Borderline personality disorder (BPD) is a personality disorder characterized by a pervasive, long-term pattern of significant interpersonal relationship instability, an acute fear of abandonment, and intense emotional outbursts People diagnosed with BPD frequently exhibit self-harming behaviours and engage in risky activities, primarily due to challenges regulating emotional states to a healthy, stable baseline. Symptoms such as dissociation (a feeling of detachment from reality), a pervasive sense of emptiness, and distorted sense of self are prevalent among those affected.
In high school, I desperately wanted to be known as a rebel. I clung to every label I could and wore it with pride. Why, yes, I stood up for animal rights with my vegetarianism! I wore long, flowy pants in lieu of jeans and called myself a hippie. I hung up the signs I got from a peace protest and a bisexual pride flag.
It was nothing more than a quest for an identity. I needed to prove to everyone I belonged. With borderline personality disorder, the abstract idea of identity is something we have difficulty comprehending. To me, it was all about finding a label and sticking it to myself, crying out, “This is who I am!”
However, who I was (and am) continuously changed. I find myself, even now, grasping for anything that would hint at who I am. I wanted to fit in a box, snug and safe.
According to the DSM-5, one of the criteria for BPD is “identity disturbance: markedly and persistently unstable self image or sense of self.” I didn’t know it at the time, but this was one box that fit like a glove. BPD has many other criteria, but what people don’t see is how it can trap mental health professionals and patients alike.
To doctors, we’re puzzles consistent enough to be solved with a diagnosis. Across the years, I’ve been diagnosed with GAD (generalized anxiety disorder), depression, bipolar disorder II, and BPD. The amount of medication I’ve been on over the past eight years is pretty impressive. With each new diagnosis, I kept thinking, “Aha! This is who I am. This is what’s wrong with me.”
But you know what? In the end, it doesn’t matter what my label or diagnosis is. I am mentally ill; this much I know as a fact. I recognize the different parts of each disorder in me, from the desperation of BPD to the unbearable depression to the wild hypomania. I may not fit each diagnosis to a T. I may never have a label that fits me perfectly.
The Self-Aware Borderline
Sometimes, I wonder if life was easier when I wasn’t aware of my particular label. Before I slotted myself into the “BPD” box into which I fit so perfectly, I was just this dramatic, emotional person, always looking for an escape and unaware of my self-sabotaging patterns. Life was difficult and painful. I took drugs, smoked and fucked my pain away, but I wasn’t aware then of how my brain dysfunctions so.
Nowadays my awareness is in high-definition, amplified, and I analyze everything.
Before my diagnosis, I would be moody, experiencing tremendous anger followed by overwhelming sadness and guilt, which would result in me crying hopelessly for hours, sometimes contemplating suicide. Then a sudden burst of positivity would hit, which would lead to super productivity followed by immense excitement… then I would crash again, all within a matter of days or even hours, but I never knew why. Neither was I aware of how “crazy” I came across. I think part of me just accepted I was like that due to my painful childhood and teen years, that later encompassed all the typical drug abuse and violent relationships you would expect of a young adult leaving the care system.
Now, a year into my awareness I have borderline personality disorder (BPD), although I can realize how damn unreasonable I am being, I can´t always stop it. I realize how clingy I become, and how I rapidly switch to total coldness, pushing the person away, knowing that later I will desperately want back him back, but I still cannot stop myself doing it even as I see it happening. I see how irrational my anger is, how much my children struggle emotionally with me, but at the time I just go on winding myself up more. Then come the over-explanations, the selling out of oneself, giving all my secrets to whoever it is I am talking to; because while I am desperate for them to understand me, I feel I have overexposed myself and want to push them as far away as I can.
I am aware I can be totally, overwhelmingly in love, then hate just as passionately within a minute. I hear myself say terrible things, know the consequences I will cause, but I can´t stop. My inner voice screams at me to shut the fuck up, but I just carry on.
For me, BPD is like having various lenses/filters in my brain that affect how I see the outside world. Recently, it’s like I have various rooms in my brain of which I flit in and out. At the moment it feels like I don’t have much control over it, but this new awareness is like having a light switched on inside my brain — it all depends on the room where my mind is at the moment. That’s what dictates my day, my hour, my dreams, how I see and feel the world around me.
I am becoming aware I have several components inside. My mind can play the victim movie, the little girl lost, desperate for love and affection; the damaged inner child I suppose some would call it. My mind can also play the strong, independent woman, the single mum who will do anything for her children. Then there is the “crazy,” fiery, explosive version of me who cannot stop, cannot see reason and who destroys everything and anything good in my life. There is now a counterpart to her, one that can see in color, not just black, white and blazing red. I like this new emerging part of me. She is calm, reasonable and I think maybe she is my wise mind coming into play. I see more of her nowadays.
However, once I am stuck inside one room, the lost little girl crying in a prison cell, it feels like I have always been there and always will be stuck there. Not as easy (as some would say) just to change thoughts. We feel things so strongly and we forget we are simply actors in the movie and that none of it is real. This is when BPD is at its most dangerous, and it is in this room self-destructive urges come into play and we hurt ourselves with our chosen poisons, and put our lives in danger. I prefer the angry red room to this painful incarceration.
Sometimes I see this BPD splitting of my brain is not all necessarily a curse. In fact, it can nurture huge potential for change and creativity. I don’t actually have to be that sad little girl who cries for hours and makes her self sick. I don’t have to smoke and poison myself, hurt myself or punish myself. I don’t have to be desperate for love. I can be strong, independent, creative, sexy, funny. I can use my DBT skills and practice “Opposite Action” where I smile purposely at my “tragic” circumstance rather than scream or cry for it. I haven’t smoked anything at all for weeks now, I train hard at the gym again and reward myself rather than punish myself.
The truth is, we can be whoever we want to be and right now, I am working on being the strong woman, nurturing not only my own lost inner child, but also my daughters. I am focussing more on them and less on the impossible love of my life and this makes it easier to love myself fully.
DBT has helped me a lot. Watching “The Secret” and reading “The Inside Out Theory” have made me see I have all the control inside. Also, I have to mention “Inside Out,” the kids’ animation movie. It explained so much to me about how our emotions work. Sometimes the simplest ideas can be the most life transforming.
I am still classed as “borderline,” and I still show lots of symptoms. I still struggle hugely when I get caught up inside my own horror movie, but the more I realize it is the inside dictating the outside, the more I realize the power of my mind and the less I self-destruct. The bad emotions always pass. Accepting allows them to leave. Fighting them makes them stronger, escaping them means they catch up later.
I opened this piece not knowing if it was easier or not being self-aware. I close it with saying, it may not be easier, but this awareness is what’s leading me out of the BPD prison. I also realize it is not all bad, and that my borderline tendencies are what make me unique and special. I am learning to love myself for all my crazy little ways, learning how to take care of myself when I am sad and allowing myself to experience all my emotions, the happy and sad ones. What you resist will always persist, so it is better to ride the wave and know they will always pass.
Inside the Heartbroken Borderline
( From you ) My boyfriend of eight months recently broke up with me.
As most anyone with borderline personality disorder (BPD) can tell you, this is the single most painful event to have to experience multiple times.
It’s hard. We often immediately blame ourselves. We call ourselves monsters, not “normal” enough or even evil.
Sometimes we experience such bad dissociation, it’s like nothing exists… nothing feels.
And then it does.
And every single wave of pain stings.
It’s random crying spells, feeling like you’re drowning on dry land or being set on fire slowly.
Then we see it…
As we tend to hoard memories, every place we visited with them, every photo, even just hearing the very name of your once beloved… it makes the pain linger.
It’s no longer just an ebb and flow, it’s a constant. We long for what we had, wishing we could do something different. Replaying the events over and over again until paranoia sets in.
Slowly we replace those thoughts and feelings with others. It may take weeks, months or even years… but we get there.
We’re never fully healed though. We remember their names, their favorite things, the way they have this cute little way of doing a certain thing and that still stings a little. Lots of us still struggle with regret at this point. Wishing we could just let it all go, every moment.
But let me tell you, every time it happens… it gets easier.
Something I have learned is that life is full of experiences. There are things to do, places to see and people to meet. Every moment is a chance to experience something. Being in love is a wonderful experience. It’s rare. At times our particular brand of heartbreak can make us completely turn a blind eye to the positive things that come from a relationship, regardless of the ending circumstances.
In your relationship, you probably tried new things together. Things you may not have tried normally.
For example, my ex and I went to a few concerts, we often tried new foods and enjoyed collecting new things together. I don’t regret those things. I enjoyed them. The fact that I’m no longer with the person I made the memory with, doesn’t mean that memory has to disappear completely. I enjoyed my time with him but, I don’t have to let him rule how I feel over a memory.
Really, we must remember forgiveness is possible.
While not all relationships end on a good note, after time and a grounded assessment of the situation, forgiveness can be achieved. We have to realize that some people just have to do what they think is right for them. After all, we are all just trying to do the right thing.
I know, it’s hard to let go, you never truly have to forget what they’ve done. To just accept (forgive) that the situation happened, that was out of your control, you will find yourself at a state of peace.
No longer holding on to past hurt, we can move forward even more completely.
We don’t have to give up parts of our lives, it doesn’t have to be wasted time. Every second of life is precious and is impossible to replace.
So from one heartbroken borderline to many others, stay strong, stay aware and remember that forgiveness doesn’t have to mean forgetting. Just letting go.
Truth About Borderline ‘Attention-Seeking’
It is often said that people with borderline personality disorder (BPD) are attention-seeking. Some people go as far as to say they are “blue-light seekers.” That is, they crave input from the emergency services — police or ambulance.
Another catchy phrase that is often applied, refers to us as “frequent flyers” in emergency departments because of the self-harm, suicide attempts or other crises that can make people with personality disorders go there regularly.
On one level, I can see why these reputations have developed, and although they are negative stereotypes, they do reflect reality to some degree.
I don’t mean in the sense that all people with BPD are attention-seekers or deliberately act in ways to get themselves seen by the emergency services. Rather, I think it needs to be noted that up to 80% of people with BPD attempt to take their own life at some point and 9% of those with the diagnosed die by suicide.
This alone shows how desperate and overwhelmed those with the condition feel when things get bad. When we feel this low, this terrible, we are encouraged by society to ask for help. Such help, at least out of hours, generally ends up being from the emergency services.
In the past, I have spoken to other agencies about how bad I am feeling and to be frank, they just don’t know what to do or don’t have the capacity to cope. As a result, things get escalated and before you know it, police are asked to come round to carry out a welfare check or you find yourself in the back of an ambulance or in the waiting room at an emergency room. This is often not the desired outcome for the person with BPD, but is the only route to accessing help.
Also, it needs to be taken into account that people with BPD often have histories which make them contact seeking, note not attention seeking. The histories are all different and personal to the individual, but often involve trauma. In response to that trauma, it is natural to crave contact from others who can care for you and help you through it. This often becomes a repeated pattern of behavior, especially at times of crisis, when the trauma (or its effects) is in some ways, being relived.
Considering that another symptom of BPD is instability in relationships, it may be the case that in these crises, the individual has no friends or family from whom to seek contact, thus calling in the professionals, who by their nature are around 24/7.
During my last period of sustained crisis, immediately before I was admitted to hospital and sectioned after trying to take my life, I remember that the rational side of my mind was incredibly desperate to be somewhere safe and kept away from the irrational, emotional side that was driving my suicidality.
I have always been a law abiding citizen and I have a very strong moral code, but I was seriously considering committing a crime just so I could get arrested and placed in a police cell where I could do no harm to myself. If this is blue-light seeking behavior then so be it, but I defy anyone to say I was considering doing it for attention. I was extremely vulnerable and distressed — this is the part that these stereotypes neglectfully and irresponsibly miss out.
Quite honestly, now that I have not self-harmed or had other cause to be engaged with the emergency services for some time, part of me does miss and long for the contact. But it’s not because I yearn for the drama of the sirens and emergency response, it is because I miss someone demonstrably caring for me. I know professionals get paid to care and ultimately they are only doing their job, so it is not the kind of care I truly seek. But at the time when I feel absolutely desperate, it is always there because it has to be. When it feels like you can’t get it anywhere else, this is important.
It is frustrating that people judgmentally assume that individuals with my diagnosis enjoy chasing blue lights and crave unjustified attention. Things are rarely as straightforward as they appear and BPD is in fact very complex, as are our relationships with the emergency services.
Borderline Rage
But actually, let’s not. Let’s talk about rage. I’m talking white noise, bright lights, can’t-see-anything-but-the-person-you-want-to-hurt rage. I’m talking the rage Jesus can feel at the Pearly Gates while he’s praying for your soul type rage. I’m talking about the rage that leaves you feeling like a never-ending pit of flames, ready to burn anyone in your path.
It’s a feeling like no other, but it’s home.
Why rage, you ask? It’s often a hallmark calling card of people with borderline personality disorder (BPD). It’s our business. I make it my personal mission to be the most angry, bitter, rage-filled bitch in the city I live in. Why? It’s what I’m good at, homies. It’s what I do. Many think I shouldn’t be proud of this. I say mind your business. I embrace what I’m good at, despite the negatives. If I embraced only the good parts of me… well, I wouldn’t have anything to embrace at all.
