Autism spectrum disorder (ASD) and borderline personality disorder (BPD) are two conditions that, at first glance, might seem to have very little in common: ASD is a neurodevelopmental disorder that's mostly diagnosed in males, while BPD is a personality disorder primarily diagnosed in females.
Distrust, poor empathy and intimacy problems are common in BPD patients, often leading to difficulties in friendships and relationships. These symptoms may appear in both disorders, but typically those with autism are less defensive and are unable to read others' emotions.
There are four widely accepted types of borderline personality disorder (BPD): impulsive, discouraged, self-destructive, and petulant BPD. It is possible to have more than one type of BPD at the same time or at different times. It's also possible to not fit any one of these borderline personality categories.
Avoidant and schizotypal personality traits were more common in patients with ASD compared to the control group (patients without ASD).
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).
Autism and BPD may be mistaken for each other as both can feature low cognitive empathy and relationship difficulties.
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.
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.
Although anyone can develop BPD, it's more common if you have a family history of BPD. People with other mental health conditions, such as anxiety, depression or eating disorders, are also at higher risk. Nearly 75% of people diagnosed with BPD are people assigned female at birth (AFAB).
Another hallmark of borderline personality disorder is having a favorite person—usually a family member, romantic partner, or someone in a supportive role, such as a teacher or coach. For someone with this type of BPD relationship, a “favorite person” is someone they rely on for comfort, happiness, and validation.
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.
Narcissism is not a symptom of BPD listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). However, as many as 40% of people with BPD may also have narcissistic personality disorder,4 so people with BPD may also show signs of narcissism.
Explains borderline personality disorder (BPD), also known as emotionally unstable personality disorder (EUPD). Includes what it feels like, causes, treatment, support and self-care, as well as tips for friends and family. Mae'r dudalen hon hefyd ar gael yn Gymraeg.
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.
Approach them very gently when they are in a stable mood. Don't specifically mention BPD if you can help it—just tell them their behavior is worrisome to you because you love them and want them to be happy. Offer your support every step of the way.
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.
Conclusions: Parental externalizing psychopathology and father's BPD traits contribute genetic risk for offspring BPD traits, but mothers' BPD traits and parents' poor parenting constitute environmental risks for the development of these offspring traits.
Stressful or traumatic life events
Often having felt afraid, upset, unsupported or invalidated. Family difficulties or instability, such as living with a parent or carer who experienced an addiction. Sexual, physical or emotional abuse or neglect. Losing a parent.
Borderline intellectual functioning, previously called borderline mental retardation (in the ICD-8), is a categorization of intelligence wherein a person has below average cognitive ability (generally an IQ of 70–85), but the deficit is not as severe as intellectual disability (below 70).
Bold – Impulsivity is a BPD trait that can be positively linked to being bold, courageous and having the ability to speak one's mind. Creative – The high intensity of emotions can be released into creative endeavours. Many people with BPD put their entire emotional expression into music, art, performance and writing.
Early evidence indicated that outpatients with BPD, compared to non-psychiatric controls, have crucial deficits in the important domains of emotional intelligence including self-awareness, control of emotions, motivating oneself, and empathy [4,5,6,7,8].
People with Borderline Personality Disorder have a reduced life expectancy of some 20 years, attributable largely to physical health maladies, notably cardiovascular. Risk factors include obesity, sedentary lifestyle, poor diet and smoking.
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.