Borderline personality disorder can commonly be confused with bipolar disorder, largely because of the overlapping symptoms of impulsivity, mood instability, inappropriate anger, and suicidal threats (4).
In real life, however, people may exhibit some traits of a certain personality type without it being a full-blown disorder. People tend to be on a spectrum of more or less severe symptoms before they come anywhere near a diagnosis.
Bipolar is one of the most frequently misdiagnosed mental health issues. Somewhere between 1.4 and 6.4 percent of people worldwide are affected by bipolar disorder. However, it's hard to say which number is more accurate due to the frequency of wrongful diagnosis.
One study cited that almost 40% of people who were diagnosed with BPD were provided with a misdiagnosis of BD at some point in their lifetime in comparison to only 10% of people in the general population receiving a misdiagnosis of BD. The exact reasoning for this high rate of misdiagnosis is debated among researchers.
People with BPD also have a tendency to think in extremes, a phenomenon called "dichotomous" or “black-or-white” thinking. 3 People with BPD often struggle to see the complexity in people and situations and are unable to recognize that things are often not either perfect or horrible, but are something in between.
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.
People with borderline personality disorder may experience intense mood swings and feel uncertainty about how they see themselves. Their feelings for others can change quickly, and swing from extreme closeness to extreme dislike. These changing feelings can lead to unstable relationships and emotional pain.
Some people with quiet BPD may feel as though they do not deserve help because their problems are “not that bad.” Perhaps you appear to be functioning in most areas of your life, and to all outward appearances things mostly seem to be fine.
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.
Intense, inappropriate anger can be one of the most challenging symptoms of borderline personality disorder (BPD). This anger in BPD is often referred to as “borderline rage.” It can lead to explosive episodes of anger that are difficult to manage and can have a significant effect on a person's relationships.
The Three Key Signs. Perhaps more importantly, and even more telling than specific symptoms associated with particular disorders, are matters of duration, rigidity, and globalism of the vexing behaviors.
Once upset, borderline people are often unable to think straight or calm themselves in a healthy way. They may say hurtful things or act out in dangerous or inappropriate ways.
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.
Someone with BPD may go to great lengths to feel something, as well as becoming increasingly withdrawn and avoidant during an episode. Paranoid thoughts of everyone being out to get them and hating them are also common during these times. Episodes can also be extreme highs, bursts of euphoria and positive emotions.
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).
One of the most common ways of characterizing patients diagnosed with borderline personality disorder is that they are manipulative.
A BPD relationship cycle often consists of some emotional highs and lows that may leave you confused and frustrated. You might also see your partner experience unexpected bouts of anger, anxiety, or depression. They may love you and then suddenly reject you or get upset.
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.
Persistently unable to form a stable self-image or sense of self. Drastically impulsive in at least two possibly self-damaging areas (substance abuse, reckless driving, disordered eating, sex). Self-harming or suicidal behavior, gestures, or threats. Instability often brought on by reactivity of mood (ex.
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.
The following are examples of possible long-term effects that untreated BPD can inflict upon a person: Demoralized sense of self. Repeated job losses. Inability to develop and maintain healthy relationships.