Ever since I was a spawn, fresh out the womb, I’ve been angry. Why am I angry? Strap in for future, cause we will get there. Let’s say Daddy was a deadbeat, Mommy wasn’t well and brother was a creep. Also, kids are cruel to the unknown and unusual. So it made me mad.
But not just mad to where I’d shed a few tears and move on.
Not mad to the point where I wanted to punch something and get over it.
No. Mad to the point where my body was on fire and I needed to destroy my target.
However, I was smart enough to know I couldn’t hurt others. So I settled and hurt myself instead. I in no way think that is a smart or healthy way to deal with rage, as we all know it isn’t. But rest assured that I am someone who understands. I get how you feel, my little wildfire. Don’t burn yourself out.
Rage is a poison. It’s a fire that burns deep from within and it grabs you by the balls and doesn’t let go until you face it head on. I have a bad habit of facing it head on. It’s gotten me into a bit of trouble, but would life be any fun without trouble? As Maurice in the Little Monsters says, “Trouble is our code of honor! It’s our raison de vivre!” That’s a guy who gets it.
Rage is something I love. It’s familiar. It’s comfort. It’s my home. I don’t know what to do without it. The medication subdued it, but God does it rear its ugly head on occasion. When it does, I embrace it like a boyfriend. You know, the imaginary boyfriend I have. I miss it, I love it, I need it. Without it, would I even feel? Would I even experience true emotion? My medication would say I’ll never experience anything again. The part of me that keeps us alive, the rational side? Says we need the medication. But the part deep down. The part that craves the rage. We will always welcome it home, and give it a fist-bump when it steps through the doorway and says hey bitch, I’m back.
Blame Game – The Borderline Personality Disorder
Whether you are someone who lives with Borderline Personality Disorder (BPD) or someone who loves someone with BPD, you would certainly know something about the Blame Game. It can be a one-player game of self-blame or have a number of players: the person who does the blaming and those who get blamed.
The truth about this horrible game is it can be played, intentionally and unintentionally, by both those who have BPD and those without. It always ends up in heartbreak. No one can ever really win. As someone with BPD, I have been the only player in a game of self-blame, I have been the instigator, and I have been the victim.
This is my story.
There are many myths associated with the stigma of BPD. One is that people with BPD never take responsibility for themselves. When I hear people say this it upsets me because when it comes to the self-blame game I am the leader… no, the champion… no actually the grand champion! In fact, I am the undisputed, undefeated international and universal champion! Over the years I have blamed myself for everything and anything — the abuse I received, the neglect, my parents’ divorce, the deaths of loved ones, lost friendships, factors out of my control. I take responsibility for everything.
My little game of self-blame is a complicated one, to say the least. It perpetuates a continual game of self-hate, which keeps me locked in a downward spiral of guilt and shame. There is a meme that says, “One of the hardest things about BPD is knowing the fact you are responsible for your actions and behavior but not always being in control of them.” That’s me. When I have an episode and project (this is where I seemingly blame others for my pain when in fact I am trying, although undeniably unsuccessfully, to explain my pain) or I split (a common BPD trait where everything is black and white, so for example, a person is “good” or “evil”), afterwards I play a seriously intense game of self-blame. I generally cannot verbalize my shame and guilt, and sometimes I can’t even find the courage to verbally apologize due to the involvement in my own game of self-blame – I hate myself so much that all I want to do is crumble and hide.
So yes, for most of my childhood I blamed myself for all that had happened, and as the feelings of resentment built up, they boiled over and spilt out into my everyday life. Then I became obsessed with finding someone else to blame and hold responsible. I mean, I didn’t ask for this horrible condition bestowed upon me, and I certainly didn’t cause it. I wanted someone to blame for the fact I had been abused, neglected, been made to feel like I was nothing, worth nothing and would never amount to anything. I wanted to stop feeling all the self-blame, turmoil and anger, and I wanted those who “did this to me,” those who were to blame, to feel it instead.
At one point, well-meaning people around me started to say things like, “get over it,” “move on,” “leave the past in the past,” only to, in my eyes, become part of the opposing team.
How could I do that? How could people say that to me? Didn’t they understand I had been hurt and mistreated? Didn’t they understand there were reasons I have ended up where I am or reasons I react and behave the way I do? I have every right to be angry! Didn’t they know I was once a happy, talkative child? I wasn’t always like this!
The truth is, there are many factors (and people) that have contributed to who I am and my challenges; however I have reached a point where I realize playing the blame game is not going to get me what I need to go on my journey to recovery. Thankfully, through therapy I’ve learned radical acceptance and about the difference between blame and accountability.
When you play the blame game, you attribute feelings of disapproval, failure, deficiency and guilt to those you hold responsible (this may be yourself). Feelings lead to emotions, and emotions are powerful. On the other hand, to hold someone accountable means you just accept they are responsible – no emotion, you just accept it. It doesn’t mean you agree with or condone the action, but you accept the situation as it is. Radical acceptance is a hard skill to master; it is hard to just accept something as it is.
In my enlightenment about the difference between playing the blame game and holding someone accountable, I have noticed how the world around me also seems to be obsessed with blame. I think it’s important to acknowledge that a lot of the time the blame game many people without BPD play is often unintentional, and many don’t even realize they are doing it. It is caused by a lack of understanding of BPD.
Here are some examples of where I have been the victim of the unintentional blame game:
If you believe in the science of BPD, you would know those who live with it struggle as they face the task of rewiring their brains. Your brain is hardwired a certain way as you grow and develop, and people with BPD have a different kind of hardwiring. So when you tell me I’m “not trying hard enough,” it upsets me because you are telling me it is my fault I have difficulty controlling my brain, which has had 37 years to develop and become hardwired the way it is. Trying to change that is hard. Am I trying? Yes, but sometimes I get tired and overwhelmed cause it’s bloody hard work. My BPD was not my fault, but I am taking responsibility and trying to do something about it.
When the news about the sexual abuse I had endured as a child surfaced, one of the questions I was repeatedly asked by well-intentioned family members was, “Why didn’t you tell anyone? You could have told me, and I could have helped you.” This (unintentionally) redirected the blame back to me and further perpetuated my own game of self-blame and reinforced the belief it was my fault.
I recently had a discussion with my husband after our marriage broke down (please note, I write about this conversation with his full permission and knowledge). At the time he was understandably hurt and angry and went about highlighting every time I’d had an episode, said or done something hurtful. As I mentioned above, I am no longer interested in blame, and my response was simple but effective. I told him I am willing to accept responsibility for anything I have intentionally or unintentionally said and done that has hurt him, and then I posed a simple question: “Can you tell me you have never, ever done anything out of anger and frustration to intentionally or unintentionally hurt me?” His face went ashen grey, his eyes showed an honest sadness I had not seen before and the conversation shifted from blame to both of us accepting the roles we had both played. It
also allowed us to move forward, away from both our blame games, and while the relationship is still tender, the lines of communication are at least open.
Sadly, there are also those who intentionally play and perpetuate the blame game against those of us who live with BPD. These are people who feel wronged from a loved one with BPD. Some even loudly and proudly share their completely uneducated and archaic ideas about BPD, sprouting lies like, “all people with BPD are narcissists and have no empathy.”
These people once angered me and triggered a response of defense, but I have realized the three C’s, which has helped me rationalize and accept other people’s behavior, lack of education and negative attitudes.
I didn’t Cause my BPD, and I am not to blame.
I can’t Control other people or their need to paint people with BPD as unloveable.
But…
I can Contribute to my own recovery by rising above the stigma, speaking out and educating those who want to learn.
After all, you can lead someone to knowledge but you can’t make them think.
Stay safe, stay well.
Types of Borderline Personality Disorder
If you live with borderline personality disorder (BPD), you’re probably familiar with the nine classic symptoms of the disorder. From chronic emptiness to uncontrollable anger, there is a lot of variation from symptom to symptom. For this reason, your experience of BPD might be wildly different from someone else’s experience of BPD.
For those who aren’t familiar, a person usually has to meet five of the nine diagnostic criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) to be diagnosed with BPD. This of course leaves room for a lot of different combinations of BPD symptoms.
Type 1: Affective
The first type of BPD is characterized primarily by emotional dysregulation. In simpler terms, this means feeling like you can’t control your emotions. If you experience frequent and intense mood swings throughout the day, you might relate most to this type.
People with the affective type of BPD struggle most with regulating their emotions when it comes to their interpersonal relationships. When faced with relational stress, people with this type of BPD are prone to anxiety, depression and suicidal thoughts. For example, if a person with affective BPD gets into an argument with their significant other, they may immediately think the relationship is over and begin to struggle with suicidal thoughts.
“What most people are able to brush off as just, for example, an unimportant comment, often sends me into despair,” “While most might feel sad if someone they love is hurting, I am despondent. But then I walk outside in the sunshine, and suddenly I am overjoyed.”
Type 2: Impulsive
If you’ve ever struggled with impulsivity due to BPD, you might relate to the second type of BPD: impulsive. Dr. Oldham said that similar to the affective type of BPD, the impulsive type of BPD involves a loss of control. Instead of losing control of your emotions, it’s losing control of your behavior. People with impulsive BPD are more prone to struggle with behaviors like self-injury, substance abuse, binge eating, reckless driving, risky sex, and compulsive shopping.
On a daily basis, I find myself in the midst of making impulsive decisions. Whether they be something very small and minor that most wouldn’t even notice if I made them, or something major and life-altering that people would clearly notice. I am very ashamed of some of the impulsive decisions I have made in the past, therefore, I beat myself up over the fact of even having impulsive thoughts to begin with.
It’s natural to feel guilty or ashamed of past impulsive actions — especially if they have negative consequences in your life — but we want you to know there is no shame in struggling with BPD. If impulsivity is affecting your quality of life, reach out to a mental health professional who can help you manage your urges.
Type 3: Aggressive
The third type of BPD is connected to the “inappropriate” or “uncontrollable” anger symptom of BPD. This anger is called inappropriate because the scale of the anger seems disproportionate to what a circumstance might warrant. Aggressive behavior in the third type of BPD can either be a temperament or a secondary response to trauma, usually from childhood.
For example, Oldham said someone who lives with this aggressive type of BPD might interpret the neutral facial expression of someone as critical. In response to this, they may pick a fight with the person to defend him or herself. This pattern of behavior understandably creates tension in a person with BPD’s interpersonal relationships.
The red flag for me is having the urge to physically harm something. I’ve never hit a person, but I’ll hit a wall or I rip a book in half. When I get that urge, I try to leave the situation or calm down.
Type 4: Dependent
If you’ve ever been called “clingy” in your relationships, absolutely hate being alone or struggle with knowing who you are outside of others, you might relate to the “dependent” type of BPD.
People with this type of BPD often weren’t encouraged to become independent and autonomous growing up, leaving them with overly dependent behaviors in adulthood. These folks may be overly accommodating of others’ needs and struggle with setting boundaries. Many people with this type “cling” to their loved ones because they fear abandonment.
Type 5: Empty
Like the dependent type, people with the fifth “empty” type of BPD often struggle with identity issues. If you live with this type, you might have grown up in a difficult home situation — whether it be due to active abuse, neglect or invalidation. As a result, you may struggle with trusting others or may feel directionless in terms of setting personal goals.
One of the diagnostic criteria for my condition I experience most intensely is a chronic feeling of ’emptiness.’ I put the word ’emptiness’ in quotations because, as I and others with BPD know, the feeling is not exactly just emptiness — which implies a nothingness or void where something is supposed to be…
I think a better term than emptiness might be longing. It’s not just the perceived lack, it’s the yearning for it to be filled with love, connection and fulfillment.
If you are struggling with BPD, Oldham highly recommends psychotherapy. He said that because a lot of folks with BPD have anxiety and struggle with trusting other people, they are prone to fire their therapists when things get difficult.
“The solution is not run away. The solution is to stick with it, and try to get help from your therapist to understand [your BPD symptoms],”
It doesn’t matter if you relate to one or five of the types of BPD, you are deserving of support. Contrary to popular belief, BPD is treatable, but it’s important to put in the work necessary for recovery.
“It takes time, there’s no quick fix, but patients [with BPD] can and do get better and better if they are able to find a skilled therapist and develop a relationship,”
‘Superpowers’ of Borderline Personality Disorder
I’ve been through it all—the negative aspects of borderline personality disorder (BPD). I’ve attempted suicide, struggled with self-harm and have had a severe eating disorder. I have had trouble maintaining strong interpersonal relationships. I have feared abandonment and pushed people away. But I also think of borderline personality disorder as a superpower. Much like superman, we all have our kryptonite with the illness. Clark Kent had to learn how to control and harness his abilities for the betterment of society. I look at borderline personality disorder the same way.
Here are a few superpowers we have because of BPD:
- We are beyond empathetic.
Because we are able to experience feelings stronger than the average person, we are able to empathize in ways others cannot. This makes us great candidates for working in fields that require us to be compassionate, such as counseling. It also makes us great volunteers. If you have BPD, look to participating in some volunteer work and watch the difference you will make.
- We are intuitive.
Sometimes, this superpower can be difficult. There are times when our intuition can be wrong, but often times it is correct. We are able to sense danger quickly and analyze the intentions of those around us with ease. We can read people. Be careful with this superpower, as reading into someone too much could affect our relationships. Remember that everyone is only human, and we make mistakes. Don’t hold it against someone. Forgive.
