It's important to note that I can't diagnose or provide personalized medical advice. If you're experiencing intense urges or thoughts of self-harm or causing harm to yourself, it's crucial to seek immediate help from a mental health professional or a crisis helpline.
Bipolar 1 disorder and Borderline Personality Disorder (BPD) are two distinct mental health conditions with different symptoms and diagnostic criteria. Bipolar 1 disorder involves mood swings that alternate between periods of mania and depression, whereas BPD is characterized by difficulties in regulating emotions, unstable relationships, and a pattern of impulsive behaviors.
What you are describing, having the urge to self-harm for appearance purposes, might be indicative of Body Dysmorphic Disorder (BDD). BDD is a mental health disorder in which individuals are excessively preoccupied with perceived flaws in their physical appearance, often to the point of causing significant distress and impairment in daily life.
Regardless of the specific diagnosis, it's essential to seek professional help to understand and address these urges and thoughts. A mental health professional can conduct a thorough evaluation, provide an accurate diagnosis, and recommend appropriate treatment options, which may include therapy, medication, or a combination of both.
Please don't hesitate to reach out to a mental health professional or a crisis helpline right away. If you are in the United States, you can contact the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or visit their website at suicidepreventionlifeline.org. Remember, there is help available, and you don't have to go through this alone.