One of the most common myths is that BPD patients are manipulative or
One of the most common misdiagnoses for BPD is bipolar disorder. Both conditions have episodes of mood instability.
There are four widely accepted types of borderline personality disorder (BPD): impulsive, discouraged, self-destructive, and petulant BPD. It is possible to have more than one type of BPD at the same time or at different times. It's also possible to not fit any one of these borderline personality categories.
Those with borderline personality disorder tend to exhibit control over their environment by creating and exacerbating disruptive circumstances; thereby influencing others to behave in a certain manner to decrease the affected individual's reactions.
In real life, however, people may exhibit some traits of a certain personality type without it being a full-blown disorder. People tend to be on a spectrum of more or less severe symptoms before they come anywhere near a diagnosis.
Having quiet borderline personality disorder (BPD) — aka “high-functioning” BPD — means that you often direct thoughts and feelings inward rather than outward. As a result, you may experience the intense, turbulent thoughts, emotions, and behaviors that characterize BPD, but you try to hide them from others.
Quiet BPD looks different from 'typical' BPD. Having Quiet BPD means you 'act in', rather than act out. You may not have stereotypical BPD symptoms such as frequent anger outbursts – instead you suffer in silence. You may appear calm and high functioning, instead of 'exploding', you implode and collapse from within.
Often, the borderline person is unaware of how they feel when their feelings surface, so they displace their feelings onto others as causing them. They may not realise that their feelings belong within them, so they think that their partner is responsible for hurting them and causing them to feel this way.
Wide mood swings lasting from a few hours to a few days, which can include intense happiness, irritability, shame or anxiety. Ongoing feelings of emptiness. Inappropriate, intense anger, such as frequently losing your temper, being sarcastic or bitter, or having physical fights.
People with BPD score low on cognitive empathy but high on emotional empathy. This suggests that they do not easily understand other peoples' perspectives, but their own emotions are very sensitive. This is important because it could align BPD with other neurodiverse conditions.
While researchers are still trying to pin down the precise areas where BPD and autism overlap, it seems clear that many traits are indeed shared, especially among females. In one study, nearly half of women diagnosed with BPD also met diagnostic criteria for autism when assessed using the Autism Spectrum Quotient.
According to DSM-IV, the key features of borderline personality disorder are instability of interpersonal relationships, self-image and affect, combined with marked impulsivity beginning in early adulthood.
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.
Some of the most common effects of untreated BPD can include the following: Dysfunctional social relationships. Repeated job losses. Broken marriages.
Participants with BPD had more frequent, intense, and sudden experiences of aversive tension than did control participants; moreover, rejection, being alone, and failure were identified as triggering events for nearly 40% of the BPD group's increases in aversive tension.
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.
Results found in a 2014 study found the average length of a BPD relationship between those who either married or living together as partners was 7.3 years. However, there are cases where couples can stay together for 20+ years.
Borderline/dependent: A person with borderline personality disorder (BPD) is well-matched with a person who has a dependent personality disorder (DPD). The BPD has an intense fear of abandonment which is a good match for the DPD who will not leave even a dysfunctional relationship.
Symptoms of BPD
Suicidal threats, suicidal behavior or self-injury. Intense fear of abandonment or rejection. Periods of stress-related paranoia and irrational thoughts. Highly reactive and extended mood swings.
The types of attachment found to be most characteristic of BPD subjects are unresolved, preoccupied, and fearful. In each of these attachment types, individuals demonstrate a longing for intimacy and—at the same time—concern about dependency and rejection.
Most clinicians think of the borderline personality disorder case as being angry and explosive, but these individuals are instead quiet and hurting. People living with quiet BPD may feel misunderstood and receiving a correct diagnosis can feel as though a weight has been lifted off your shoulders.
Discouraged or Quiet BPD is often called high-functioning borderline personality disorder. This subtype of BPD can result in keeping negative emotions hidden. Characteristics of high-functioning BPD include: Perfectionism and the need for control.