- We are loyal.
Because we love so fiercely, we are loyal to those we care about. Whether it is a friend or a significant other, we would do anything for them. Once we make a bond, that bond becomes stronger than steel. Loyalty is important in almost all relationships.
- We are creative.
We have the natural ability to be incredibly creative. I believe that because we are constantly in thought, we have great ideas. Many of us are artists, musicians and poets. Our attention to detail makes us phenomenal at drawing, playing music and writing eloquently. We are truly gifted in this arena.
- We can easily adapt.
Because of our chameleon-like abilities, we are able to adapt to any situation. Some may look at this badly, as often times we mimic our environment to feel a sense of belonging. But if you look at it differently, this can be great when there is a change we have to become use to—like moving to a new city or starting a new job. If used correctly, we can still be ourselves while adapting to our changing environment.
Always remember that all superheroes, like the X-Men, were seen as “freaks” and were stigmatized because of their abilities. They had to learn to live with their given traits and use them to make a positive impact. We have the ability to do the same exact thing. BPD does not always have to be a bad thing. Look at it as a personality type, not necessarily an illness. We were not all made the same and our experiences have shaped us into becoming the amazing people that we are—even those negative experiences made us who we are. I want to encourage you to see more positive aspects that you have because of BPD. Focus on how you can use your traits to live your best life. I have to remind myself every day of each ability I hold because I have BPD. You can do it too. There is always hope, do not give up on yourself.
On the Other Side of Borderline
( From You ) I have an urgency to write this. As if someone needs to read this, or maybe I just need to see it. Yes, I’m going to give you glimpse of my mind again. If you can check all judgment, fix-its and sympathy at the door, you are welcome to have a look. If not, please stop reading now.
Nearly every day I get asked if I’m OK. I’m good. Stronger every day. Smile. Inside I’m screaming, “Help!” See me inside here. See my empty eyes. My sparkle-less smile might even fool you. I’ve been coached to do that – don’t let others know you are struggling. Don’t let them know you are not well. It’s just crying wolf. It’s just “attention seeking.” Rather say “I’m fine” and everyone can go their own way.
Today I was called out on that. A lifetime friend asked me how it is really, really going. And I had to admit, I’m not well. I can hardly carry a cup of coffee without spilling, because I’m shaking too much. I’m constantly nauseous, my heart is racing and I’m out of breath. My anxiety is freaking me out.
At the same time I’m isolating myself. Drawing into my own cocoon. I’ve been told that I’m manipulative, hurtful, unpredictable, an incompetent mother, unreliable. So I’d rather just be me — in my own basement. Saving myself, the only way that I can — avoiding.
But I will not shy away from being a mother. I scrape together the last little bit of my energy to be a mom — not the best mom, because I can’t be that right now, but I can be a mom. I have to show up for life. Be strong. There’s a song called “Even If” by MercyMe that goes:
“They say sometimes you win some
Sometimes you lose some
And right now, right now I’m losing bad
I’ve stood on this stage night after night
Reminding the broken it’ll be alright
But right now, oh right now I just can’t
It’s easy to sing
When there’s nothing to bring me down
But what will I say
When I’m held to the flame
Like I am right now
I know You’re able and I know You can
Save through the fire with Your mighty hand
But even if You don’t
My hope is You alone.”
Not my words, but they might as well be. Right now I just can’t. I cannot tell the broken that it will be alright. But the show must go on. The strangest thing is, once I’m in the studio and I open my mouth, words of hope flow through me. Am I faking it? No, I know those are not my words. And by speaking hope and life, I also feel hope and life again.
I got the label last year — the name of my illness. I don’t want to mention it, tell you what it is. Once you Google it, you will turn your back on me — many others have. I’m labeled by my illness, the symptoms and everything I do is measured against that. That fate of doom. I will never recover from this. It’s my brain that is sick. My world view that is blurred.
Funny thing is, since I got my diagnosis, my “life sentence,” I’ve been able to grow. I’ve been able to learn how to cope. I can function without beating myself up — without self-harm. I work hard at this, every day and it’s tiring. But I cannot give up. I cannot let this illness take over my mind again. I need to hold on, clim and be strong.
But unless you have been scared of yourself — your own brain telling you that you are useless, unwanted, worthless, a burden and better off dead – you cannot tell me to snap out of it. Unless you’ve locked yourself in your room, so that you won’t grab something to hurt yourself. Unless you’ve driven down the highway and prayed that you don’t give in to the badgering thoughts of driving into the truck ahead of you, or showing you all the tall buildings that can end it all. Unless you’ve fought this battle every single day, you cannot judge me. You cannot tell me I’m crying wolf or looking for attention.
At this point, I want to say to everyone who has ever been affected by suicide, every day you had with your loved one who died by suicide, every single day was a victory your loved one battled for you. Every night you could spend with your loved one who was battling suicide, was a gift from them to you. Because it is a hellish fight, a relentless battle that just won’t go away. And one day, that person let their guard down. One day the battle was just too long. But all the other ones were days given to you with all of their being, with strength and love.
So, there’s the glimpse. It is the surface of my battle, but I cannot let you in deeper. I’ve been hurt too much. Rejected. Judged. Lost my family. I don’t want sympathy, maybe just understanding. Most days I’m not having a good day — I’m just having a day, keeping myself alive.
Beauty in Borderline Personality Disorder
( From You ) In my struggle with borderline personality disorder (BPD), I often find myself completely unaware of how I’m feeling. By this I mean there is a persistent void of emptiness within me that makes fulfillment and coming to peace with myself nearly impossible.
Most days I struggle with feeling like I’m going through the motions of my life—as if I am a physical form who does what I need to do to get throughout the day. I distract myself with activities that bring me a fleeting sense of peace or happiness and try to connect with my ever-shifting self image in the best ways I can. I study astrology to understand myself better, I take and retake dozens of personality tests to remind myself of who I really am. I ask my partner to remind me of the good things he sees in me, parts of myself I can’t even remember at times because I am so influenced by the self-deprecating thoughts that run marathons in my mind.
They tell me, “you’re too sensitive and you’re too much. You are a liability to those around you. your need for reassurance is annoying. You don’t deserve the people you have in your life. You are alone and you’ll never be understood and there’s nothing you can do about it.”
I am often consumed with thoughts like these, but sometimes I feel like not much is going on in my head at all. Most days I live with the sense of having no idea what I’m supposed to do next, except when I’m with my favorite person—my boyfriend, my biggest supporter and the person I love unconditionally. He makes me feel like myself; he is my whole world. When I feel his presence with me in any way, the emptiness subsides and love fills the void that presses on my chest like dead weight.
A lot of times, this emptiness I feel is suffocating and lonely and leaves me feeling restless, wondering who I am and why I feel so useless. And sometimes, the emptiness I feel is a complacent kind, not good but not bad. A void that feels temporarily filled in certain moments, but soon dissipates into a black hole of uncertainty. Any sense of goodness I feel is fleeting because eventually it is swallowed, consumed by my inner vacantness.
But of course, this emptiness and confusion of how I’m actually feeling mentally and emotionally is not permanent. Because sooner than later, an emotional response with the forces of a thousand hurricanes will surge within me. I never know quite how I feel until it hits. And suddenly, I am crushed with all of the pain I’ve felt in past years. I relive traumatic experiences with the same intensity as how I felt in those moments. I am saddened by the pain that I feel and the pain that those I love feel. I become angry with the world, with my parents, with myself, with everything. I have spiraling episode of self-loathing, crying into pillows to muffle my screams, laying on the bathroom floor wondering where it all went wrong. I ask myself over and over again, why am I like this? Why do I do this to myself? Why do I do this to the people I love?
I tend to demonize myself and insist that my episodes and mood swings are much more damaging and hurtful to people in my life than they actually are. My BPD manifests itself in a form that this community has also referred to as “quiet” BPD; this is not an official diagnosis, but I relate to it very strongly. It displays in a way where people can’t really see it, or they describe it as high functioning. Sometimes I am irritable or defensive towards my loved ones, but most of my anger is projected towards myself. And because of this, it’s hard to tell that anything is really wrong with me. Not that having borderline means I’m a bad person, but I certainly don’t fit the stereotype of this disorder. And truthfully, hardly any of us do.
I have always found that there is something beautiful about being able to feel deeply. Years and years before my diagnosis, I have had an overwhelming sense of empathy. I was described as overly sensitive and a crybaby. My kindness led others to perceive me as a doormat. I discovered I was an empath when I was probably 12, but I believed it was my superpower. I love harder than many people and I care in a way that is genuine and real. I am intuitive and gentle and selfless.
So although I struggle with this illness, the way my intense feeling and simultaneous emptiness toss and turn throughout my being, I choose to find some good within myself. I wear my heart on my sleeve regardless of the way it has bled. In all of the chaos, I seek what is beautiful and what is real about who I am, and I encourage this community to do the same.
Ways Borderline Personality Disorder ‘Meltdowns’ Manifest
What is a borderline personality disorder (BPD) “meltdown”?
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.
Here’s what people shared with me:
- “It’s like I’m Dr. Jekyll and Mr. Hyde. One minute I’m fine, the next minute I have lost all control of myself. It’s like I’m a different person.”
- “The overwhelming feeling of helplessness, failure, anger, sadness, anxiety. The very worst part is when you are at your worst, and you can’t stand to even be around your own self!”
- “When my emotions completely take over and I am left in the back seat to watch the chaos unfold around me. The whole time I’m wishing it would all stop but the intensity of the emotions leave me out of control of myself.”
- “One moment I’m on fire, yelling, screaming, full of rage. The next moment I’m curled up in a ball, loss for words, crying my eyes out.”
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- “I see nothing but red… intense psychotic anger in short bursts followed by long periods of shame for what I said or did.”
- “No filter on my mouth. Whatever words I’m thinking in anger just come out. And within minutes, I turn angry at myself for letting my disorder get the best of me.”
- “I shut down completely. Numb, empty… My brain is like white noise and no focus at all… And a day can seem very daunting and long… Every minute is a struggle and exhausting and I know just from getting up! By the end of the day, I’m brain dead… Drained just thinking.”
- “Like a roller coaster: slow, progressive, building, then intense and lightening speed emotions, not in control, and then starts to slow down and come to a halt, leaving me exhausted.”
- “Chaotic and empty. I learned at a very young age to compartmentalize and it is torture. At the same time, the weight of emotion is crushing to the point of debilitation. I also feel and express nothing. If I don’t say I feel like I’m dying, no one even notices.”
- “I feel like I’m in a losing battle every day with myself and the relationships that are the most important to me. I’ve definitely lost some people because of it — which further fuels this fire.”
- “It’s like all reason goes out the window and nothing else matters but the emotion I’m feeling right at that moment (usually anger). I say things I don’t mean, I lash out at my loved ones and I become someone I don’t even know.”
- “It’s like a tornado of fire, everything in my path is leveled and the guilt afterward is shattering, but I’ll never tell you I’m sorry.”
- “Feeling empty and numb and lonely and then it gets worse and feels like dementors are sucking everything out of me, but I can’t tell anyone so I just have to be on my own.”
- “I go from fine to suicidal. I want to tell the people around me, but I’m afraid of being called manipulative so I suffer in silence. Then when I level out, I am so ashamed of myself and can’t stop thinking about self-harming (which I don’t do anyway).”
- “I am clear-headed, but absolutely not in control.”
- “I feel all-or-nothing. After a hookup, I immediately go through a phase of dissociation. I turn off and become some kind of robot incapable of feeling emotions.”
- “I feel my face getting red. My throat dries, my ears ring, sight starts becoming tunnel vision and I want to hide from everyone.”
- “My worst meltdowns start with rage, all-encompassing rage and misplaced anger when someone close to me ‘rejects’ me. And after the fight, I am a mess, crying, sick, and usually begging them to forgive me for lashing out.”
Strength in My ‘Quiet’ Borderline Diagnosis
My diagnosis is my strength.
I was formally diagnosed with borderline personality disorder (BPD) a year ago. I say formally because I started having my suspicions a few months before that and it was actually me who very hesitantly brought it up in a session with my therapist. Talk about taboo—one feels the weight of these words when bringing it up feels like asking—am I a…monster?
She told me she had been considering that diagnosis for a while and asked me why I had come to that conclusion, in true therapist fashion (bringing it back to me). I told her all the research I had done and how it all made sense, everything, from the heavy interest in certain people all the way back in middle school that turned into destructive obsessions, AKA, “favorite people,” and idealizing and then burning them to the ground. My need to have this devoted attention from a caregiving figure, my self-harm bouts, my intense mood swings which didn’t make any sense within the wishy washy diagnoses of “anxiety” and “depressive” whatever. How I could get so excited and creative about things and was so high-functioning, and then in the same day (or the next) absolutely devastated at some seemingly insignificant thing, especially when it was related to the issue of belonging or better yet, not belonging.
I had always associated that with my life history of living between different countries and cultures (and of course, it’s not not associated with that), but there was something so intense about it that didn’t make sense. The slightest sense of rejection made me react in such violent ways and I was usually the one to push myself out of the situation first, before anyone had the chance to actually do it or before I had the chance to be proven wrong.
