Distrust, poor empathy and intimacy problems are common in BPD patients, often leading to difficulties in friendships and relationships. These symptoms may appear in both disorders, but typically those with autism are less defensive and are unable to read others' emotions.
Autism and BPD may be mistaken for each other as both can feature low cognitive empathy and relationship difficulties.
They share many overlapping traits and experiences. Autistic masking can result in a diffuse sense of self and a sense of emptiness which can look like BPD. And emotions related to sensory overload can look like emotional regulation difficulties often seen in BPD.
For many folks with BPD, a “meltdown” will manifest as rage. For some, it might look like swinging from one intense emotion to another. For others, it might mean an instant drop into suicidal ideation. Whatever your experience is, you're not alone.
Neurodivergence includes Autism Spectrum Disorder (ASD), Attention Deficit and Hyperactivity Disorder (ADHD), Dyslexia, Dyspraxia, Dyscalculia, Dysgraphia, and Tourette Syndrome, as well as some long-term mental health conditions, such as depression and borderline personality disorder (BPD).
Borderline Personality Disorder is a common misdiagnosis for Autistic women and genderqueer people. Complicating matters, BPD and Autism also co-occur at high rates, and an Autistic person is more vulnerable to developing BPD. So a person may have both Autism and BPD.
Researchers have used MRI to study the brains of people with BPD. MRI scans use strong magnetic fields and radio waves to produce a detailed image of the inside of the body. The scans revealed that in many people with BPD, 3 parts of the brain were either smaller than expected or had unusual levels of activity.
The symptoms of BPD are very broad, and some can be similar to or overlap with other mental health problems, such as: Bipolar disorder. Complex post-traumatic stress disorder (C-PTSD) Depression.
Instead, they see something as completely good or completely bad, and their assessment may switch back and forth rapidly. A person typically splits unconsciously or without realizing it.
When stressed, people with borderline personality disorder may develop psychotic-like symptoms. They experience a distortion of their perceptions or beliefs rather than a distinct break with reality. Especially in close relationships, they tend to misinterpret or amplify what other people feel about them.
If left untreated, the person suffering from BPD may find themselves involved with extravagant spending, substance abuse, binge eating, reckless driving, and indiscriminate sex, Hooper says. The reckless behavior is usually linked to the poor self-image many BPD patients struggle with.
ASD often presents early but can be difficult to diagnose in some cases. There are other brain disorders that mimic autism symptoms, like ADHD and anxiety disorders, including selective mutism. Autism can be misdiagnosed as another disorder with some shared symptoms.
People with BPD may show features of SPD, especially in sensory-sensitive and sensory-avoid- ing domains. They share common neurobiological and functional roots. Sensory processing therapy, individ- ually applied, may be beneficial in improving symptoms, and reducing dependence on acute services.
Another hallmark of borderline personality disorder is having a favorite person—usually a family member, romantic partner, or someone in a supportive role, such as a teacher or coach. For someone with this type of BPD relationship, a “favorite person” is someone they rely on for comfort, happiness, and validation.
Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.
Someone with BPD may go to great lengths to feel something, as well as becoming increasingly withdrawn and avoidant during an episode. Paranoid thoughts of everyone being out to get them and hating them are also common during these times. Episodes can also be extreme highs, bursts of euphoria and positive emotions.
Individuals with Borderline Personality Disorder (BPDs) become overwhelmed and incapacitated by the intensity of their emotions, whether it is joy and elation or depression, anxiety, and rage. They are unable to manage these intense emotions.
Symptoms of personality disorder are: Moody, Criticizing everyone, Overreacting, Intimidating others, and Dominance over another person. A borderline personality disorder is the hardest to treat.
One of the most common misdiagnoses for BPD is bipolar disorder. Both conditions have episodes of mood instability. When you have bipolar disorder, your mood may shift from depression to mania, in which you experience elation, elevated energy levels and a decreased need for sleep.
Personality disorders, including borderline personality disorder, are diagnosed based on a: Detailed interview with your doctor or mental health provider. Psychological evaluation that may include completing questionnaires. Medical history and exam.
People with Borderline Personality Disorder have a reduced life expectancy of some 20 years, attributable largely to physical health maladies, notably cardiovascular. Risk factors include obesity, sedentary lifestyle, poor diet and smoking.
Conclusions: Parental externalizing psychopathology and father's BPD traits contribute genetic risk for offspring BPD traits, but mothers' BPD traits and parents' poor parenting constitute environmental risks for the development of these offspring traits.
Narcissism is not a symptom of BPD listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). However, as many as 40% of people with BPD may also have narcissistic personality disorder,4 so people with BPD may also show signs of narcissism.