“One critical area of distinction between the two pathologies is that for people with bipolar [disorder], symptoms such as energy and grandiosity are seen specifically in episodes of elevated mood, whereas narcissism represents an underlying personality style that endures over time,” says Russ Federman, PhD, a Virginia ...
Based on overlapping symptoms, Borderline Personality Disorder (BPD) and Narcissistic Personality Disorder (NPD) are often mistaken for one another.
In the manic phase, he is restless (often insomniac), full of pent up energy, explosive, dramatic, creative, an excellent performer and manager. Suddenly, and often for no apparent reason, he becomes subdued, depressed, devoid of energy, pessimistic, and "zombie-like".
Bipolar disorder may make it more difficult for you to interpret people's emotions. Missed clues make it harder for you to empathize when others feel happy or sad. If someone is feeling troubled, you may lack enough empathy to be moved to help.
It's common to feel embarrassed, humiliated, ashamed, even worthless. There's often regret, sharpened by fear that you've alienated people in your life. Realizing that you've caused hurt and hardship—a major wellspring of guilt—only compounds the pain.
Signs of A Bipolar Meltdown
The extreme mood swings that occur in bipolar disorder are accompanied by changes in sleep patterns, eating habits, emotions, and behaviors. People with bipolar disorder can experience periods of mania and depression, and the timing of these episodes can be difficult to predict.
Manipulation isn't a formal symptom of bipolar disorder, although some people with the condition may exhibit this behavior. In some cases, manipulative behavior is a result of living with another mental health condition, such as personality disorders, substance use disorders, or trauma.
More often, narcissistic rage is an intense emotional response accompanied by hurtful comments and actions. On the outside, it may look like someone's out of control or they're out to “get you.” On the inside, they may feel intense pain and vulnerability and a significant need to regain control.
A person experiencing a narcissistic collapse may engage in impulsive, risky behaviors such as excessive drinking or substance abuse, unprotected sex, rage outbursts, or self-harm. Narcissists are already prone to impulsive behavior.
NPD can also co-occur with other mental conditions that may either escalate symptoms related to pathological narcissism or conceal striking NPD characteristics, such as bipolar disorder, substance use disorder, or major depressive disorder.
They don't. When it comes to narcissism, there are individuals who have few enough traits that they might not be identified as having Narcissistic Personality Disorder (which is a huge defect in the DSM criteria, since it only takes one pathological trait to completely ruin another person's life).
Narcissistic personality disorder is typically characterized by grandiosity, a sense of entitlement, and disregard for other people's needs. Symptoms of ADHD, on the other hand, usually include difficulty focusing, impulsivity, restlessness, and memory challenges.
Bipolar disorder can cause your mood to swing from an extreme high to an extreme low. Manic symptoms can include increased energy, excitement, impulsive behaviour, and agitation. Depressive symptoms can include lack of energy, feeling worthless, low self-esteem and suicidal thoughts.
Apologize. If you've heard someone say, “Narcissists never apologize,” they're not exactly right. While many traits of narcissism like entitlement, elitism, and arrogance make it unlikely someone with narcissistic traits will go the apology route, apologies are sometimes used with ulterior motives.
Borderline personality disorder (BPD) resembles bipolar disorder when it comes to impulsive behavior and mood swings.
One of the most common signs of a narcissist is a constant need for praise or admiration. People with this behavior need to feel validation from others and often brag or exaggerate their accomplishments for recognition. They also like to feel appreciated to boost their ego.
Anger is not a symptom that everyone with bipolar experiences, but it is not uncommon either. Mania in particular tends to trigger aggressive emotions and anger. The racing thoughts and high energy levels you experience can leave you feeling angry, irritable, and frustrated.
One of the worst side effects of bipolar disorder is the repetitive cycle of self-sabotage. But you can manage this symptom by mapping out your goals.
Typical Symptoms of “Mean and Nasty” Bipolar Episodes
Physical anger—your arms and legs want to punch and kick whatever is around you. Talking more forcefully and sometimes more loudly than normal. A marked increase in cussing and language you would not normally use in a normal conversation.
Talking rapidly, sudden changes in topic, or “leaps of logic.” Having more energy than usual, especially if needing little sleep. Being intensely focused, or finding it hard to focus. Involuntary facial movements, such as twitches or mouthing.
While there is no way to know whether West's behavior or comments are related to his mental health, most experts agree that people with bipolar disorder can behave erratically and may at times lose their “filter” and say or do socially inappropriate things.