Listen actively and be sympathetic and focus on emotions rather than the words. Ensure that you demonstrate that the person with BPD feels heard. When someone is upset or angry, it's easy and understandable to reciprocate, but it is not helpful.
In summary, be relentlessly respectful of BPD's suffering, abilities, and values. Be humble without disrespecting yourself or your own well being. Be honest. Communicate an expectation that someone with BPD will be able to behave in a reasonable and cooperative manner, and play to his or her strengths.
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.
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.
For example, a person with BPD may react to an event that may seem small or unimportant to someone else, such as a misunderstanding, with very strong and unhealthy expressions of anger, including: Physical violence. Sarcasm. Yelling.
Borderline patients may become distraught at ordinary criticism, which they experience as a blow to self-esteem; may react with rage to a disappointment or minor slight; or may feel terror at a separation that they experience as virtual abandonment.
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.
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.
Findings showed that 73% of BPD subjects engaged in violence during the one-year study period, and frequently exhibited co-morbid antisocial personality disorder (ASPD) and psychopathic characteristics. Reported violence was mostly characterized by disputes with acquaintances or significant others.
Respect their need for space. You will reach a point where your loved one seems to be pushing you away. Don't walk away and leave them, but do respect their need for space. And let them know that.
However, those positive attributes are not without the proverbial strings attached; when the BPD explodes with vindictive rage, all they said or gave to their loved one may be taken away in one fell swoop of aggression. BPDs experience the world in extremes: black-and-white or all-or-nothing.
Across studies, patients with BPD have shown increased, more frequent and prolonged episodes of anger and reported an increased prevalence of reactive aggression. However, only a few studies have investigated anger and aggression in the patients' everyday lives and did not consider anger instability.
Not all individuals with BPD experience rage, nor is rage the only intense, dysregulated emotional experience associated with the disorder.
Impulsive, self-destructive behavior may be an attempt to ward off rising anxiety related to the fear of being left alone. The flip side of the fear is the hope that a relationship will be completely soothing.
Self-harming also commonly occurs with this mental illness. This includes causing self-injurious behaviors such as cutting, burning, excessive scratching, hitting, or other physical acts that cause pain and wounds. A person with self-destructive BPD may also deal with suicidal feelings, including acting on them.
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 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.
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.