Borderline Personality Disorder (BPD) is a disorder that affects a person’s ability to regulate (control) their emotions. This can lead to interpersonal problems and impulsivity (acting or reacting without thinking first).
Diagnosis of BPD is based on the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This is the standard resource healthcare providers use to diagnose mental illness. Five of the nine criteria must be met for a mental health professional to diagnose BPD.
Below is a test with nine questions. If you answered “yes” to some of these questions, talk to a mental health professional.
Only a trained and qualified mental health professional can diagnose borderline personality disorder, but there are some questions you can ask yourself if you think you or a loved one may have the disorder.
Frontier Personality Disorder Test at Home
Answer “yes” or “no” to the following questions.
1. Have you always been afraid of being abandoned?
People with BPD may go to great lengths to avoid abandonment, imagined or real. They may start a relationship soon or end a relationship soon so they don’t risk being the rest.
2. Do you have a history of unstable and chaotic relationships?
People with BPD often exhibit a tense and unstable relationship pattern. They may alternate:
- Idealization: Feeling that you love each other so much that you even admire them
- Belittling: being very angry with the other person and hating them
A common defense mechanism in BPD patients involves “splitting.” This means they see things as black or white, with no middle ground. All of these can lead to behaviors such as ambivalence (not sure if they like the person), avoidance, and extreme attachment in romantic relationships.
3. Do you often feel like you don’t know who you are and what you believe?
An unstable self-image or sense of self is common in BPD. This can affect a person’s mood and relationships. Identity disorders in BPD can cause a person to change their beliefs, behaviors or values at any time.
This unstable self-image can lead to difficulty understanding your relationships with others. This can lead to boundary issues in the relationship.
4. Are you driven by impulses that you know may hurt you?
Impulsivity or the tendency to do things without thinking first can lead to reckless behavior. To be diagnosed with BPD, a person should show impulsiveness in at least two areas that are considered self-harm. Some examples of impulsiveness are:
- irresponsible driving
- consumption frenzy
- unprotected sex
Could it be bipolar disorder?
There may be overlap between symptoms of bipolar disorder and borderline personality disorder. If you recognize the symptoms described here, see a mental health professional to help you figure out a potential diagnosis.
5. Did you intentionally hurt yourself or kill yourself?
BPD can lead to recurring suicidal behavior, gestures, or threats. It can also lead to self-harm or non-suicidal self-harm, such as:
- Blood stasis
- head banging
When to seek emergency help
If you are having suicidal thoughts, call the National Suicide Prevention Lifeline at 1-800-273-8255 to speak with a trained counselor. If you or your loved ones are in immediate danger, call 911 for help.
6. Are you responsive and prone to rapid and violent mood swings?
BPD can lead to periods of dramatic mood swings and emotional instability. Moods can change quickly, frequently and strongly. This is called emotional instability and causes a person to swing back and forth between:
- Restlessness (dissatisfaction and restlessness)
7. Do you have a feeling of emptiness that you can’t get rid of?
BPD can create a chronic feeling of emptiness inside. This is not the same as a distorted and unstable self-image. It is also separate from feeling hopeless and alone.
Some describe it as a lack of self-awareness, while others see it as an inability to internalize positive thoughts and experiences.
8. Are you easily angered or unable to control your temper?
BPD may have problems controlling anger and experiencing intense anger. Anger is usually caused by:
- sudden reaction
- Rapid changes in mood (mood instability)
- unhealthy rumination
Although people with BPD are often portrayed as violent, they tend to channel negative emotions into their hearts. In contrast, antisocial personality disorder is characterized by a greater tendency for emotional externalization and physical outbursts.
9. Do you become paranoid or closed under pressure?
Paranoid thinking can occur, especially in stressful situations, and can make people afraid of others. Severe dissociative symptoms may also occur. Dissociation is the feeling that you are disconnected from your body, thoughts, feelings, and environment. It can also lead to an emotional “flat” feeling.
what to do
If you answered “yes” to several of the above questions, you should consider talking with a qualified mental health professional, especially if any of these experiences caused you a lot of distress or interfered with your quality of life .
Remember that the results of this test do no Means you have BPD. Only a mental health professional can perform a full evaluation and make a formal diagnosis.
For people with BPD, there are treatment options that can reduce symptoms and improve your quality of life. Additionally, studies have shown that people treated for BPD may have a high overall remission rate and that symptoms improve over time.