With quiet BPD, you'll likely try to hide these symptoms from others, resulting in intense periods of anger, guilt, or shame directed toward yourself. You may hide impulsive behaviors or try to repress your moods. You might also withdraw or isolate from others.
“This can look like poor self-image and excessive self-criticism, feelings of emptiness and instability in goals, values and opinions.” Individuals living with quiet BPD may have decreased levels of empathy, high conflict relationships, clinginess and fear of abandonment, adds Dr.
The main difference is that with quiet BPD, you internalize emotional struggles and episodes. While those with BPD have intense impulsivity, anger outbursts, and episodes of anxiety and depression that are obvious to those around them, turning anger inward is more typical with quiet BPD.
While people with quiet BPD often seem fine outwardly, they are struggling inside with feelings of intense loneliness, shame, or self-criticism. BPD is estimated to affect about 1.6% of the population at any one time. However, some estimates put the percentage closer to 6%.
For example, while a person with typical BPD might show outward signs of rage, a person with quiet BPD might turn that rage inward and engage in self destructive behaviors. Similarly, a person with typical BPD might have crying fits or throw tantrums, while someone with quiet BPD will become moody and withdrawn.
With quiet BPD, you'll likely try to hide these symptoms from others, resulting in intense periods of anger, guilt, or shame directed toward yourself. You may hide impulsive behaviors or try to repress your moods. You might also withdraw or isolate from others.
For someone with BPD, the favorite person is deemed the most important person in their life. This person can be anyone, but it's often a romantic partner, family member, good friend, or another supportive person (like a coach, therapist, or teacher).
People with BPD feel firmly attached to their favorite person and may depend on them for comfort, reassurance, and guidance. In many cases, someone with BPD may rely entirely on their favorite person. As a result, they may idealize them and expect them to always be available.
To evaluate crying behavior, we used a set of specially designed tools. Compared to non-patients, BPD patients showed the anticipated higher crying frequency despite a similar crying proneness and ways of dealing with tears.
What is quiet BPD? Stereotypically, a person with BPD exhibits symptoms such as anger outbursts, irrational accusation of others, and self-destructive, impulsive behaviour. In the case of quiet BPD, these things become invisible. The volatility is directed inward rather than out.
Individuals with cPTSD tend to have a more stable sense of Self but struggle with consistent feelings of low self-worth, guilt, and shame. Individuals with BPD, on the other hand, have a more unstable sense of Self – they may not know who they are at their core and frequently change their interests and hobbies.
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.
Splitting is a defense mechanism, and it is not unique to BPD. People with other mental health conditions, as well as those without any underlying mental illness, may also occasionally engage in splitting.
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.
What others perceive as a simple mistake to be brushed off, people with BPD might perceive as a serious wrongdoing. You might hold onto a grudge for days, or until the person has apologized sufficiently.
The Borderline Apology can be felt but for many with BPD it won't change their behavior or have consistent meaning. People with BPD can mean they are sorry but often apologize to “make things okay” and resent it later feeling that they apologized for what they perceive you did, or that you “made them” apologize.
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.
One of the most common misdiagnoses for BPD is bipolar disorder. Both conditions have episodes of mood instability. When you have bipolar disorder, your mood may shift from depression to mania, in which you experience elation, elevated energy levels and a decreased need for sleep.
Because antidepressants have not demonstrated significant high-level evidence of therapeutic benefit, these medications currently lack strong recommendations in treating BPD. Serotonin regulates amygdala hyperreactivity in BPD, thought to be a central neurobiological correlate of affective instability.
ADHD and BPD share many temperamental similarities, symptoms, and traits, making it challenging for clinicians to distinguish the difference. When both conditions are present, it is possible that the "more dramatic BPD symptoms can camouflage the more classic ADHD symptoms" (Littman, 2021).
BPD individuals have more problems using context cues for inhibiting responses and their impulsivity is stress-dependent, whereas ADHD patients have more motor impulsivity and therefore difficulties interrupting ongoing responses.
Neurodivergence includes Autism Spectrum Disorder (ASD), Attention Deficit and Hyperactivity Disorder (ADHD), Dyslexia, Dyspraxia, Dyscalculia, Dysgraphia, and Tourette Syndrome, as well as some long-term mental health conditions, such as depression and borderline personality disorder (BPD).