However, I continued explaining to my therapist…I wasn’t destructive to those around me, so that part of the puzzle never really fit when I analyzed the BPD diagnosis. Then she said, “You turn it inward.” And I went quiet. Ah. Yes. Finally, it made sense. Instead of being aggressive to others, making a mess of my relationships outwardly…I destroyed them on the inside, and I took that anger and tried to take it out on my forearm with very timid cuts (because I never really wanted anyone to see them, it was just for me). That’s when I learned about “quiet borderlines.”
This first conversation was a pivotal point in my treatment, but also very delicate and kind of ground shaking, after all, what did this mean? Was I a monster? Was there a cure? Next, I went to my psychiatrist with this “new” information and her reaction was hilarious (to me). She said, “Yes, quite right. I have been working with this diagnosis for a while. I just didn’t think it was in your best interest to tell you.” My jaw dropped.
After an initial reaction of feeling indignant, I stopped to reflect on the medicine I took, which were all related to mood stabilizers. Huh. I had never questioned that before. But she made a point that I carry with me always—she said that I have a strong rationality and that it has been my saving grace. It helps me weather my storms and keeps me going and prevents me from destroying what I have built in my life so far. Which is not nothing—I have been able to have a steady job, survive a divorce and raise two beautiful children. And all these years she has placed her bets on how preserved that side of me is. It felt a bit like she was telling me, “You’re not all madness. You can count on yourself.”
I still haven’t told anyone in my family. I feel the words are too heavy. I don’t know how their approach to me would change. I think my mother would use it against me, “See? I’ve always said something was wrong with you!” My very natural-remedy orientated sister might question it and say that psychiatry makes everything into a diagnosis. I truly don’t know. So I stick with the very vague “anxiety” diagnosis they are familiar with. Maybe one day I can introduce the more neutral “emotional dysregulation disorder” into their lives?
In sum, it’s not an easy thing to tell people, it’s not easy to explain and definitely not easy to seek help for. The best I have is self-knowledge and arduous self-work so when the storms come, I know how to wait it out and then come through on the other side, get up, take care of my wounds, get the rest I need and then get back to work. It is lonely work, I often hate it and curse the world for it, but so far, have learned no other way. I am still searching for “my people.”
At the very least, though, having been diagnosed has helped me identify when the episodes start and to not get so worried about them. I know that it’s my brain misfiring in every which way, I know it’s a dysregulation, that there was a trigger, that I need rest. Knowledge is power.
BPD is for the strong. Please know that if you are out there living with this condition, you are strong. Yes, you heard me. If you lived another day, even if it was in bed, even if you are suicidal or committed, you are strong. You made it another day. And remember, the same way you got the lows, you will have the highs again. You will have the in-betweens. You will grow older, and things tend to get better as we age, as the research has been showing. Let your diagnosis be your strength.
Emotional Intensity of Borderline Personality Disorder
I pinch the bridge of my nose as I try to get my pounding headache under control. With the other hand I grasp the desk so tightly my knuckles turn white. My chest is clamped in a phantom vice, making every breath like a thousand icy shards piercing my lungs. The lump in my throat won’t disappear, and I fear if I take one more breath my whole body will explode – or the tears I’ve been holding back will flow uncontrollably, and I don’t want that.
I sit in this rigid position, waiting for the moment to pass. To anyone watching me, they would think I was having some excruciating migraine, or an asthma attack, or trying not to be sick (although the latter is marginally true). Truth is, I’m just trying to cope with the intensity of my emotions – which at this moment in time are shame and sadness.
To the average person, these emotions would be uncomfortable at best. You might feel your face burn with shame, or a “hot, prickly” feeling creep up your back. But you can probably rationalize these for what they are, and soon enough may yourself laughing about whatever it was which made you feel that way. For me, however, these emotions are so strong, so intense, that it is like being burned by a fire over and over again. The wounds never heal, and each time a strong emotion overcomes you, the wound is reopened and scratched raw again.
Whatever pain I feel in my head is magnified tenfold throughout my entire body. Every strong emotion I feel radiates throughout my whole being, burning bright – if I were a lightbulb I would be at my brightest setting. The emotional becomes physical, and the physical becomes visible. People see me contort in pain, they watch my knuckles turn white as I squeeze the nearest solid object with all my might in an attempt to divert the pain from my head. They see me breathe a sigh of relief when the intensity finally passes, they watch me crumple in my chair as exhaustion takes over.
A common characteristics of borderline personality disorder is self-harm. I have come to realize this is because the emotional pain we feel is so intense, that we will do anything to divert it or distract from it. I would do anything than sit for a minute with the thoughts and pain in my head. And the emotional pain always comes back – what do you do then? That’s not a question I have found the answer to yet.
Dealing with these complex emotions and the pain derived from them is a full-time occupation in itself. I constantly try to protect myself from criticism and comments from other people because even the slightest remark that someone else might brush off can trigger a downward spiral of pain for me, which could last minutes, hours or even days. I watch for situations where I might get hurt and wrap myself up in cotton wool to prevent that from happening. Unfortunately this makes functioning in everyday life extremely difficult. Keeping down a job and accepting criticism and trying to take things at face value rather than let them prick at me over and over again is near impossible on top of keeping everything else in check. It makes my life chaotic, and I can’t always keep a handle on my emotions, which is when the spiraling starts.
Learning to cope with my illness has made me better at dealing with the intense emotions, but there are still times – not infrequently – where I simply cannot cope. I become a child navigating an adult’s world, I need someone to pick me up and take the pain away because I can’t do it myself. One day I might learn how to be an adult and function normally, but for now, I’m taking it one small step at a time.
Borderline Makes You Your Own Bully
“You’re weak and pathetic.”
“You’re worthless.”
“Everyone hates you.”
“No one cares about you.”
They say that sticks and stones will break my bones, but words will never hurt me. But they’re wrong. The words do hurt me.
Being bullied affects your self-esteem. The constant put-downs rattle around in my head, making me cry, self-harm and have suicidal thoughts. If I am really as bad as the bullies say, then I deserve to be punished.
If someone else was saying these things to me, at least I could have a break from them. Maybe I could challenge the thoughts, or walk away from the criticism. But it’s hard when the person doing the bullying is me, and when I totally believe what that voice in my head is telling me about myself.
If someone asked me if I’m a bully, I’d say no. I was never one of those kids who picked on the other children for being different. I like to think that I would never be that kind of person. But in reality, I am a bully. I admit it. However, the person I’m bullying is myself.
A couple of years ago, a colleague asked me whether I physically or mentally self-harmed. I’d never heard of mental self-harm and didn’t know what he was talking about. But I’ve since realized that yes, I do mentally self-harm. I know that telling myself how useless I am is going to hurt me. That’s partly why I do it, because I feel like I deserve to be hurt.
I don’t just do it in my head, either. I write these thoughts down.
“I’m worthless. Why does no one care about me? I wish I could just kill myself. Everyone would be better off without me.”
By committing them to paper, the thoughts are strengthened. The bully whispers negative things into my ear when I’m already feeling at my worst. Compels me to write them down, kicking me when I’m already down.
When I’m feeling good, I can dismiss the bully…tell it to shut up. Sometimes it goes away for awhile and leaves me alone to get on with my life, only popping up occasionally when someone doesn’t reply to a message or says something slightly critical. The bully will amplify that criticism, whether it’s direct, implied or not even there. It says, “See? They hate you. You’re useless.” But when I’m feeling bad, the bully is on fine form. At these times, it’s hard to get a moment’s peace.
Therapy has helped diminish the bully, but it’s never really gone and came back in full force recently. As I continue to work hard in my therapy sessions, I hope that one day I can expel the bully for good.
Borderline Personality Disorder Makes Me Regress
As someone with borderline personality disorder, I sometimes regress. I have this incredibly scarred and vulnerable core inner child.
She is the part of me that was damaged before she could fully form, before she could be nurtured. The part of me that I feel may never completely heal. The part of me that seems to continue getting damaged again and again and again. The rawest part. The most open part. The most daring and courageous part.
And my inner child is also the part of me that has opened me up to the caring, the love, the safety and the comfort of certain others. The trust and close and intimate relationships. The beautiful hearts that are out there, that at one point in my life, I had shut out. Yes, many of those beautiful hearts have hurt me and have put more fissures into my inner child. And yes, she often wishes to retreat back into the darkest recesses of my mind where she lived for so long — too long. Because even when I was that young child, I was told to, “Just grow up.” I was called names. I was ridiculed. I was verbally and emotionally abused. And my parents made it seem like my emotions were “burdens” or “overreactions.”
There are times I regret ever letting my inner child out of hiding. At least in hiding, my inner child was protected. That was the illusion.
The reality was that she wasn’t protected in hiding. She wasn’t safer if I repressed the younger parts of me. She was, and is, scared. She’s lonely. So incredibly lonely. And it feels like it doesn’t necessarily matter how much love and caring and reassurance I get; my younger parts always want more, and they hold onto every word that comes out of those caring, beautiful souls as though their words and caring are a lifeline tethered to me that I need to survive.
My inner child is needy. She’s clingy. And she is so vulnerable that it scares me. So open. So exposed. So emotionally raw. And so fearful. Because she’s been burned. A lot.
And if she sees an ounce of caring or concern in someone’s eyes, she will latch on with the most intense attachment and need I have ever seen. She’ll do it quickly — before I have the chance to realize what’s happening and try to guard myself.
It’s like she’s found the leg of the parent she never really had and she hangs on with all the might in her tiny hands no matter how much that leg insists on walking away from her. Once she’s formed that attachment, once she’s found someone who seems safe and who looks like they care and who talks in that soft, sweet voice of concern and understanding; when that person walks away, the entire ground beneath her becomes a broken jigsaw puzzle with pieces that don’t quite fit. The pieces start to pop out, and I am left grasping onto nothing and desperately praying for someone to reach out and hold me.
Once my younger parts find that person, she can’t let go because it feels as though my life depends on that person being there — always. Because while I am chronologically an adult, most of the time, I feel like a young child or an infant.
I regress. A lot.
I know I am an adult. I know that. But my feelings tell me otherwise. My feelings feel the way a child or infant would feel depending on how far back I regress.
Inside, I may feel like a scared little girl, curled up in a ball, hugging her knees until her knuckles turn white and you can see all the veins in her tiny fingers. She sits in the corner of the room with her back pressed so hard against the wall, hoping she’ll just fall through or become one with the wall; hoping that nobody notices she is there because she feels too raw, too open, too vulnerable, too exposed. But she also wants somebody to notice her, to come over to her, to sit with her, to talk to her in a calming voice, to reassure her, to love her, to comfort her, to care, to take care of her, to never let go of her, to be with her no matter what she feels. To tell her it is OK to feel anything and everything and that they’ll be there with her no matter what. She just wants to be safe, away from anything dangerous, protected and finally safe in the arms of those she trusts.
When I regress, I become the younger parts o me. I am aware that I am still an adult. But I feel so young. I feel like a 2-year-old or like a baby — desperately grasping the open air with fingers I don’t know what to do with yet, but I know I need contact with the person who will take care of me. Because I can’t take care of me. Because I feel so desperate to be held and loved. Because I am crying and the world is a big scary place to be in, and I don’t know where I belong anymore.
So, I lie down and try to make my body as tiny as it can get. I try to become compact. And when I can’t become as tiny as I feel I cry even harder because it feels like my body has to become as tiny as I feel inside.
I need to calm down, but I can’t. I can’t because I have no parent to: hold me, take care of me, be there to reassure me, tell me they care and will never leave me. And to an infant, having no parent would probably be horrifying. It is devastating. It is life or death. It is survival. It is needed. A baby can’t take care of themselves. They need somebody. And I am constantly on the watch for somebody to be that for me — a search that isn’t conscious.
I found a parent figure in my therapist. He was the first person who ever noticed my baby feelings and made me aware of them. He noticed that I felt so young inside and that that made the world even scarier for me. He was the person who helped me release the baby parts of me that I had unknowingly kept hidden inside. But that creeped out during our sessions and in between. And when those parts of me were acknowledged and welcomed to come out, it was like floodgates had opened and nothing could ever stop that force from coming out.
It was terrifying and it was beautiful. I was slowly learning what those young parts of me needed and why they were there. I never got to have what most babies and young children have. I never learned safety and security. I never formed a secure attachment. I never learned emotional consistency or object permanence. I never learned that people may leave m,e but that it doesn’t mean they are leaving me. I never learned to feel safe within myself because I never learned to feel safe, period.
So I regress. And it’s painful. When I am those baby parts, I feel everything to an intensity I can’t even find the words to describe. I feel things I didn’t even know existed. I feel intense love — like a baby would feel toward their parent. A desperate need to be with my parent figure. I talk like a baby, sound like a baby, use words that babies use, and I do all of this without trying to. It just happens. It just comes out. And I’ve learned to let it come out, to not hide the baby parts away.
I’ve been learning to accept that feeling like a young child or like a baby is “normal.” Everybody has child parts in them. Maybe not everybody feels exactly as I do, or to the intensity, but it isn’t abnormal. It may feel like it is, but it isn’t. It is normal, and it is OK.
The baby feelings come out more often — especially when I feel hurt or vulnerable or if my depression has spiked or I’m scared somebody is abandoning me.
