ADHD & BPD Cooccurrence

Common ground in Attention Deficit Hyperactivity Disorder (ADHD) and Borderline Personality Disorder (BPD)–review of recent findings.

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EXCERPTS FROM THE PAPER:

“… ADHD and BPD share some clinical features, particularly impulsivity and emotional instability. These disorders often co-occur. Patients with both diagnoses have more pronounced difficulties which are intertwined and often difficult to treat. In particular, impulsivity seems to be a severely impairing characteristic of patients suffering from both disorders. In BPD, impulsivity is primarily driven by affective and interpersonally sensitive aspects. In ADHD, deficits in attentional and cognitive processing account for behavior inhibition problems, referred to as impulsivity. …”

Attention deficit hyperactivity disorder (ADHD) and borderline personality disorder (BPD) – intersections systematic review

Source: HERE

EXCERPTS FROM THE PAPER:

“ … The data mostly support the hypotheses that the two perturbations correspond to the same disease in different stages of evolution; that both are different diseases sharing a common etymological basis; that both perturbations are synergic, mutually powering each other while in comorbidity or that childhood ADHD may be a precursor to BPD during adolescence/adulthood. …”

Comorbid attention-deficit/hyperactivity disorder in borderline patients defines an impulsive subtype of borderline personality disorder.

Source: HERE

EXCERPTS FROM THE PAPER:

” … In order to examine the impulsive profile of a BPD sample with comorbid ADHD, adult patients who met criteria for BPD were assessed for ADHD with the CAADID and the WURS. A high rate of ADHD in the BPD sample was found, with sixty-nine (38.1%) BPD patients diagnosed as having comorbid adult ADHD. … “

ADHD in adolescents with borderline personality disorder

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EXCERPTS FROM THE PAPER:

” … Comorbid ADHD influences the clinical presentation of adolescents with BPD and is associated with higher rates of disruptive disorders, with a trend towards a greater likelihood of cluster B personality disorders and with higher levels of impulsivity, especially of the attentional/cognitive type. A subgroup of BPD patients may exhibit developmentally driven impairments of the inhibitory system persisting since childhood. Specific interventions should be recommended for this subsample of BPD adolescents. …”

The relationship between impulsivity and attention-deficit/hyperactivity symptoms in female patients with borderline personality disorder

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EXCERPTS FROM THE PAPER:

” … In conclusion, our findings indicate that there is a significant association between ADHD and impulsivity symptoms in adult females with BPD. Hence, ADHD may be considered as a risk factor for predisposing BPD in adulthood. …”