BPD and complex PTSD share a number of features, such as difficulty regulating emotions and an altered sense of self. A key difference, however, is that complex PTSD explicitly frames an individual's condition as a response to trauma, whereas BPD does not.
PTSD is focused on an extremely traumatic incident or a series of incidents and the symptoms tend to be outwardly noticeable, whereas BPD revolves around the fear of abandonment and tends to be inwardly displayed (self-harm, self-deprecation, self-doubt).”
BPD can sometimes be mistaken for PTSD or C-PTSD, and vice-versa. C-PTSD is a subset of PTSD which is associated with long-term or chronic exposure to trauma – much like BPD. Both can cause emotional distress, mood swings, flashbacks, anxiety and anger.
A person with BPD may go to extreme lengths to avoid real or perceived abandonment, with many of the relationship issues stemming from this behavior. A person with CPTSD may have issues with trust and staying connected with people, but they don't have the fear of abandonment; that's a telltale sign of BPD.
In borderline personality disorder (BPD), splitting means a person has difficulty accurately assessing another individual or situation. It can lead to intensely polarizing views of others, for instance, as either very good or very bad.
Things that can indicate an episode is occurring: Intense angry outbursts. Suicidal thoughts and self-harm behavior. Going to great lengths to feel something, then becoming increasingly avoidant and withdrawn.
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.
The memories may seem overwhelming, but they will gradually decrease in both intensity and frequency. You will get to a place where they are not so vivid and so constant. For example, after I was sexually assaulted, I tried to block it out. It helped while the trauma was still fresh, but eventually I had to face it.
Limited therapeutic effectiveness of antidepressants in BPD may be related to lack of serotonin receptor specificity, since 5-HT2A but not 5-HT2C antagonism is associated with decreasing impulsivity.
With borderline personality disorder, you have an intense fear of abandonment or instability, and you may have difficulty tolerating being alone. Yet inappropriate anger, impulsiveness and frequent mood swings may push others away, even though you want to have loving and lasting relationships.
Concern About Patients Sabotaging Treatment. Sometimes individuals with symptoms of BPD lash out so intensely that it sabotages the treatment in such a way that even the most skilled therapist cannot stop this process. A common example is a patient cutting off all contact, or ghosting the therapist.
Additionally, relationship instability is a feature of BPD, and clinicians may be wary of patients with whom establishing a therapeutic bond could be difficult. They may also hold the mistaken belief that treatment is ineffective for BPD patients.
Reason #3: Stigma
One major consequence of clinicians avoiding the diagnosis of BPD is that in many situations these symptoms do not get addressed. The clinicians diagnose the comorbid disorder, such as anxiety, depression, posttraumatic disorder, etc., and this becomes the focus of treatment.
Borderline personality disorder is one of the most painful mental illnesses since individuals struggling with this disorder are constantly trying to cope with volatile and overwhelming emotions.
Many people who live with borderline personality disorder don't know they have it and may not realize there's a healthier way to behave and relate to others.
Studies have found that there are clear links between BPD and memory loss. One such study determined that BPD patients displayed enhanced instances of memory loss in response to the presentation of negative emotions. 1 This is thought to occur because of other severe dissociative symptoms that sufferers experience.
Triggers are events that make you feel as though your BPD symptoms are "off the charts." Immediately following a trigger, one or more of your BPD symptoms may intensify significantly.
Environmental factors
being exposed to long-term fear or distress as a child. being neglected by 1 or both parents. growing up with another family member who had a serious mental health condition, such as bipolar disorder or a drink or drug misuse problem.
Give Specific Information About the Disorder
A pattern of unstable and intense relationships, often marked by alternating between idealization and devaluation. An unstable self-image or sense of self. Impulsivity in activities that are potentially self-damaging (like reckless driving or binge eating)
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.
Unstable sense of self, which may involve frequent shifts in goals, values, and career plans. Frequently changing your feelings toward other people. Feeling like you don't exist. Frequent feelings of emptiness or boredom.
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.
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.
Bipolar is one of the most frequently misdiagnosed mental health issues. Somewhere between 1.4 and 6.4 percent of people worldwide are affected by bipolar disorder. However, it's hard to say which number is more accurate due to the frequency of wrongful diagnosis.