If I feel rejected, I regress.
If I feel scared, I regress.
If I feel emotional, I regress.
If I feel joy, I regress.
If I feel an emotional reaction to something on TV, I’ll regress.
If I feel close to someone, I regress.
If I feel safe, accepted, cared about, reassured, comforted, loved, wanted or need with someone, I regress.
Sometimes, my regression is this happy baby wanting to curl in on herself and smile and babble and giggle. It is still scary because it is so incredibly raw, but it is this safety that is complete. It isn’t the same as safety that I’ve seen and felt as an adult, it is this childlike safety. This “wow,” I’ve found someone to: love me as I am, comfort me when I’m scared, hold onto me and squeeze the pain away and be in the pain with me so I’m not dealing with the weight of the world alone. To guide me. To love me. To be there. To accept me. To not judge me. To help me feel safe within my world. But it is so much more than that. I have no words to describe it. It is magical.
Other times, my regression is pure desperation. It is more than a want or a need — it is a whole other being. I must have the person I feel safe with, and if the baby parts can’t have that parent figure right then, my baby parts feel frantic and impulsive and desperate. They feel rejected and alone and like they don’t matter or nobody cares. And those baby parts don’t understand why somebody can’t be with me 100 percent of the time, why they have to leave me to go be with their family or go to work or why they can’t always stay. Because that part of me needs it. That part of me is so much more than scared.
When I am in that state, it is so hard to console me. And once someone is comforting me, I never want them to stop and I never want them to leave. I can’t handle them leaving. I am even more hypersensitive to any change in their tone or word choices or eye movements than my usual hypersensitive self. Because any change means rejection. It means they really don’t want to be there with me. It means I am a burden. It means I’ve shared too much. I’ve become too much. That I shouldn’t feel like I am a baby. That I shouldn’t have shown them my baby feelings. That it is abnormal to feel that way. To talk that way. To act that way.
Sometimes, when I can’t figure out how to soothe myself or calm myself down, I will reach for one of my favorite pacifiers. And yes, I am an adult who has baby pacifiers. But there are times when the pacifier, my bottle, my blankey and my bunny are the only things that can calm me down. Often, using my pacifier will bring this sense of calm over me and will help soothe the baby parts of me that are so scared. It brings safety. I’m honestly not sure why, but it does.
Sometimes, I’ll recite “Goodnight Moon” to myself before bed because my therapist, who has been a parent figure to me, recommended I read it before bed years ago.
I love using my pacifier. I love drinking from a bottle. And I wish somebody would be there with me and my baby feelings and not get scared. I wish people knew that I am still the adult they knew a few minutes prior, but something in me probably got triggered and I may or may not know what triggered me or what was triggered in me. But when something triggers me, I regress, and I need them to sit with me, be with me, care for me and not leave me. To accept me as I am. To go with it.
I need them to go with whatever age I feel. And if they need to ask me what age I feel, they can. I may not always know, and depending on how young I feel, I may not be able to answer. I may not be able to say those words. I may only be able to make sounds that mean so much to me but sound like nothing to other people. Or my voice will change dramatically — I will go from sounding like an adult to sounding like a child or baby instantly.
And it can be very confusing and scary for me. If I am in public or with people I don’t trust enough to show this part to, I will try so hard to either leave where I am or to push those feelings down or hide them or to feel them internally. But it’s hard. And if I’m triggered, the baby feelings come out and are so strong. My inner child screams so loudly and wants to be noticed but also wants to hide. She’s shy and needy and desperate. She needs someone to hear her, to hear her needs and to know her needs before she even says them, even though I, the adult, know that nobody can know what I need if I don’t tell them. My inner child doesn’t care. To her, that person not knowing is the same as abandoning or rejecting.
And I shut down. I shut down and shut the world out. I stop talking or I only say short sentences. I put my fortress walls up and station guards outside of any perceivable site of entry. And my inner child retreats far into the fortress to avoid any more hurt because those young parts of me have been hurt too many times by people who were supposed to love me. And for those parts to be shown is so brave and courageous for that little girl. It is putting herself out there even though each time she puts herself out there and hands her little heart over to someone, she gets crushed. But she keeps trying because she knows she needs that someone. She knows this.
‘Impulsivity’ Looks Like
One of the classic signs of borderline personality disorder is impulsivity. When most people (myself included) hear that, the first images that often come to mind are going on a shopping spree, speeding down the highway in the middle of the night or making other poor judgment calls. At first I laughed it off and thought, “I’m not impulsive!” The more I try to understand myself and reflect, though, the more I can see the impulsivity… but it’s not what most people think.
I’m impulsive with words. I talk out of my ass sometimes. I respond quickly and emotionally to others, especially when I am upset or angry (I call this my tendency to “word vomit” on people). As soon as an idea crosses my mind, I am telling someone about it. I try to answer questions as quickly as possible, like it’s a race. There’s often no filter with what I say.
I’m impulsive with relationships. I fall hard and I dive in deep before even thinking through the truth. I’m sometimes too trusting, I’m often too giving and I’m always too invested. I also tend to leave relationships impulsively: I’ve written off people I’d been friends with for years over a small argument or because my new “favorite person” didn’t like that other friend.
I’ve also noticed the timing when my impulsivity is most likely to occur is not when I’m doing great… it’s actually when I’m overwhelmed and usually feeling low. I try to use words to save myself from abandonment or to hurt others when I am feeling pain inside. I unload on people without even thinking about what I’m saying or how they will react.
I impulsively reach for self-harm as a coping mechanism when things get out of control in my head. I’ll find something I already have or even seek out objects in stores. My therapist says it’s my way of trying to take back control when I feel I don’t have control over my emotions or what is happening in my life.
I think that because of this unique form of impulsivity, when I’ve been asked if I am impulsive in the past I’ve always said, “No, not really.” But I’m seeing now that impulsive behavior can look different for each individual. I’m glad I’ve become aware of this as I learn more about myself and mindfulness through Dialectical Behavior Therapy (DBT). I hope that in time I can gain control of my impulses more so I can be less impulsive and more attentive, more methodical in my words and choices.
The ‘Surplus Stigma’
I wrote the following to spread awareness on the reality and stigma of borderline personality disorder (BPD). A trigger warning may be needed if you have BPD.
A while ago at school, I overheard borderline personality disorder brought up in a conversation between a social worker and some students. I casually lingered to hear the discussion. Within moments, the social worker loudly declared those with BPD are “borderline human” and will “fake pain to manipulate others.” Next, he exclaimed, “I can smell borderlines from a mile away!”
I immediately left the building crying and thoughts spiraled through my head. “Is that what they really think of me? Haven’t they ever thought about what this pain is like through my eyes?”
Another encounter occurred in one of my mental health classes. The instructor thoroughly outlined causes, symptoms, and treatment of depression disorders, anxiety disorders, schizophrenia, bipolar disorders, eating disorders, and various other mental illnesses. When it came to people with BPD, however, they were described as manipulative and untreatable. On the test, a true or false question read, “Personality disorders respond to treatment.” I had to answer false to receive credit, when deep down I knew research shows at least 80 percent manage symptoms from the proper treatment, though some functional impairments persist.
I can recall yet a third individual who noted we are “scary borderlines.” I have been denied services, minimized, and overlooked through my attempts to find treatment.
Two international researchers perfectly describe what I, and many others with BPD, face with the stigma. In the book “Beyond Borderline: True Stories of Recovery from Borderline Personality Disorder,” John G. Gunderson MD and Perry D. Hoffman PhD., explain:
Seldom does an illness, medical or psychiatric, carry such intense stigma and deep shame that its name is whispered, or a euphemism coined, and its sufferers despised and even feared. Perhaps leprosy or syphilis or AIDS fits this category.
Borderline personality disorder (BPD) is such an illness. In fact, it has been called “the leprosy of mental illnesses” and the disorder with “surplus stigma.” It may actually be the most misunderstood psychiatric disorder of our age.
For many years, clinicians spoke and wrote in pejorative terms about patients diagnosed with the disorder as “the bane of my existence,” “a run for my money,” “exhausting,” or “treatment rejecting.” In fact, professionals have often declined to work with people diagnosed with BPD. This rejection by professionals, which has seemed at times almost phobic, has spanned many decades.
The literature repeatedly refers to BPD patients as manipulative, treatment resistant, raging, or malignant, they conclude.
BPD stigma spreads outside clinical settings. Within seconds of searching online, stigmatizing or misleading articles, posts, and videos take over the screen. The term “borderline personality” is often wrongly used to describe violent, harsh, dangerous or “crazy” individuals in media or news reports.
One of the first books I skimmed for a college research paper on BPD was no different. Largely quoted on one of the pages read, “I have never met a borderline patient that I actually liked.”
I have even suffered from death threats and harassment on my blog, just because I have BPD.
Often, people may undermine the symptoms of living with a mental illness and the stigma that comes with it. I am cut short by remarks that invalidate my experiences and the reality of my symptoms. “Doesn’t everyone get angry?” “I got angry the other day—maybe I have it! “Don’t we all experience some stigma and maltreatment in life?” These ideas serve as a form of stigma in their own way. They reframe severe illnesses as nothing more than a problem with weakness, willpower, and an inability to handle what other people can. Some comments are not far from when people say they understand what it is like to have a severe chronic illness because they have had a cold or felt tired before.
I feel like I am trapped in a house alone with my BPD, isolated from the outside world. If I peak my eyes through a window, I see others met with support and understanding as they disclose their bad days, anxieties, or sorrows. But if I disclose my BPD, my symptoms are viewed as an overreaction, scary, needy, or minimized. I don’t know what it is like outside of this window. I feel like I cannot step outside of this “borderline” because those around me will not let me or accept me.
It is certainly not to say that other mental illnesses are not stigmatized or don’t result in difficulty. Rather, mental health awareness cannot stop at more stigmatized, severe mental illnesses, whose symptoms are demonized and different from other more common mental illnesses, like BPD or schizophrenia.
Research to help shed light on the BPD stigma shows these attitudes may hinder the progress made in treatment and damage the doctor-patient relationship. This leads to further consequences. Stigma puts a barrier on mental health resources for BPD. If an illness is viewed so harshly, people who have it may be less likely to reveal struggles and seek out treatment. The negative views against BPD have not only held me back from seeking out services and treatment, but it has horribly triggered my symptoms, heightened my self-hatred, and fueled the painful thoughts and paranoia.
It is true many professionals may lack the skills or background needed to treat a specific group of severe patients, especially considering mental health care lacked tools to treat BPD for a long time. Yet, the negative assumptions and attitudes are problematic regardless. It is clearly not helpful to the clinician or patient, nor is it necessary, to continue to associate BPD to such negativity.
Unfortunately, there are many mental health professionals and people who have the disorder who simply do not understand BPD or even acknowledge it. BPD is in dire need of understanding. It has been estimated multiple times that up to one out of 10 of those with the disorder die by suicide, and up to eight out of ten attempt suicide an average of three times.
Despite the severity, people with BPD are treated like the blacklist of mental health. As a psychology student myself, I aim to draw upon my experiences and passion for psychology to help treat, advocate, and raise awareness for personality disorders. My own struggle certainly serves as inspiration and motivation, but I also lost my best friend and martial arts mentor who had BPD. I loved him with all that is within me — he was the epitome of patience, compassion and kindness, but he endured emotions through such intense pain. One night, the message replies stopped. Silence. My best friend died by suicide. I never heard his voice in the present moment voice again.
He was a mental health worker who helped me make it through my days. After I enrolled in college, my love for psychology and writing expanded even more, and I finalized my decision — I will make a difference to others in similar situations, I will keep his memory alive, and I will pursue the career that I love.
Thankfully, the stigma, myths, and misunderstandings of BPD have been refuted and pointed out by numerous professionals. They have provided evidence-based treatments and models that improve the outcome of the disorder and spread awareness.
Much like some initial responses to the AIDS epidemic, some people try to propose a proper solution to this stigma is to “eliminate” the idea of the disorder or accuse the existence of it to serve only as means to stigmatize a group of people. If we are to make any progress on the research, treatment, and understanding of this very real disorder, we need proper awareness and education, not erasure. We do not need people to fight the stigma by perpetuating even more stigma through minimization and erasure, but rather, we need a real understanding of the science and reality behind BPD. We need to deny this idea of stigma, not deny the very presence, reality, and science of this disorder and those of us who live with it.
Dr. Marsha Linehan‘s widely used model of BPD truly captures the essence of the disorder and how at its core, BPD has to do with the limbic system and emotional vulnerability. She created a highly effective BPD treatment known as dialectical behavior therapy.
Borderline personality disorder causes emotional, behavioral, interpersonal, cognitive, and identity symptoms. It is a serious, chronic mental illness characterized by hypersensitive emotions, intense emotional reactivity, and a slow return to emotional baseline.
The hypersensitivity means emotions are easily aroused and may occur from ordinary circumstances that do not typically bother someone without the disorder. The reactions are then noticeably intense and evoke grief instead of sadness, humiliation instead of embarrassment, rage instead of annoyance and panic instead of nervousness. Positive emotions, such as great joy, may also occur easily. Lastly, the slow return to baseline means it may take longer to level out and heal from an emotion. This instability and sensitivity is better explained as a natural range of emotion across various contexts, as opposed to mood episodes or periods of worry or stress.
