As with 'classic BPD', you have a deep fear of abandonment, but instead of fighting for attachment in the form of clinginess, in quiet BPD you believe you deserve to be abandoned. The self-loathing can drive you to isolate yourself for days and weeks.
A 2019 study found that those with BPD were at higher risk of self-isolation than those with other personality disorders. Emptiness is also a common symptom of BPD — and a common cause of loneliness.
Individuals living with quiet BPD may have decreased levels of empathy, high conflict relationships, clinginess and fear of abandonment, adds Dr. Lira de la Rosa. “The combination of these symptoms can lead to unstable interpersonal relationships, low self-esteem and periods of depression.”
If you have quiet BPD, you may have low self-esteem and often feel angry, depressed, or anxious. In addition, you may have a history of self-harm, suicidal thoughts, or both. With quiet BPD, you may also feel guilt or shame.
Quiet BPD looks different from 'typical' BPD. Having Quiet BPD means you 'act in', rather than act out. You may not have stereotypical BPD symptoms such as frequent anger outbursts – instead you suffer in silence. You may appear calm and high functioning, instead of 'exploding', you implode and collapse from within.
Some potential causes of quiet BPD may be the result of: Family history of various personality disorders. History of other mental health conditions (anxiety disorders, bipolar disorder, eating disorders, substance abuse, depression, etc.) History of neglect, abuse, trauma, or abandonment in childhood.
Signs and symptoms of quiet borderline personality disorder
Living with quiet borderline personality disorder can be exhausting and incredibly debilitating. It can stop a person from being able to enjoy their everyday life, as they struggle to cope with the intense thoughts and emotions that they experience.
It's been suggested that there are “subtypes” of BPD, but this theory is unproven. One such subtype is known as “quiet” BPD, which means that you direct your struggles more inward so others don't notice. However, quiet BPD is not a recognized diagnosis.
The types of attachment found to be most characteristic of BPD subjects are unresolved, preoccupied, and fearful. In each of these attachment types, individuals demonstrate a longing for intimacy and—at the same time—concern about dependency and rejection.
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.
Wide mood swings lasting from a few hours to a few days, which can include intense happiness, irritability, shame or anxiety. Ongoing feelings of emptiness. Inappropriate, intense anger, such as frequently losing your temper, being sarcastic or bitter, or having physical fights.
When you have Quiet BPD, you would not directly confront people or fight for your relationships. Instead, you withdraw and cut yourself off from them. You discard relationships easily, leaving the other person in confusion. When you look back, however, you may regret losing some friends.
BPD Triggers Loneliness and Isolation
It may spring from your fear of being rejected or abandoned. This fear can make you feel lonely, even when you have a partner or loving family. Also typical with borderline personality is co-occurring mental illness. One of the most common is depression.
The Drama Triangle is commonly exhibited by sufferers of Borderline Personality Disorder (BPD). BPD is typically characterized by the intense emotional turmoil experienced by the individual and those around them.
One explanation for the intolerance of being alone in BPD may be that individuals experience annihilation anxiety [10]. This is a traumatic anxiety based on an actual experience of danger and psychic helplessness [11], reflecting a fear of impending psychic or physical destruction [12].
In particular, there is evidence that BPD is commonly misdiagnosed as Bipolar Disorder, Type 2. One study showed that 40% of people who met criteria for BPD but not for bipolar disorder were nevertheless misdiagnosed with Bipolar Type 2.
One of the most common misdiagnoses for BPD is bipolar disorder. Both conditions have episodes of mood instability.
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.
Their wild mood swings, angry outbursts, chronic abandonment fears, and impulsive and irrational behaviors can leave loved ones feeling helpless, abused, and off balance. Partners and family members of people with BPD often describe the relationship as an emotional roller coaster with no end in sight.
Participants with BPD had more frequent, intense, and sudden experiences of aversive tension than did control participants; moreover, rejection, being alone, and failure were identified as triggering events for nearly 40% of the BPD group's increases in aversive tension.
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.
Psychotherapy is the standard treatment for BPD. Radically open dialectical behavioral therapy may be especially helpful for quiet BPD. Medication may also be prescribed. BPD is associated with increased rates of self-harm and suicidal behavior.
Research has shown that the prognosis for BPD is actually not as bad at once thought. Almost half of people who are diagnosed with BPD will not meet the criteria for a diagnosis just two years later. Ten years later, 88% of people who were once diagnosed with BPD no longer meet the criteria for a diagnosis.