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).”
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.
People with Borderline Personality Disorder are 13 times more likely to report childhood trauma than people without any mental health problems, according to University of Manchester research.
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.
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.
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.
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.
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.
But borderline personality disorder does not develop as a result of those traumas. Instead, it is a combination of genetic factors and childhood experiences (early environmental influences) that cause a person to develop borderline personality disorder.
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.
They will diagnose you with BPD if you have at least five of the symptoms below. Extreme reactions to feeling abandoned. Confused feelings about your self-image or your sense of identity. Regular self-harming, suicidal threats or behaviour.
Schedule an Assessment
Describe some of your symptoms. You can even mention that you think you may have BPD. Take the opportunity to ask some initial questions. Try to get a sense of how comfortable you feel talking to this person.
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).
Myth: Bad Parenting Causes BPD
Parents are all too often blamed for all kinds of problems in their children, but there is absolutely no evidence that bad parenting causes BPD. They are likely individual cases in which parents have aggravated their child's underlying vulnerability.
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.
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.
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.
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.
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.