Delusions in patients with BPD occur frequently and cause distress. Contrary to tenacious beliefs, hallucinations and delusions in participants with BPD are often present in an intermittent or persistent pattern. Persistent hallucinations can be severe, causing disruption of life.
Recent findings: Both auditory hallucinations and delusional ideation (especially paranoid delusions) are relatively common in individuals with BPD.
Adult patients with BPD experience a wide range of other psychotic symptoms in addition to AVH, including hallucinations (11% visual hallucinations, 8% gustatory hallucinations, 17% olfactory hallucinations, 15% tactile hallucinations [19]), thought insertion (100%), thought blocking (90%), being influenced by another ...
It's rare for borderline personality disorder (BPD) and schizophrenia to occur together, but it is possible.
People with BPD might find that they constantly change their mind about things, whether it's their feelings towards the people around them, or other areas of their life, such as their goals, ambitions or sexuality. Self-harm. In some cases, people with BPD self-harm.
People with BPD may experience rage when they perceive rejection, neglect, or abandonment in a relationship. During rage, a person may say or do things that they later regret. This could lead to ending the relationship in the heat of the moment. BPD rage is often followed by significant regret and shame.
People with BPD fear abandonment and have trouble maintaining relationships. Nevertheless, they tend to lie, which ruins trust and intimacy, fosters resentment, and harms the very relationships they fear losing. Many family members and friends of those with BPD cite lying as a major problem in their relationships.
Delusions in patients with BPD occur frequently and cause distress. Contrary to tenacious beliefs, hallucinations and delusions in participants with BPD are often present in an intermittent or persistent pattern. Persistent hallucinations can be severe, causing disruption of life.
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.
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.
Often, the borderline person is unaware of how they feel when their feelings surface, so they displace their feelings onto others as causing them. They may not realise that their feelings belong within them, so they think that their partner is responsible for hurting them and causing them to feel this way.
A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions. When something happens in a relationship that makes them feel abandoned, criticized, or rejected, their symptoms are expressed.
Distorted and unstable self-image or sense of self. Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving and binge eating. Recurring suicidal behaviors or threats or self-harming behavior, such as cutting.
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.
There's also a lot of anecdotal evidence from other people's experiences that suggest 2-4 years is more common. So, if you want to know how long your relationships might last if you have BPD, it really does depend on the intensity of your condition.
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.
Up to 80% of patients with BPD report transient dissociative symptoms, such as derealization, depersonalization, numbing, and analgesia [1, 50].
Schizophrenia and Borderline Personality Disorder (BPD)
One study found that both patients with schizophrenia and patients with BPD experience hearing voices. The difference between the two being that paranoid delusions occurred in less than one-third of patients with BPD, compared with two-thirds in schizophrenia.
Intense outburst of anger. Repeated involvement in risky, impulsive behaviors. Lack of a stable or clear self-image. Intense, often unreasonable fear of being abandoned.
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.
It's a technique often used by those with narcissistic and/or borderline personality disorders to deflect any responsibility from themselves. The victim of gaslighting often asks “what did I do?” and finds themselves eventually questioning and second guessing everything they do.
“People with BPD lie often, but it is not because they are pathological liars,” says Nikki Instone, Ph. D. “Lying is not a symptom of the disorder so much as a consequence of their internal battle.”
No. Borderline Personality Disorder and cheating are not connected, though certain symptoms of BPD could drive someone to cheat. That said, if you and your partner are willing to work through the challenges of BPD and go to therapy, then there is no reason your relationship can't succeed.