With this underlying model in mind, specific symptoms consist of extreme reactions and preoccupations toward real or perceived abandonment, rejection, and slights, reoccurring self-harm and suicidal ideations, impulsiveness, chronic emptiness, intense anger, and a distorted sense of identity, self-direction, and image. Splitting in BPD can be broadly explained as extreme shifts between positive and negative thought patterns, because a whole picture is not integrated in the mind. Other symptoms include dissociation, paranoid ideation, and transient hallucination experiences. What seems like typical events to others, such as a brief separation or perceived failure on an ordinary task, may instantly stimulate BPD symptoms.
As Linehan said, “… borderline individuals are the psychological equivalent of third-degree burn patients. They simply have, so to speak, no emotional skin. Even the slightest touch or movement can create immense suffering. Yet… life is movement.”
With the heart palpitations, the emotional shocks through my body, and the trembling, numb fingers that occur at the hint of an emotion, the stigma and misunderstanding only adds more pain and shame. It secludes us from the help we need. Don’t be the one to perpetuate stigma and misunderstanding. My emotions may be extreme, but I have been repeatedly told they make me passionate, energetic and beautiful.
The Cost
When I talk about the cost of being borderline, I don’t mean metaphorically; I mean, “How much does it cost to have borderline personality disorder (BPD)?” Often when discussing mental illness we talk about how emotions affect a person or their family and friends, but rarely is money discussed when it comes to being mentally ill.
At the moment I’m struggling with my mental illness so badly that I’m unable to keep a job. The reality of this means I’m not in receipt of a decent living income. I live month to month with money, which can be difficult for the average person never mind someone with a mental illness like BPD.
My impulsivity regularly causes me to spend money I don’t have on things I don’t need. It doesn’t feel that way in the moment. I often feel like I have to buy these things to ensure my happiness. This is not an uncommon reality. Many people with BPD struggle with compulsive spending. Not only this, but they may have a range of costly addictions from alcohol and drugs to food. There are also extra costs associated with these addictions you may not realize. For example, food addiction may cause health problems or a need to buy better fitting clothes. These addictions can mean having to spend money on private treatments because, depending on where you live, your government may not cover it.
Often self-destructive coping mechanisms like binge-spending can be triggered by emotional pain. Someone who is usually frugal with money may max out a credit card after an argument with a loved one. Even though we might be aware of the fact that it is going to have a negative impact on us in the long term, it is difficult for us to get past the comfort it provides in the moment.
BPD itself may require treatments and medications that the government doesn’t always cover. At the moment, although I’m not working, I’m still paying for one-on-one therapy, which the NHS doesn’t cover for me. People like me often have to rely on charities to help with treatment because the NHS can’t keep up with the demand for our treatments. It also can be quite expensive having to attend these appointments with little income. It is costly running a car so having to rely on alternatives is a necessity. It can also be daunting to use public transport. For example, because of anxiety, I often have to rely on expensive taxis to get me to appointments, which is difficult to afford on a low income.
One symptom of BPD, according to the DSM (Diagnostic and Statistical Manual of Mental Disorders), can be to have an unstable sense of self. This, for me, often means almost changing my style completely on a regular basis. This means new clothes, new shoes, new accessories, new makeup, new hairstyles. This all costs money, and depending on what style I choose can end up being pricey. It also means new hobbies. I’m constantly flitting from one hobby to another. Some are free and easy to do, such as meditation, but then there are things such as candle making, which can end up being quite expensive.
The biggest cost, though, is someone’s life. According to LiveScience, a human life is worth approximately $5 million. One in 10 people with BPD die by suicide, so when your loved one with BPD asks for help, please listen.
The ‘Addiction’
The part I struggle with most is the addiction.
I’ve read many accounts of people with borderline personality disorder (BPD) who rely on drugs or alcohol to cope, and I understand as much as anyone how easy it is to fall victim to such an extreme coping method. But my addiction was never in the form of a substance. Instead, I was a people addict.
Not everyone satisfied my desire for connection. It was always someone who was guaranteed to hurt me in one way or another. It was self-sabotage and a cry for help.
If I was friends with someone, the addiction would never manifest itself with that person. But the moment they displayed any interest in something more than friendship, any and all sense of my self-preservation and caution just flew out the window. Even though I was aware of my problem, I couldn’t stop myself.
The scariest part was the significant amount of power these people had over me and over my life. Sometimes it would seem like they were distant or growing bored of me, and I would shut myself away and cry because that’s how much it hurt. For days, even weeks, I was so depressed I couldn’t bring myself to do anything except lie in bed.
Nothing could distract me. Not my friends, not movies, not books, not even my job. I couldn’t force myself to study or do anything productive. And my mom would ask everyday why I was getting nowhere with my online studies, why I wasn’t making any progress. She would get angry and say I was mopey or lazy or in a bad mood.
I wasn’t always like this though. If the object of my addiction was displaying interest or affection, then I’d feel good about myself and even occasionally happy. But a life spent basing your own self-worth on the opinion of others is not a life at all. At least not one I would want.
For months now I’ve been trying hard to distance myself from the wrong people and surround myself with the right ones. It’s a lot easier said than done and sometimes I still make bad decisions. But I am convinced I can manage this problem. It’s only as powerful as I allow it to be.
What Is Black-and-White Thinking?
When I am speaking to a group about my history, I always list the typical symptoms of borderline personality disorder (BPD), since most people are unfamiliar with the diagnosis. One of the questions I am most frequently asked is “What is black and white thinking?”. Usually, I will tell them sort of about a funny example from my life of the first time I ever saw myself thinking in black and white, which I will share later in the post, but first let me explain black-and-white thinking in detail.
The official psychological term is splitting, though it may be called all-or-nothing, either/or, love/hate, us/them, and most commonly, black-and-white thinking. Splitting is not unique to BPD alone. Most people will experience splitting sometimes, but with BPD, splitting may happen the majority of the time, if not all the time pre-treatment. It’s a constant in my life that I have to check my thoughts for evidence of splitting. Black-and-white thinking is ingrained in me, the natural way my brain works.
So what is splitting? Splitting is the inability to see the dichotomy of both positive and negative aspects of our thoughts, usually associated with how we think about people. Everything is either all good or all bad – there is no middle ground. All of my thoughts are polarized. My life is either absolutely terrible or completely amazing, but nowhere in between…
That’s why the main treatment for BPD is called Dialectical Behavior Therapy (DBT). “Dialectical” means the integration of opposites, seeing that two seemingly opposite things can be true at the same time. The therapy and its coping skills intend on helping patients more easily find a balance between these two extremes we are used to experiencing.
There is nothing intentional about splitting; it’s an automatic response to intense and/or dysregulated emotions. It’s a natural defense mechanism all humans have as children. What causes BPD is a complicated issue, but most professionals agree trauma can play a key role in disrupting the development of the person with BPD. Due to this, when someone with BPD is acting out, it’s not that they’re failing at using their coping skills effectively – it’s that those skills may never have developed at all.
Most children see everything as all good or all bad. This is especially imperative with relationships, most crucially the relationship with their parents. Young children lack object constancy, meaning if they can’t see something, they think it isn’t there. This is why you can play Peek-a-Boo with babies. So if Mom is another room the child may think “Mom abandoned me! She hates me. My mom is bad.” while later at dinner they might think, “Mom is feeding me because she loves me! I have a good mom.”
As you can imagine, thinking in these extremes causes a lot of the symptoms associated with BPD. Splitting is one of the reasons we can so quickly change from idealization to devaluation, and because of that, we may have chaotic and unstable relationship patterns. It isn’t only about others – we may think of ourselves under these strict guidelines as well. Often “I am a bad person” is an idea we are positive is true. This contributes to our identity disturbance and poor self-image. Splitting also contributes to frequent mood swings as we switch from all good to all bad.
As I said, splitting is something I have to constantly be on the lookout for. I also have to take precautions to avoid situations that cause splitting. For example, I cannot debate or realistically discuss politics with someone I disagree with. You should have seen how upset I was getting this past election season and how many people I unfriended! Splitting says my views are right, so yours are wrong. When I did engage in political discussions, more so when I was younger but occasionally still do, I would do things like argue facts that have been proven to be incorrect, just for the sake of staying right. Splitting says you’re either with me or against me. So I would suddenly hate someone I had liked just based on their political views – which is unfair and immature. But dialectically, I realize I do this and I take measures to prevent it by avoiding political conversations. I wish I could participate and stay reasonable and rational, but time has proven I still can’t, even in recovery – so I don’t (well, I try not too). I don’t feel I’m losing much by avoiding politics, so it’s an effective way for me to cope with splitting.
But I am constantly polarizing my thoughts, and I can’t avoid everything that causes it because then I’d get upset with every person who prefers Miracle Whip to mayo. Even something as irrelevant as that is processed by my splitting thoughts. So part of living in recovery of BPD is constantly analyzing my thoughts to look for signs of my symptoms like splitting. (Pro Tip: watch out for words like “always,” “never,” “hate,” or “wrong,” as signs you may be splitting.)
The best part is once I realize I’m splitting, I’m able to dialectically work it out in my mind so I don’t get so polarized about everything. I try to see the situation from the other person’s point of view. I list out reasons why they might be like that. For example, if I am convinced someone hates me because I haven’t heard back from them in a while, I may remind myself of things like they might not be able to pay the bill, the phone may be broken, etc. As I do that, my thoughts move into the shades of grey I couldn’t see, and my emotional intensity comes down as I move into the grey.
When my therapist first asked me to read the DSM criteria for BPD and see if I found it familiar, I told her that wasn’t me at all. I didn’t think I had black-and-white thinking or pretty much any of the other symptoms that I can now see I obviously had. So it wasn’t until about six months into DBT that I was able to take a step back and notice myself splitting. I remember it very well as it was a huge revelation for me and a leap forward towards recovery. Note, this story does contain adult topics and may be NSFW.
I met L when we were in DBT in 2012, and she is still one of my best friends to this day. At the time, we both were struggling with BPD and quickly clicked when she joined my group a few months after I did. Before L joined, our group would sit in silence in the waiting room until our therapists called us back to the meeting room for group. That changed when she joined, as L is very gregarious, and the dynamic of the group evolved as we became more talkative and closer to one another.
This was about six months into my DBT treatment. L and I were just beginning to become friends. We had just started texting outside of group. That day, L entered the waiting room, sat down, and told the group of women she needed to buy a new vibrator. This led to a lengthy yet funny discussion of the quality of different vibrators and recommendations of which one she should get. I laughed through the conversation, though felt slightly embarrassed by the topic, not really contributing to the conversation. After about five minutes, they let us head back to group, and the conversation died out as we got our binders out and prepared to start. I laughed so much my face hurt and went into group in a jovial mood.
A few weeks later, M, one of the group members, was graduating. Graduation was not a formal event, but when someone felt they knew the program well enough, they would stop attending group, and graduation happened at the beginning of the last class a person attended. The therapists would talk about how much the person has grown since they started DBT, the class members would comment on her successes and send well-wishes, ending with the person making a short speech to say goodbye.
When M was ready to speak, she did not discuss her time in DBT at all. Instead, M quietly said, “So, um, there is something I need to say. I wanted to speak up then, but I couldn’t, but I really want to say it before I leave. A few weeks ago, there was a very inappropriate conversation in the waiting room before group. It made me feel very uncomfortable, but I didn’t feel I could speak up. I–”
L cut M off. “M, I know I started that conversation, and I wanted to tell you I am so sorry. It was a really inappropriate conversation, and I should have been more mindful. I did not mean to make you uncomfortable. I will be more careful in the future and I’m sorry to have upset you.”
“It’s OK, I just wanted to get the chance to speak up…”
M continued on, and L continued to apologize for starting the vibrator conversation, but I wasn’t really listening at this point. Instead, I was seething.
Who does she think she is? I thought to myself. L can talk about whatever she wants and just because M’s a prude doesn’t mean she can be such a bitch about it. And my thoughts kept going, totally trashing M while praising L, when suddenly it hit me. I was starting a fight in my head while the two women were actually apologizing. I had drawn a line in the sand and was intensely angry at M.
This is it! I’m thinking in black and white!
This is what black-and-white thinking is!
I spent a lot of time analyzing my thoughts through the rest of class, curious as to how it became so extreme in my mind when the situation didn’t warrant it. I was creating a fight when there wasn’t one. I complained that M was being a prude for being uncomfortable with the conversation, when I knew that I, myself, was a little uncomfortable too!
I remember I kept saying to myself that I was “on L’s side,” when L’s “side” was actually one that was forfeiting. In my mind, L was right and M was wrong and I had L’s back. Not only was M wrong, but she was a terrible person – in fact, I never liked her anyway.
There I was, totally devaluing someone based on one thing she said that I didn’t agree with. No, it wasn’t that I didn’t agree, it was that she said my friend did something wrong. At the same time, I was idolizing L, thinking about how cool I thought she was and how I was impressed by her candid constitution. Suddenly, she was my best friend and I had to defend her, though I really didn’t know L that much better than M at the time.
