Josh Clark

Bipolar has much more of a brain and central nervous system basis.

Whereas while borderline personality disorder has a component of that, the executive function of the person in their prefrontal cortex either didn't develop in a fully normal way or it's not functioning up to snuff, I guess.

More than anything, and the thing that differentiates it from bipolar is it's a –

an assignment of meaning.

It's psychological as much, if not more, than it is physiological.

Yeah.

So that kind of calls out one of the big hallmarks of BPD, which is –

It's emotional dysregulation.

Things that would affect other people a little bit, maybe not at all, stuff that most people let roll off of their back.

Could set somebody with BPD off into a rage that could last days potentially.

Yeah.

They also might use self-harm.

It's called non-suicidal self-injury to kind of externalize the pain because the emotional dysregulation is so profound.

They don't know what they're feeling.

They just know they're feeling everything all at once.

And it's kind of like standing in an ocean and a huge wave hits you.

And you're just you're as profoundly enveloped by emotion at that moment as you are when by a wave when it just completely knocks you off your feet and sweeps you away.

I'm going to go with Linhan.

Yeah, for sure.

Let's go back to the beginning, shall we?