A person with borderline personality disorder is often unable to trust their own feelings or reactions. Lacking a strong sense of self leads to a sense of emptiness and sometimes a sense of being non-existent, which is another reason BPD hurts so much.
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.
Studies have also shown for people with BPD, endogenous pain located within the body, is often experienced as debilitating. One of the reasons for this is because, chronic post-traumatic stress from adverse events of early life leads to long term health problems.
People with BPD are chronically unsure about their lives, whether it is with their family, personal relationships, work, or future aspirations. They also experience persistent uncertain and insecure thoughts and feelings about their self-image, long-term goals, friendships, and values.
A person with borderline personality disorder is often unable to trust their own feelings or reactions. Lacking a strong sense of self leads to a sense of emptiness and sometimes a sense of being non-existent, which is another reason BPD hurts so much.
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.
About 8% to 10% of people with BPD die by suicide. Many people with untreated BPD also experience unstable or chaotic personal relationships and have trouble keeping a job. They have an increased risk of divorce, estrangement from family members and rocky friendships. Legal and financial problems are also common.
Borderline personality disorder (BPD) has long been believed to be a disorder that produces the most intense emotional pain and distress in those who have this condition. Studies have shown that borderline patients experience chronic and significant emotional suffering and mental agony.
Borderline personality disorder can damage many areas of your life. It can negatively affect intimate relationships, jobs, school, social activities and self-image, resulting in: Repeated job changes or losses. Not completing an education.
A pattern of intense and unstable relationships with family, friends, and loved ones. A distorted and unstable self-image or sense of self. Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance misuse, reckless driving, and binge eating.
Care and Management of BPD Splitting
Remember that splitting is a symptom of borderline personality disorder - while it can be difficult not to take their words and actions personally, remember that the person is not intentionally trying to hurt you. Splitting is something that they are doing unknowingly.
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.
Symptoms of personality disorder are: Moody, Criticizing everyone, Overreacting, Intimidating others, and Dominance over another person. A borderline personality disorder is the hardest to treat.
The Victim
Someone with BPD may struggle to take an active role even in simple tasks or enjoyable activities without the assistance of another. In this instance, the person with BPD will seek out a persecutor or rescuer to validate their experience of victimization.
Borderline personality disorder often occurs with other mental illnesses, such as post-traumatic stress disorder (PTSD). These co-occurring disorders can make it harder to diagnose and treat borderline personality disorder, especially if symptoms of other illnesses overlap with symptoms of the disorder.
The destructive and hurtful behaviors are a reaction to deep emotional pain. In other words, they're not about you. When your loved one does or says something hurtful towards you, understand that the behavior is motivated by the desire to stop the pain they are experiencing; it's rarely deliberate.
Individuals with symptoms of BPD are particularly sensitive to perceived criticism. This increases the likelihood that they will feel attacked when a therapist attempts to offer suggestions or insights. This often leads to lashing out.
Dating someone with borderline personality disorder can be challenging. Your partner may have major difficulties with strong emotions, drastic mood swings, chronic fear of abandonment, and impulsive behaviors that can strain your relationship with chaos and instability.
BPD is considered to be one of the most serious mental illnesses, as it causes a great deal of suffering and has a high-risk for suicide.”
Many people with BPD feel emotions deeply and find working in a caring role fulfilling. If you are an empathetic person, consider jobs such as teaching, childcare, nursing and animal care.
Scientists have determined that in the brains of people with BPD, the parts of the brain that control emotion might not communicate effectively with the areas of the brain that control decision-making. These parts of the brain include the amygdala, the hippocampus, and the medial temporal lobes.
When stressed, people with borderline personality disorder may develop psychotic-like symptoms. They experience a distortion of their perceptions or beliefs rather than a distinct break with reality. Especially in close relationships, they tend to misinterpret or amplify what other people feel about them.
If there is some truth in what you're hearing, admit and say something like “I think you're onto something. I can see that I've hurt you and I'm sorry.” Do not tell people with BPD how they should be feeling or behaving.
Psychotic symptoms in BPD are not uncommon, and they are diverse and phenomenologically similar to those in schizophrenia spectrum disorders.