It was completely irrational, but it was an obvious display of black-and-white thinking to me — a demonstration I really needed because I didn’t even know I was splitting. I can’t spot it all the time, but I am pretty good at noticing when I’m splitting now. And the best part is once I realize I’m doing it, I can use my skills to talk myself to a middle ground. If I start getting worked up, I will actually ask myself questions about my symptoms, like, “Am I thinking in black and white?” and look for statements that are all or nothing.
Now you all have a more comprehensive understanding of splitting. It’s complicated to explain exactly how it works to people as they have a very elementary understanding of what that is like for the person experiencing it. Luckily, as long as we remain mindful of moments when we do start polarizing, we are able to correct those cognitive distortions before much damage is done. I can’t speak for other people with BPD, but I feel this is something I may never get a hold on. I don’t think I can rewire my brain to not immediately jump to the extremes, but as long as I keep mindful of my thoughts and watch out for splitting, it’s manageable.
The Bright Side
Borderline personality disorder (BPD). What words come to mind after hearing such a diagnosis? Manipulative. Attention-seeking. That “crazy ex” of so-and-so who threatened to burn his house down. If you have it or love someone who does, you’re familiar with the fragile self-esteem, self-destructive tendencies and rollercoaster of emotions that can make daily life struggling with BPD a tough ride.
I was diagnosed with borderline personality disorder when I was 18. I’ve had 10 years to get to know my demons. Though I have a lot of fighting left to do, this mental health battle has shown me that even during an emotional storm that some people might run from, I can always find a little bit of sunshine.
Where there is a fear of abandonment, there is fierce loyalty.
This one hits home. I’m terrified of being left. Letting down my emotional walls leaves me open to agonizing pain. When I love someone, I love them intensely and it’s a driving motivation in life to make my loved ones happy. I’m the person who likes to surprise her housemates with their favorite snacks and I put a lot of thought into holiday presents. Because it’s rare to find someone who can cope with my unsteady emotions, when someone sticks around, I’ll stick around as well. I’m a stubbornly loyal friend.
Where there are intense relationships, there are interesting lessons.
It’s common for borderline patients to have a “favorite person,” or FP, who takes up a lot of their time and attention. In my case, it’s not usually a romantic thing. I’ll meet a person and become fascinated with them for seemingly no reason. The FP will wield a lot of influence over my life and usually, they’ll never know it. This can leave me vulnerable to being taken advantage of, but my favorites can also encourage me to be better. Because of the drive to impress my FP’s, I have pursued my creative hobbies more intensely (which once led to a very successful art show), I have developed healthier eating habits and I’ve dabbled in a handful of languages. (So I may never use Italian, Dutch, or Afrikaans in my daily life, but learning “unnecessary” things is still learning, am I right?)
Where there is paranoia, there is preparedness.
I worry about everything. For example, a FP mentioned having to have surgery on his wisdom teeth. Five minutes later, I was buried in stories about people who have died of heart attacks during the procedure. It’s tiring being scared all the time, but even that has taught me something. At my first job interview, the manager asked me how I can turn one of my weaknesses into a strength. I told her I was a worrier, but it has taught me to be observant. My coworkers are impressed by my ability to remember inventory in our store. Because I worry about getting lost, I memorize directions quite well. I research, research, research: how to blend in while visiting a sketchy neighborhood, where to find help if you suddenly become homeless, how to adjust travel plans if the bus is late. What information doesn’t help me, can help others.
Where there is impulsiveness, there is the ability to adapt.
Sometimes I think my money has wings. I’ve lost track of the number of addresses I’ve had. When a person lives out of a suitcase, they learn to get by with little. I have no desire for an ostentatious mansion or a fancy sports car. Give me my favorite foods and a cat to snuggle and I’ll be content sleeping in a trailer on a futon mattress. Since spending money is a weakness of mine, I’ve learned to be frugal in order to counteract my impulses. Need to know the cheapest grocery store to buy fruit, which bus will get you to the next suburb the fastest, or which thrift shop has the best selection of designer jeans? I’m your girl.
Where there is unstable self-identity, there is experimentation and adventure.
I don’t know who I am yet. I don’t know what I want to be when I “grow up.” I’ve wanted to be a lot of things and be in a lot of places. Though staying at home isn’t bad, I believe the four universities I’ve attended and the five states I’ve lived in have taught me a lot about life. I’ve taken classes in social work, news broadcasting, world religions and criminology. I’ve met tongue-speaking Pentecostals, determined atheists, traditionally-minded southerners, lifelong welfare recipients and wealthy suburbanites in the search for “home.” And I’ve learned I look pretty cool with blue hair.
It’s been an intense life full of curiosity, uncertainty, fear, excitement, surprise, love, hope and heartbreak. Sometimes it’s hard to wake up in the morning and just exist, but I want so badly to know what’s next.
I don’t know what your borderline journey will look like.
But I know that your life, no matter how dark, still has beauty in it. You have a purpose. Your existence has meaning. And you can bring brightness into the world, even when there’s a hurricane in your head.
Books on Borderline Personality Disorder
Knowledge is power anytime, but especially when you live with mental illness. We can learn so much about ourselves through the words of others, not to mention we can help others learn more about our mental illness, and how they can support us on our more difficult days.
As I scroll through social media support groups, I frequently see people ask for book recommendations for borderline personality disorder (BPD). Therefore, I think it’s finally time someone made a list of BPD-related books to help others find exactly what they’re looking for.
- “The Buddha and The Borderline” by Kiera Van Gelder
“The Buddha and the Borderline” is a woman’s first-person narrative of diagnosis and early recovery. Van Gelder’s tale includes a slippery slope of struggles that lead to her BPD diagnosis, plus her inspirational recovery through therapy, Buddhist spirituality and online dating.
When I first received my borderline personality disorder diagnosis, my therapist recommended this book. I instantly fell in love with Van Gelder’s writing style and felt less alone for the first time in my life. Now I recommend this book to anyone who just received a diagnosis or simply wants to read a firsthand account of BPD.
- “Stronger Than BPD” by Debbie Corso
The road towards recovery with BPD can feel insurmountable at first. It’s sometimes hard to see how anything can possibly help, and many online forums leave people questioning if recovery is even possible.
Debbie Corso, a BPD survivor and advocate, compiled this book to help individuals with borderline personality disorder find the path towards recovery. This book is full of information on dialectical behavior therapy skills and real-life examples to help people see how others have worked through these same struggles and come out stronger on the other side. And speaking from experience, these skills definitely work.
- “Get Me Out of Here” by Rachel Reiland
This astonishingly honest memoir reveals what mental illness looks and feels like from the inside. Through the pages, we watch Reiland heal from borderline personality disorder by engaging in intensive therapy and leaning on loved ones.
Although this memoir is a bit longer than many of the others out there, I find its message just as important. This particular memoir is great for any mother or working professional who received their BPD diagnosis a bit later. As someone who just received my diagnosis at 29 and was able to mostly keep life together, this particular story really rang true for me.
- “Girl in Need of a Tourniquet” by Merri Lisa Johnson
In this memoir, Johnson, a self-proclaimed “psycho girl,” shares her journey from dysfunction and dysregulation to the beginning stages of recovery. Intertwined with her own story, Johnson throws in helpful information about BPD. Although it makes readers sometimes feel like they’re jumping around, it really helps paint a full picture.
Like “The Buddha and The Borderline,” this novel not only provides great inspiration, but also a sense of connection many of us with BPD feel is missing in our lives. I think it’s a great choice for anyone diagnosed with borderline personality disorder to read and explore themselves through Johnson’s story.
- “Beyond Borderline: True Stories of Recovery” by Perry D. Hoffman and John G. Gunderson
“Beyond Borderline” is a collection of over 20 short stories from individuals who battle borderline personality disorder, compiled by two notable experts on BPD. These stories explore a wide array of symptomology and also explore recommended therapeutic modalities for BPD recovery like dialectical behavior therapy and mentalization-based therapy.
What I love about this collection is the way in which it not only highlights the many ways BPD can vary from person to person, but also the many paths people can take in their recovery. No mental illness and no treatment is a one-size-fits-all approach, and I think many therapists especially lose sight of that with personality disorders.
- “Remnants of a Life on Paper” by Pamela and Bea Tusiani
Pamela Tusiani battled severe borderline personality disorder until her untimely death. Through her journal entries and artwork and the opposing voice of Pamela’s mother, Bea, readers can start to piece together the complexity that is BPD.
Unlike most other memoirs out there, this book is actually a compilation of journal entries and accounts from a mother and sister written after Pamela’s death. This causes some controversy about its place as a BPD guide, but the wealth of insight it provides is invaluable.
- “Loving Someone With Borderline Personality Disorder” by Shari Y. Manning
There’s a lot of negative press out there about borderline personality disorder, which can leave many friends and family members feeling lost and conflicted when their loved one receives a BPD diagnosis. However, Shari Manning tries to help rewrite the story and help loved ones better understand this disorder and how they can help with the recovery process.
This important book really can help those who take the time to read it. Once loved ones understand exactly why people with BPD behave how they do and see them in a new light, both parties can work towards building better relationships.
- “I Hate You—Don’t Leave Me” by Jerold J. Kreisman
Although this book serves more as a guide than a novel, “I Hate You—Don’t Leave” is a comprehensive collection that can help many people understand borderline personality disorder. It explores BPD’s roots, its symptomatology and treatment through psychotherapy and medication management.
“I Hate You—Don’t Leave” has earned a reputation as one of the best resources out there for both newly diagnosed BPD patients and their families. It opens the door for so many to openly explore BPD and begin the road to recovery. Also, fun fact: Demi Lovato actually wrote her song (of the same title) after reading this book.
Whether you’re looking for a book to help you feel less alone in your borderline personality disorder diagnosis or a guide to help you better understand a loved one, there’s something for everyone on this list. And although there are many other resources out there for BPD, I personally found these to be the most helpful and powerful. Remember that knowledge is power, and recovery is always possible once you have the right tools for the job.
Relating to Someone With Borderline Personality Disorder
To someone without borderline personality disorder (BPD):
People with BPD often say that those without just don’t get it.
And although you haven’t felt this disorder, you have felt emotions. Which are a massive part of the disorder.
Much of what we go through daily, you’ve been through too, though we seem to feel more intensely.
You’ve felt grief, probably from losing a loved one. We can feel it when we wake up in the morning.
You’ve felt heartbreak, probably when someone else broke it. We can have a single thought that a loved one might leave us, and it’s as if they already have.
You’ve felt scared, probably with a plausible reason why. We can feel terror when a good night with our favorite person comes to an end, even though we are seeing them the next day.
You’ve felt guilt. We can feel it to the point our body is aching from the self-loathing because we forgot to say thank you when someone held the door open for us.
You’ve felt joy. But we can feel it in our whole body, in every single cell. Its such an indescribable, amazing feeling.
We don’t feel anything all that new to people without the disorder. We often feel emotions when you wouldn’t and more intensely than the situation requires.
So if you feel like you don’t understand our actions or the disorder, you can use your imagination. Try to relate it to your own past emotions, because we all have them.
Obviously, BPD isn’t only emotions, but they are a big part of it. I do think people without the disorder can get confused by our reactions to situations, which can cause the stigma. We are human. We are not “crazy.” We are not manipulative. We are not just extremely sensitive.
We are reacting appropriately to the emotions we are feeling. So if you think our reactions are blown out — imagine what we must be feeling.
Slowing the Shame Cycle
As I sit here, reading that first sentence, I feel something I know all too well. There’s a tightening in my chest. My lower jaw feels like it’s being pricked with hot needles. The muscles in my arms are starting to tighten up and my stomach suddenly feels like it’s going to pop. I feel light-headed — but not dizzy — I feel like I am starting to float upwards. Tears start to form in my eyes. I just know that if I were to speak right now, my voice would be shaking.
I am ashamed. I am scared. My greatest childhood trigger, and my biggest obstacle in life, has been startled out of it’s temporary slumber (since yesterday) and is now running towards me at Usain Bolt type speed.
When most people hear “personality disorder,” they immediately jump to the Discovery Health specials of individuals with 50+ different personalities, TV shows usually involving some type of violent (usually very violent) behavior or Hollywood movies like Girl, Interrupted set in a mental institution back in the 1960’s.
For a long time, as in up until not that long ago, I also made those assumptions. I associated the term “personality disorder” with someone with “serious” mental issues (passing judgment is a great way of avoiding stuff) and I was not someone with “serious mental issues.” I had mental issues, yes, but they were “normal” ones like anxiety, depression and post-traumatic stress disorder (PTSD). You know, your average, run-of-the-mill, “most of the population has it so I’m not special” type of mental illnesses. How could I possibly be this functional if I have a (gasp), personality disorder?
Well, folks, here’s how: borderline personality disorder (BPD), is a disorder of emotional regulation. I’m not toeing some imaginary line in between two completely different aspects of myself where I am literally two different people (and if I were, I’d probably still be writing for some type of global acceptance). No. I am one person who never properly learned how to regulate their emotions, I learned super unhealthy self-soothing habits instead and my emotions can almost make it seem like I flip-flop between two people. I don’t.
Trust me. I’m fully aware, like all too aware, when this happens. That’s a huge part of the problem.
I suddenly feel ashamed. I feel ashamed of my response to feeling ashamed. If it feels like you just read some strange circle of words that had your head spinning, keep repeating that sentence over and over. Welcome to my version of borderline personality disorder.
