BPD patients can experience hallucinations or even delusions similar to schizophrenia. Patients with BPD had higher scores in Psychotic Symptoms Rating Scales (PSYRATS) in the amount and degree of malicious content and distress from auditory verbal hallucinations, compared to patients with schizophrenia.
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.
It's rare for borderline personality disorder (BPD) and schizophrenia to occur together, but it is possible. Mental health conditions aren't usually cut-and-dry conditions.
Today, near‐psychotic symptoms appear as DSM‐5 criteria in both BPD and SPD. This makes the differentiation of BPD from the schizophrenia spectrum heavily dependent on the detection and registration of the schizophrenic fundamental symptoms.
A significant number of individuals diagnosed with borderline personality disorder (25-50%) also report psychotic symptoms.
Recent findings: Both auditory hallucinations and delusional ideation (especially paranoid delusions) are relatively common in individuals with BPD.
People with borderline personality disorder may experience intense mood swings and feel uncertainty about how they see themselves. Their feelings for others can change quickly, and swing from extreme closeness to extreme dislike. These changing feelings can lead to unstable relationships and emotional pain.
BPD is a very different diagnosis than schizophrenia, though the two can co-exist. While BPD is characterized by a pattern of instability in interpersonal relationships; schizophrenia is characterized by a range of cognitive, behavioral, and emotional dysfunctions.
Cyclical Nature of BPD Abandonment
The fear of being abandoned often causes people with BPD to form unhealthy attachments. Sometimes, they may abruptly cut off these relationships, effectively abandoning their partners. Other times, they make frantic attempts to hold onto relationships.
People who have psychotic episodes are often totally unaware their behaviour is in any way strange or that their delusions or hallucinations are not real. They may recognise delusional or bizarre behaviour in others, but lack the self-awareness to recognise it in themselves.
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.
Paranoia as a Symptom of BPD
Under the influence of non-delusional paranoia, people with BPD may see signs and symbols of hostile intent everywhere. They may detect hidden meanings in speech, body language, casual glances, and other behaviors that would seem non-threatening or perfectly benign to anyone else.
What is Known About BPD Today. Today, the term “neurosis” isn't used as a diagnosis, and BPD is not considered a disorder falling under the category of psychosis. BPD officially became a personality disorder in 1980 in the Diagnostic and Statistical Manual of Mental Disorders III (DSM III).
Auditory hallucinations were found to be one of the most distressing symptoms of BPD, with 69 percent of people with the disorder saying that hallucinations are one of the most high-impact symptoms of the disorder.
There's also a lot of anecdotal evidence from other people's experiences that suggest 2-4 years is more common. So, if you want to know how long your relationships might last if you have BPD, it really does depend on the intensity of your condition.
Between 50% and 90% of patients with BPD report hearing voices that other people do not hear (Yee et al., 2005; Kingdon et al., 2010). Importantly, such auditory verbal hallucinations (AVH) are a risk factor for suicide plans, attempts, and hospitalization (Miller et al., 1993; Zonnenberg et al., 2016).
It's a technique often used by those with narcissistic and/or borderline personality disorders to deflect any responsibility from themselves. The victim of gaslighting often asks “what did I do?” and finds themselves eventually questioning and second guessing everything they do.
Many people with borderline personality disorder (BPD) will report that they spend a lot of time and energy suppressing emotions. If you have ever had an intense thought or feeling that you couldn't handle in the moment and tried to push away, you have experienced emotional suppression.
Borderline personality disorder can impact relationships.
These relationships end because the person's behaviors become too much for the other person to handle. “Relationships with an untreated BPD individual can feel exhausting, a never-ending process of putting out fires,” says Gilbert.
BPD is considered to be one of the most serious mental illnesses, as it causes a great deal of suffering and has a high-risk for suicide.”
BPD in particular is one of the lesser-known mental illnesses, but all the same it is one of the hardest to reckon with. (Some people dislike the term so much they prefer to refer to emotionally unstable personality disorder.)
People with BPD are often affected by several types of distorted thinking. Some ways that a person with BPD thinks include having paranoid ideation, dichotomous thinking, and dissociation. If you believe that you might be experiencing thinking associated with BPD, talk to your doctor.
Some people with BPD may meet the criteria for the NDIS, some have been approved already, many have not. It is possible for people to recover from BPD however, and to go onto the NDIS, it is required you have a permanent disability this is one of the challenges faced with being eligible for the NDIS.
Borderline personality disorder (BPD) is a mental health condition. It affects about 1-4 per cent of people in Australia at some stage of their lives.
Stressful or traumatic life events
Often having felt afraid, upset, unsupported or invalidated. Family difficulties or instability, such as living with a parent or carer who experienced an addiction. Sexual, physical or emotional abuse or neglect. Losing a parent.