definite adult ADHD diagnosis & my son has clear traits & certainly having both would answer the severity & complexity of some of my consistent day-day issues quite well.......I know, I know, Bipolar 1 to one side for a moment 😳 as its pretty clear to me now when that is under control & when its not, its especially vivid & it takes a helluva lot to go to either pole in any serious way in my opinion, certainly as a slower older person metabolically.

Here's a couple of recent interesting research articles about this, this one from last year:

https://bpded.biomedcentral.com/articles/10.1186/s40479-021-00162-w

Title - Borderline personality disorder (BPD) and attention deficit hyperactivity disorder (ADHD) revisited - a review-update on common grounds and subtle distinctions

EXTRACT" but with my highlight

Abstract

Background: Overlap in symptom domains particularly in the field of impulsivity and emotional dysregulation in attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) have stimulated further research activities since our last review from 2014.

Main body: Disentangling features of impulsivity in ADHD and BPD revealed that impulsivity is a feature of both disorders with patients suffering from both ADHD and BPD having highest impulsivity ratings. BPD individuals have more problems using context cues for inhibiting responses and their impulsivity is stress-dependent, whereas ADHD patients have more motor impulsivity and therefore difficulties interrupting ongoing responses. For emotion regulation difficulties the ranking order ranges from ADHD to BPD to the comorbid condition, again with the patients suffering from both, ADHD and BPD, having the most pronounced emotion regulation problems. Environmental influences namely adverse childhood events were shown to be linked to both ADHD and BPD. Traumatic experiences seem independently linked to impulsivity features. Thus, some authors point to the risk of misdiagnosis during childhood and the necessity to screen for traumatic experiences in both patient groups. Genetic research confirmed genetic overlap of BPD with bipolar disorder (BD) and schizophrenic disorders, as well as genetic overlap of BD and ADHD. A population-based study confirmed the high co-occurrence and familial co-aggregation of ADHD and BPD. Interesting questions in the field of gene-environment-interactions are currently dealt with by genetic and epigenetic research. Few studies have investigated treatment strategies for the comorbid condition, though the issue is highly important for the management of patients suffering from both disorders and presenting with the highest symptom scores.

END EXTRACT"""

Here's another peer review research article from 2019 called:

Attention Deficit Hyperactivity Disorder And Borderline Personality Disorder In Adults: A Review Of Their Links And Risks

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850677/

EXTRACT" but with my highlight

Abstract

Attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) are particularly common disorders, that are highly comorbid in adult populations. The symptomatic overlap between adult ADHD and BPD includes impulsivity, emotional dysregulation and interpersonal impairment, which makes the differential diagnosis difficult. Our review aims at focusing on recent data on the comorbid ADHD+BPD form, as well as the risk factors involved in the emergence of the two disorders. While adult ADHD and BPD share some genetic and temperamental risk factors, adult ADHD is characterized by more severe trait-impulsivity compared to non-comorbid BPD; BPD patients display more severe trait-emotion regulation symptoms compared to non-comorbid ADHD. Patients with the comorbid ADHD+BPD form have severe symptoms in both dimensions. Early-life exposure to adverse events is a shared risk factor for the development of ADHD and BPD, but type and timing of adversity seem to play a differential role in the development of BPD and ADHD symptoms. Age of onset used to be a discriminative diagnostic criterion between ADHD, an early-onset neurodevelopmental disorder, and BPD, a late-onset psychological disorder. However, this distinction has been recently called into question, increasing the need for more research aiming at delineating the disorders from a developmental and clinical standpoint. Clinicians should carefully consider the comorbidity, and consider ADHD and BPD dimensionally, in order to provide more effective patient management. This might improve early preventive interventions, and treatment for comorbid conditions in adulthood.


Also from Article. Extract"

Four possible explanations as to why the two disorders frequently co-occur have been put forward: i) ADHD may be a developmental precursor of BPD; ii) BPD and ADHD may correspond to different expressions of the same disorder rather than two distinct clinical entities; iii) ADHD and BPD may be distinct disorders sharing common etiological risk factors; and iv) the presence of one disorder may increase the risk of developing the other

Why is this important, why am I interested? 

I don't know. 👅💗🙏


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