If you are concerned that you or your loved one may have borderline personality disorder (BPD), it is important to understand the disease and its symptoms. Although some symptoms of BPD are not easy to identify, other symptoms are related to observable behavior.
The symptoms of borderline personality disorder include instability in interpersonal relationships, self-image and emotions, and impulsive behavior patterns. People with BPD usually first show these symptoms when they are young, and these symptoms tend to last for many years. BPD can occur in men and women. The following signs and symptoms may indicate the need for evaluation by a healthcare professional.
Fear of being abandoned
People with BPD often encounter difficulties in their relationships. In particular, people with BPD may be very sensitive to being abandoned. They may think that they have been abandoned by someone, but they are not.
Because the fear of abandonment is so strong and common, people with BPD often make certain behaviors to ensure that the other person still cares about them. For example, they may call someone repeatedly, asking to confirm that their relationship is still intact, or physically clinging to someone else when they try to leave.
Unfortunately, this situation can be a double-edged sword. The more a person seeks to ensure that their relationship with another person is “safe,” the more likely they are to push that person away and destroy themselves in the process.
BPD is usually associated with very unstable and tense interpersonal relationship patterns.The pattern of alternating between idealization and devaluation in relationships is common, and this process is called “splitting.”
A relationship may start from the idealized stage. A person with BPD feels close to another person and has a positive attitude towards the other person, and wants to spend a lot of time with this person. However, when the devaluation phase occurs, a person with BPD may think that the other person is worthless, mean or indifferent, and may try to keep their distance.
In addition, relationships with people with BPD are often characterized by many conflicts, ups and downs, distrust, needs, and frequent arguments. In fact, people with BPD often feel disappointed and even hate their loved ones. They also have difficulty recognizing the feelings of others or empathizing with others.
The same instability in interpersonal relationships also applies to self-image or self-awareness. People with BPD may seem to think they have succeeded at some point, but then they may be extremely self-deprecating or harsh on themselves. Their self-awareness may also be unstable, which may cause them to behave differently in different environments or social groups.
In addition, people with BPD may feel that they do not exist or are unsure of their identity or role. They may feel that they don’t know who they are or what they believe in.
Many people with BPD exhibit dangerous, impulsive behaviors, such as:
- Crazy consumption
- Have promiscuity
- Reckless driving
- Drug or alcohol abuse
- Illegal (e.g. shoplifting)
In turn, these impulsive behaviors often lead to relationships, physical health, or legal issues.
Self-harm or suicidal behavior
Some people with BPD may self-harm, and some may make suicidal gestures or attempts.These are actually Separate The problem; self-harm is no Attempt to commit suicide. Self-harm (self-harm) is an attempt to get rid of emotional pain or extreme discomfort.
People who self-harm seldom do this when others are present. Instead, you may see signs of self-harm, including scars or wounds from cuts, burns, or other forms of self-injury.
People with BPD may also threaten to commit suicide and may attempt suicide.Such threats or attempts should be taken Very seriously. It is believed that approximately 70% of patients with borderline personality disorder will attempt suicide at least once in their lifetime, and for nearly 10% of patients with BPD, the attempt will succeed.
People with BPD tend to experience strong and frequent emotional changes, which usually occur as a result of what is happening in the environment. People with BPD may go from seemingly satisfied to depressed within minutes or even seconds. They may also experience strong negative emotions in response to daily situations and/or intense sadness or irritability that lasts for several hours.
Feeling of emptiness
People with BPD often feel chronically empty, as if there is no one inside, or they are emotionally dead. This feeling that life has no value can lead to behaviors characterized by emotional drama (such as hysteria, anger, etc.) to attract attention in a crisis.
For relatives, it is important to understand the origin of these behaviors. Common reactions usually increase these feelings of emptiness in BPD patients.
Strong anger and aggressive behavior
People with BPD often feel more intense anger than the situation allows. Some people with BPD experience intense anger that they rarely or never express. Others express anger openly, sometimes in the form of physical attacks. Angry behaviors, from satirical comments to physical violence against others, are common signs of BPD.
Approximately 75% to 80% of patients with BPD experience stress-related dissociation states, including depersonalization, derealization, analgesia, and emotional numbness. These dissociative symptoms are related to poor treatment outcomes in patients with BPD, partly because of their effects on emotional learning and memory.
If you worry about yourself
People with BPD education understand that annoying behaviors such as repeated calls are an attempt to cope with the fear of abandonment. From thinking that someone is good to despising them may confuse friends, but this is a protective mechanism developed by your brain to try to prevent you from being harmed.
Finding a good therapist can bring a different world to people with this disease. When you recognize their nature, many of the problems that now make your life difficult can be dealt with more easily. A good therapist can help you discover triggers and help you develop healthy coping skills.
In addition to seeing a therapist, psychiatrists can also help resolve symptoms through medication management. In addition, there are a variety of community and residential types of treatment programs modeled on dialectical behavior therapy, specifically for BPD.
Borderline Personality Disorder Discussion Guide
Get our printable guide to help you ask the right questions the next time you see a doctor.
If you are worried about family or friends
If you want to know if a friend or family member may have BPD, remember that you can help. In other words, if you see your friends value and belittle other friends, you may want to know when it is your turn. You may be worried that as soon as you speak, you will be the next “depreciated” and labelled black sheep.
Take a moment to learn how to deal with the “split” of a loved one with BPD. Family therapy is very helpful. The important point is that BPD affects anyone involved. It is important to take care of yourself and your loved ones.
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It is important to remember that many people may experience some of the above symptoms at times. However, for many years, people with BPD have experienced several of these symptoms every or almost every day. In addition, people with BPD experience these symptoms in different environments. For example, they will experience instability in many relationships, not just one or two or even three.
If you think you may have BPD, it is important to see a licensed mental health professional who can listen to your concerns and make an accurate diagnosis. Treatment by excellent mental health professionals can help BPD patients and their family and friends control their symptoms and underlying disease.