Coping skills for BPD are often centered around learning to manage moments of emotional instability and/or control anger. Some techniques to help in these situations could include: Using stress-reduction techniques, like deep breathing or meditation. Engaging in light exercise, like walking or yoga.
Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. 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.
Intense and sometimes inappropriate rage is a characteristic of borderline personality disorder (BPD). A person with this condition has difficulty regulating their emotions or returning to their baseline. Extremes of rage and other intense emotions may last longer than might be expected, from a few hours to a few days.
Romantic relationships are not the only ones that can trigger a person with BPD to experience an episode. Their relationships with friends, family, and colleagues can also spark symptoms if they experience any sort of rejection, criticism, or threat of abandonment.
BPD has been linked to the amygdala and limbic systems of the brain, the centres that control emotion and, particularly, rage, fear and impulsive automatic reactions.
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.
But with some individuals with BPD, you don't want to get into the habit of allowing certain things such as calls after hours, visits to your home without announcing it, borrowing your things and never returning them, driving your car and keeping it longer than they should, etc.
Tell them that you really want to understand, and ask if they can say more about what they are feeling and why. Give the person hope for recovery by reassuring them that people with BPD can and do get better. Accept that the person is struggling and that life goals might need to be broken down into smaller steps.
The authors of a 2020 review state that antidepressants are the most commonly prescribed medications for BPD. A doctor may prescribe : selective serotonin reuptake inhibitors (SSRIs) tricyclic antidepressants.
Antipsychotics are widely used in BPD, as they are believed to be effective in improving impulsivity, aggression, anxiety and psychotic symptoms [Nose et al. 2006; American Psychiatric Association, 2001].
No medicine is currently licensed to treat BPD. While medicine isn't recommended by National Institute for Health and Care Excellence (NICE) guidelines, there's evidence that it may be helpful for certain problems in some people.
The impulsive nature, and the association to childhood trauma, dissociation, and frontolimbic abnormalities support the continued protection of borderline personality disorder under the insanity defense.
People with BPD may feel a great deal of anger and may make heavy insults in a fit of rage to loved ones. Although it is unfair to listen and get hurt, arguing suggests that you believe the other person's anger is uncalled-for and this will lead to greater rage.
Borderline/dependent: A person with borderline personality disorder (BPD) is well-matched with a person who has a dependent personality disorder (DPD). The BPD has an intense fear of abandonment which is a good match for the DPD who will not leave even a dysfunctional relationship.
Setting boundaries for your relationship is important for you and the person with BPD. However, you should not expect your limits to fix the relationship quickly. The person with BPD may feel like these boundaries are a form of rejection, which may cause them to lash out.
Splitting is a psychological mechanism which allows the person to tolerate difficult and overwhelming emotions by seeing someone as either good or bad, idealised or devalued. This makes it easier to manage the emotions that they are feeling, which on the surface seem to be contradictory.
Borderline personality disorder is a mental illness that severely impacts a person's ability to regulate their emotions. This loss of emotional control can increase impulsivity, affect how a person feels about themselves, and negatively impact their relationships with others.