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ADHD and Borderline Personality Disorder: Connections, Causes, and Treatments

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Of all the conditions that exist alongside ADHD, personality disorders — especially borderline personality disorder (BPD) — are perhaps the least explored or understood.Marked by patterns of unstable interpersonal relationships, distorted identity/self-image, emotional dysregulation, and impulsivity, BPD overlaps significantly with attention deficit hyperactivity disorder (ADHD).

The conditions share symptoms and features, and they can be conflated, leading to misdiagnosis. Then there is the complicating fact that ADHD is a risk factor for BPD — and the reality that the conditions often co-occur.In individuals with both ADHD and BPD, it’s often the case that one of these conditions goes undetected, or that their reciprocal impact on course and treatment goes unrecognized.

Understanding the interplay is integral to improving treatment outcomes.ADHD and BPD intersect across several points, from shared symptomatology to underlying genetic and environmental risk factors.

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