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).
Hallucinations are significantly prevalent in BPD, mainly auditory, similar to schizophrenia spectrum disorders. The relationship between hallucinations and depression, anxiety, suicidality, schizotypy, and loneliness in BPD has been discovered but requires more research.
Auditory hallucinations (including AVH) were reported in 27% of hospitalized BPD patients; AVH were reported in 25% of all patients and in 24% of outpatients. Of the hallucinating patients, 78% experienced AVH at least once per day, for a duration of several days to many years.
Approximately 75% of people with schizophrenia experience auditory hallucinations — usually hearing voices. Schizophrenia refers to both a single condition and a spectrum of conditions that fall under the category of psychotic disorders.
For example, in one study, 24% of BPD patients reported severe psychotic symptoms and about 75% had dissociative experiences and paranoid ideation. Thus, we start with an overview regarding the prevalence of psychotic symptoms in BPD patients.
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.
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.
There can be “voices that are more thought-like,” says Jones, “voices that sound like non-human entities, voices that are perceived as the direct communication of a message, rather than something you're actually hearing.” Voices aren't always voices, either. They can sound more like a murmur, a rustle or a beeping.
Hearing voices may be a symptom of a mental illness. A doctor may diagnose you 'psychosis' or 'bipolar disorder'. But you can hear voices without having a mental health diagnosis. Research shows that many people hear voices or experience other types of hallucinations.
Hearing voices (i.e. auditory verbal hallucinations) is mainly known as part of schizophrenia and other psychotic disorders. However, hearing voices is a symptom that can occur in many psychiatric, neurological and general medical conditions.
Psychotic symptoms, especially hallucinations, are highly prevalent in patients with BPD. Recent studies suggest that hallucinations in BPD are similar to those in patients with psychotic disorders in terms of phenomenology, but their emotional impact seems to be even stronger in patients with BPD.
The patients in the current study experienced psychotic symptoms lasting between three weeks and four months. They were characterized by hysterical features, visual disturbances, and a possible history of sexual trauma. The diagnostic and therapeutic implications of these prolonged psychotic episodes is discussed.
Recent findings: Both auditory hallucinations and delusional ideation (especially paranoid delusions) are relatively common in individuals with BPD.
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).
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.
In fact, an estimated 70% to 80% of people with schizophrenia hear voices. 1 These voices can call your name, argue with you, threaten you, come from inside your head or from outside sources, and can begin suddenly as well as grow stronger over time.
Yes, severe anxiety can cause a person to hear voices. It's not that severe anxiety can lead to psychosis, but that severe anxiety stresses the body, and stress can cause psychosis-like sensory symptoms, such as hearing voices that aren't real.
Yes, some people who have bipolar disorders may have hallucinations and see or hear things that are not present. This can occur during an episode of mania or depression.
Hearing voices is actually quite a common experience: around one in ten of us will experience it at some point in our lives. Hearing voices is sometimes called an 'auditory hallucination'. Some people have other hallucinations, such as seeing, smelling, tasting or feeling things that don't exist outside their mind.
BPD features are highly represented in subjects with psychopathy as well as psychopathic traits are highly prevalent in patients with BPD.
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.
The Social Security Administration placed borderline personality disorder as one of the mental health disorders on its disabilities list. However, you'll have to meet specific criteria for an official disability finding. For example, you must prove that you have the symptoms of the condition.