Genetics. Genes you inherit from your parents may make you more vulnerable to developing BPD as there is evidence that the condition can run in families.
Although anyone can develop BPD, it's more common if you have a family history of BPD. People with other mental health conditions, such as anxiety, depression or eating disorders, are also at higher risk. Nearly 75% of people diagnosed with BPD are people assigned female at birth (AFAB).
Researchers think that BPD is caused by a combination of factors, including: Stressful or traumatic life events. Genetic factors.
According to the DSM-5, BPD can be diagnosed as early as at 12 years old if symptoms persist for at least one year. However, most diagnoses are made during late adolescence or early adulthood.
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.
Borderline personality disorder usually begins by early adulthood. The condition seems to be worse in young adulthood and may gradually get better with age. If you have borderline personality disorder, don't get discouraged.
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.
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.
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.
Borderline personality disorder (BPD) isn't a personal choice. It's a mental health condition, and it can be managed. Can a person with borderline personality disorder feel love? Absolutely!
People with BPD also have a tendency to think in extremes, a phenomenon called "dichotomous" or “black-or-white” thinking. 3 People with BPD often struggle to see the complexity in people and situations and are unable to recognize that things are often not either perfect or horrible, but are something in between.
There is no single borderline personality disorder test. If you think you or someone you know has symptoms of borderline personality disorder, the first step is to see your doctor. It may take weeks or months to get a diagnosis. A health professional needs to get to know you properly first.
Recognizing a BPD Episode
Intense outbursts of anger are indicative of an episode of BPD as are bouts of depression and anxiety. Eighty percent of those suffering from BPD experience suicidal thoughts and behavior while in the throes of an episode as well.
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.
To evaluate crying behavior, we used a set of specially designed tools. Compared to non-patients, BPD patients showed the anticipated higher crying frequency despite a similar crying proneness and ways of dealing with tears.
High-functioning BPD tends to leave a person feeling chronic emptiness, uncertainty about their identity, insecurity, and dissatisfaction with themself. Someone experiencing the disorder may ruminate, fear rejection, or perseverate on things they wish they never said (or should have said).
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.)
Borderline intellectual functioning, previously called borderline mental retardation (in the ICD-8), is a categorization of intelligence wherein a person has below average cognitive ability (generally an IQ of 70–85), but the deficit is not as severe as intellectual disability (below 70).
While there is no definitive cure for BPD, it is absolutely treatable. 1 In fact, with the right treatment approach, you can be well on the road to recovery and remission. While remission and recovery are not necessarily a "cure," both constitute the successful treatment of BPD.
Many people with BPD act impulsively, have intense emotions, and experience dissociation and paranoia when most distressed. This emotional volatility can cause relationship turmoil. Also, the inability to self-soothe can lead to impulsive, reckless behavior. People with BPD are often on edge.
Once upset, borderline people are often unable to think straight or calm themselves in a healthy way. They may say hurtful things or act out in dangerous or inappropriate ways.
Myth: BPD Is a Rare Condition
BPD is not a rare condition. Many people have heard of schizophrenia, which occurs in more than 2 million people in the United States alone. BPD is more common than not only schizophrenia but bipolar disorder as well.