The key difference between BPD and C-PTSD is that symptoms of BPD stem from an inconsistent self-concept and C-PTSD symptoms are provoked by external triggers. A person with C-PTSD may react to or avoid potential triggers with behaviors similar to those that are symptomatic of BPD.
Making a correct diagnosis for BPD or PTSD
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.
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.
BPD involves a generalized under-regulation of intense distress related to real or perceived abandonment or rejection, whereas emotion dysregulation in PTSD is characterized by attempts to over-regulate (e.g., emotional numbing, avoidance, dissociation) distress related to reminders of traumatic experiences.
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.
Individuals with complex PTSD often over-regulate emotions, using emotional numbing, withdrawing, or dissociation to cope with reminders of traumatic experiences. On the other hand, BPD is characterised by under-regulation of intense emotions, resulting in expressions of intense anger or self-harm.
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.
Environmental factors
being a victim of emotional, physical or sexual abuse. 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.
Challenges with getting a BPD diagnosis
The symptoms of BPD are very broad, and some can be similar to or overlap with other mental health problems, such as: Bipolar disorder. Complex post-traumatic stress disorder (C-PTSD) Depression.
People with BPD tend to experience intense emotions. In theory, “quiet BPD” describes when these significant feelings are directed toward yourself without letting others see them. Some of the emotions associated with BPD include: anger or rage. anxiety.
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).
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.
Bold – Impulsivity is a BPD trait that can be positively linked to being bold, courageous and having the ability to speak one's mind. Creative – The high intensity of emotions can be released into creative endeavours. Many people with BPD put their entire emotional expression into music, art, performance and writing.
Gaslighting is by no means unique to individuals with borderline personality disorder (BPD), but certain symptoms make it more likely for people with BPD to feel gaslighted by others and create circumstances where others feel gaslighted by them. Gaps in memory result from dissociation.
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.
No, you cannot diagnose yourself with BPD.
This will include an interview where you'll be asked lots of questions. The symptoms of BPD often overlap with such diagnoses of bipolar disorder, ADHD, OCD, depression, and anxiety.
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.
cPTSD has often been misdiagnosed as BPD. cPTSD and BPD have some symptoms in common, but cPTSD is more complex than BPD. If you are experiencing symptoms of cPTSD, it is important to seek out help from a qualified therapist. Makin Wellness Counselors can help answer any questions about cPTSD and BPD.
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.
Borderline personality disorder causes significant impairment and distress and is associated with multiple medical and psychiatric co-morbidities. Surveys have estimated the prevalence of borderline personality disorder to be 1.6% in the general population and 20% in the inpatient psychiatric population.
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.
This subtype is often hard to spot. If you have quiet BPD, you direct moods and behaviors inward, so other people don't see. Your emotions and behaviors may feel like a roller coaster with many ups and downs. You may have difficulty in your relationships due to fear of abandonment.