cPTSD is more chronic than BPD and often requires long-term treatment. cPTSD can be disabling if left untreated. cPTSD has often been misdiagnosed as BPD. cPTSD and BPD have some symptoms in common, but cPTSD is more complex than BPD.
Individuals with complex PTSD often over-regulate emotions, using emotional numbing, withdrawing, or dissociation to cope with reminders of traumatic experiences. On the other hand, BPD is characterised by under-regulation of intense emotions, resulting in expressions of intense anger or self-harm.
PTSD is focused on an extremely traumatic incident or a series of incidents and the symptoms tend to be outwardly noticeable, whereas BPD revolves around the fear of abandonment and tends to be inwardly displayed (self-harm, self-deprecation, self-doubt).”
The key difference between BPD and C-PTSD is that symptoms of BPD stem from an inconsistent self-concept and C-PTSD symptoms are provoked by external triggers. A person with C-PTSD may react to or avoid potential triggers with behaviors similar to those that are symptomatic of BPD.
Symptoms of complex PTSD
feelings of worthlessness, shame and guilt. problems controlling your emotions. finding it hard to feel connected with other people. relationship problems, like having trouble keeping friends and partners.
CPTSD and BPD are often mistaken for each other, due to their similar causes and symptoms. They also are frequently co-occurring conditions for each other, meaning that people with BPD can have CPTSD and vice versa. In fact, CPTSD is often misdiagnosed as BPD, despite CPTSD being the more common of the two.
Misdiagnosis with BPD
Some of the symptoms of complex PTSD are very similar to those of borderline personality disorder (BPD), and not all professionals are aware of complex PTSD. As a result, some people are given a diagnosis of BPD or another personality disorder when complex PTSD fits their experiences more closely.
Many different forms of mental illness share similar symptoms. One example of this is borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD). A person with symptoms of either disorder may be misdiagnosed with the other, and it's also possible to have both at the same time.
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.
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.
BPD and complex PTSD share a number of features, such as difficulty regulating emotions and an altered sense of self. A key difference, however, is that complex PTSD explicitly frames an individual's condition as a response to trauma, whereas BPD does not. Many people fit the criteria for both disorders.
People who trauma dump tend to have intense feelings, express emotion excessively and share indiscriminately. In some instances you could have an underlying problem such as borderline personality disorder, post-traumatic stress disorder (PTSD) or depression that affects your behavior.
Post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD) commonly co-occur. Between 25% and 60% of people with BPD also have PTSD—a rate that is much higher than what is seen in the general population. Both BPD and PTSD are believed to stem from the experience of traumatic events.
It can be easy to fall into a victim mentality with borderline personality disorder (BPD). You can often feel like your brain is working against you and making life unnecessarily hard. However, treating yourself as a victim can be detrimental and prevent you from recovering and moving on from traumatic events.
BPD and C-PTSD are easily confused due to the overlap in symptoms. Both are characterized by general emotional distress, which can include emotional “triggers.” These triggers can cause significant reactions including dissociation, suicidal thoughts, anxiety, flashbacks, and/or depression.
It is generally related to a single traumatic event. Complex PTSD, on the other hand, is related to a series of traumatic events over time or one prolonged event. The symptoms of complex PTSD can be similar but more enduring and extreme than those of PTSD.
Women with PTSD may be more likely than men with PTSD to: Be easily startled. Have more trouble feeling emotions or feel numb. Avoid things that remind them of the trauma.
In earlier versions of the DSM and the ICD (i.e., DSM-IV and ICD-10, PTSD symptoms (i.e., dissociative amnesia and flashbacks; emotional numbing; anger) are similar to BPD features of transient dissociation, chronic emptiness, and intense anger.
Coexisting CPTSD and BPD
Borderline personality disorder and complex post-traumatic stress disorder are commonly found together, with between 25% and 60% of people living with BPD also having CPTSD.
In borderline personality disorder (BPD), splitting means a person has difficulty accurately assessing another individual or situation. It can lead to intensely polarizing views of others, for instance, as either very good or very bad.
NDIS covers PTSD when it is classified as a psychosocial disability. Those with a significant disability that is likely to be permanent, may qualify for NDIS support.
' In some cases, C-PTSD symptoms can have a cumulative effect and can get worse rather than better over time, which is why some C-PTSD sufferers 'manage' for such a long time without help, but they then worsen over time and eventually the symptoms become unmanageable.
CPTSD is so deeply ingrained in the nervous system and self-view, it's hard to see. It's hard to isolate what's caused by CPTSD and what's not because it impacts just about every part of emotional and personal development!