Something happens and it triggers a trauma response in me. When that trauma response is triggered, my emotional center takes over because I never learned how to balance it with my brain center. Because I am aware of this, I feel ashamed that I do not respond like a “normal” human being (which also triggers a trauma response) and then the shame of that re-triggers the whole cycle.
The frequency and intensity at which this happens varies depending upon life circumstances.
For the most part, I find myself able to work through some of my regulation issues on my own by being mindful of what I’m feeling. But about 25 percent of the time, the trigger is too deeply activated and once I’m in that shame cycle, my ability to bring my brain center back into this is absolutely gone. My heart center speaks at full volume, throwing everything it has out into the universe, completely silencing my brain. I have formerly justified in a “it is great that I feel these things” mindset, but now understand there is a huge difference in feeling the feeling and knowing how to let it go, and becoming the feeling because you never learned what to do with it.
Taking the time to acknowledge the presence that borderline personality disorder can have in my life versus brushing it aside as something else has slowed the shame cycle. I can now say to my heart,
“Hey, heart. It’s really beautiful that you feel all of these emotions so passionately. You know how you can process joy and excitement in such an appropriate way? Well you can do that too. It doesn’t matter that you’re 41 years old and have probably lived out half of your life. Just as you would never expect your 7-year-old to understand quantum physics because they haven’t yet learned it, you cannot expect your halfway-to-80+ self to do something correctly when you never learned the right techniques. So be gentle. You are not Jack Nicholson in The Shining.”
How Childhood Trauma Affected My Borderline Personality Disorder
Humans are complex beings which can readily experience two opposite feelings at the same time. For example, you can see someone on vacation and feel happy for them while at the same time, feel sad for yourself.
Children in their very early development are unable to hold these complexities. The world and those in it, including themselves, are either good or bad, either heroes or villains. A child’s thinking is black and white. There is no gray – no complexity. This is normal. When childhood development is interrupted with abuse, neglect and/or other forms of trauma however, their development can become stunted. This individual can grow into adulthood retaining this childlike perspective.
This is exactly what happened to me.
This black and white thinking — also called all-or-nothing thinking — is a type of defense mechanism called “splitting.”
Splitting is significant in borderline personality disorder and is defined in one’s relationships as idealization and devaluation, which leads to very turbulent interactions. I navigated the world through this lens and caused myself and others a lot of confusion and grief. For a long time, my sense of identity became split into two separate versions: a bad self and good self. For most of my childhood and early adolescence, I viewed myself as bad. So, like a self-fulfilling prophecy, I became bad.
By age 11, I had lost my childlike innocence and replaced it with anger. I began binge-drinking, stealing and experimenting with substances. This version of self helped me escape the painful emotions and thoughts about myself and my traumatic experiences. It gave me a sense of freedom and power until the consequences of my actions caught up with me. Then, I became even more enslaved and powerless.
One day I thought, “This isn’t working anymore. I don’t want to be this way anymore.”
Soon thereafter, I moved out of the city and up north into a small town. I had some relatives there, but for the most part, nobody really knew me or what I had become. I had the opportunity to start fresh, so I went back to high school, graduated with honors and went straight to college which gave me a new career to follow. I opened a business, bought a home and was in a relationship. From the outside, everything appeared perfect, so I hoped it truly was.
I had created a good self, but this version was just as extreme as the one prior. This self was unrealistically perfect.
I became like this empty vessel or shell, making myself look beautiful and successful on the outside while hiding the darkness underneath. I was hiding the angry, empty and unlovable person I believed I was. I thought if other people really knew me, they’d run.
It was not a conscious effort to create these separate “selves.” The mind’s defense mechanism of splitting is an unconscious one, meaning I was not aware I was doing this. This realization came only after much work in therapy and self-revelations.
The two selves I speak of are the chaotic self and perfect self. Each one is unconsciously designed to avoid painful emotions of rejection and abandonment that I chronically felt as a child and was terrified to re-experience in adulthood.
When I am my “perfect self,” I forget about my “chaotic self.” When I am in my “chaotic self,” I forget about my “perfect self.”
This is the essence of splitting — cutting off oneself until it seems to no longer exist. These two selves are extreme opposites and could not coexist together, bouncing back and forth between chaos and perfection.
In therapy, my psychiatrist made me draw a circle on paper. In the circle, I had to write down all of the parts I perceived of my personality – good and bad. Then, on separate pieces of paper, she wrote them out and placed each one on chairs around me. I had to then confront each part of me. She first pointed to the one that said “addict” and said, “What do you want to say to her?” In anger, I yelled, “I hate you!”
Then, I confronted the frightened child part of me. I proceeded to offer comforting words to her. My therapist said, “Don’t you think the addict part of you deserves the same comfort? After all, the addict and the frightened child are the same person.”
This was a process that helped me integrate my personality so I could eventually operate as a whole. I had to acknowledge and accept all parts of me and learn about the other parts I had yet to discover. Caught up in a battle of good self versus bad self where no one wins, my doctor said, “Each self worked against the other. Imagine what they could do if they worked together!”
When You ‘Split’ on Borderline Personality Disorder Recovery
I recently had one of those moments I always tell myself will come: that moment where I just think, “I’m sick of this, I’m not doing this anymore,” and I blindly throw myself head-first into recovery. And it sounds as though that is a really great thing and, in a way, it is. But it becomes less significant and exciting when it’s the millionth time it’s happened.
My primary diagnosis is borderline personality disorder (BPD), also known as emotionally unstable personality disorder (EUPD). My history with engaging with professional help and mental health services is very long but very patchy. Despite my constant mantra of “I’m going to stick with it this time,” I seem to always inevitably, impulsively force myself into a self-discharge for one reason or another and I find myself back at the bottom of waiting lists with no input for months (at least) to help me get by. So, I constantly find myself having to manage my recovery on my own and muddling along, always a little bit lost.
Being in this state of “quasi-recovery” has become my general state of being. I will have one of these moments, where the idea of getting better sparks my brain like a firework and I will fully believe with all of me that I will do it and I’ll never relapse and everything will be wonderful. The length of these periods can vary vastly. The longest stint I had was over the period of almost half a year, where I was not self-harming or engaging in other self-destructive behaviors and I was fighting with everything I had to not fall down the pit again. And then there are the other times when I commit myself fully to recovery and then find myself writing a suicide note a mere hour later.
The danger of these periods of seemingly managing to do well is that, when I fall, I fall hard. I find myself romanticizing the future when I am feeling positive — imagining myself laughing in a field with my friends on a sunny day, eating pizza without a care, sipping cocktails and all of my scars magically disappeared. I convince myself there will never be another bad day in my life, that everything from now on is going to be a fight but it’s going to be so worth it for all of the beautiful, perfect times I’m going to have that are going to last forever. And it’s delusional. Life is never like that. So, when the tiniest negative thing pops up, I tell myself it’s all a lie; nothing is ever going to be good ever again. And then, I find myself even further down than I was before.
One of the characteristics of borderline personality disorder is “splitting,” or this idea of “black-and-white” thinking. In most examples I have read of this, it’s usually about people. You love somebody and then you hate them. For me, I encounter splitting the worst with my recovery. If I’m doing well then everything is great and perfect and life is wonderful and everything is going to be OK. The second I am not doing well, I think life is meaningless, that I am worthless, that “recovery” is pointless and I end up in a massive self-destructive spiral. It’s hard to have recovery in the “on” position when your mental illness is the one in control of the switch.
I am writing this purely so that maybe somebody else like me can relate. For the longest time, I thought I was so broken, so irreparable because engaging with professionals never worked for me. Or it would be starting to maybe work and then I would blink and find I had been impulsive and discharged myself yet again, and it’s back to square one. But I’ve realized I’m not broken. It’s not that I cannot be worked with. I am currently a week or two away from my first appointment to re-engage with mental health services so I’ll have to see how it goes. But now that I have recognized where my issues with engagement have come from, I am hopeful it is something that can be discussed. I hope the realization I will want to run is going to be the main thing that stops me.
Being stuck in “quasi-recovery” is so difficult because I don’t know whether, in the grand scheme of things, I’m going forward or backward. I’m going up and down so often that my recovery timeline probably resembles a mountain range at this point. And I learned to be afraid of the ups because I knew there would always be a down at the other side. I’m not sure how to get out of that. But I’ve recognized it. And maybe that can be my new step one.
Borderline Personality Disorder or Autism?
It is indeed possible to have a personality disorder and be on the autism spectrum. Many of us autistics have a background loaded with trauma, especially those who grew up undiagnosed or with an intersectional minority identity (LGBTQIA+, BIPOC). There are also overlapping features between borderline personality disorder and autism spectrum disorder. Here are some overlapping features that come from not only research, but my experience of living with both conditions:
- I struggle with regulating my emotions, mood swings, anxiety, and irritability.
- I sometimes feel lost in my identity, especially from growing up with undiagnosed neurodivergent conditions (autism, ADHD, learning disabilities, for example).
- I have social challenges that I have learned to overcome via masking. Both conditions can be associated with inappropriate “oversharing” and excessively focusing on oneself in order to make connections. I don’t see this as entirely a bad thing, although I do work on making sure my conversations are mutual and reciprocal for those I talk with.
- Sensory and concentration issues can stem from both conditions. When I say “sensory issues,” I mean both sensory seeking and sensory avoidance: being both underwhelmed and overwhelmed by sensory input.
- Comorbidities galore! Autism often coexists with OCD, ADHD, Tourette syndrome, depression, and anxiety. Borderline personality disorder is often seen with these conditions too, as well as bipolar disorder and PTSD. Let’s not forget anxiety, eating disorders, and substance use, which are common for autistics and those with borderline.
- I have had attachment issues and separation anxiety all my life. I don’t know which “disorder” this is a product of, but I know they are common with both.
Types of Therapy for Borderline Personality Disorder
I have spent nearly 1,000 hours in therapy since I first received a borderline personality disorder (BPD) diagnosis nearly five years ago. Although it has by no means been a walk in the park every single week, I have reached a point in my life where I no longer meet the criteria for BPD and feel (mostly) satisfied with my day-to-day routines.
Like many people who receive a borderline personality disorder diagnosis after a hospitalization, I was given the contact information for local dialectical behavior therapy (DBT) treatment facilities and therapists trained in this modality who may be able to help. What I didn’t realize at the time was that DBT isn’t the only option out there for people like me. In fact, there are a total of five different types of therapy that all have a proven success record with borderline patients.
- Dialectical Behavior Therapy (DBT)
Dialectical behavior therapy (DBT) is an evidence-based therapeutic modality designed specifically for individuals with borderline personality disorder. Psychologist Marsha Linehan designed DBT in the 1980s. Linehan, who spent years researching clients with extreme emotion dysregulation and suicidal urges, felt like cognitive behavioral therapy (CBT) caused these clients to experience burnout, lack of motivation, and invalidation. So, she combined some of the aspects of CBT with the ideas of acceptance and mindfulness practice to create a modality that was more fitting for this clientele.
Fully-adherent DBT includes weekly individual therapy sessions, weekly skills group education sessions, and phone coaching between sessions. A full course of DBT takes around six months to complete, and clients are encouraged to complete two cycles to master the skills for mindfulness, emotion regulation, distress tolerance, and interpersonal communication.
- Mentalization-Based Therapy (MBT)
Mentalization-based therapy is another evidence-based practice created specifically for people with borderline personality disorder. It’s highly beneficial for people who experienced early childhood trauma that caused abandonment issues or people with insecure attachments to one or both of their parents.
The modality borrows some techniques from other common types of therapy, including cognitive-behavioral, psychodynamic, social-ecological and systemic therapies. However, the main focus of this specific modality is to enhance each person’s ability to differentiate between their own emotional state and the emotional state of those around them. This concept is called mentalization, and it is something that many people with BPD struggle with. By learning how to separate your own emotions from others, you can regulate your emotions more effectively and spend less time trapped in a dysregulated state.
Like DBT, people who enroll in MBT with a therapist typically attend weekly individual sessions as well as weekly group sessions. Unlike DBT, though, members in groups often interact with each other to offer advice and learn from one another.
- Transference-Focused Psychotherapy (TFP)
Transference-focused psychotherapy (TFP) is a specific type of psychoanalytic treatment in which the focus is on the relationship between the therapist and the individual client. The idea is that by focusing on the interpersonal dynamics that occur between the therapist and the client, the therapist can gain insight that will help the client improve.
According to therapists who use TFP, most people develop BPD because of dysfunctional relationships with parents and other caregivers during early childhood. For people who live with borderline personality disorder, TFP is used to uncover the underlying causes of a person’s borderline symptoms so they can build new, healthier thought processes and behaviors.
- Systems Training for Emotional Predictability and Problem Solving (STEPPS)
Systems Training for Emotional Predictability and Problem Solving (STEPPS) is a manual-based, 20-week group therapy program designed specifically for people with borderline personality disorder. Like dialectical behavior therapy, STEPPS combines cognitive behavioral elements and skills training in a group setting. The skills group programs meet once per week for two hours each session. The groups are typically led by a pair of therapists, and the groups are kept fairly small, with around six to 10 participants at a time.
Within STEPPS, individuals learn how to identify automatic thoughts through schema work, monitor their symptoms, and how to problem solve situations in healthy manners. STEPPS also teaches the importance of self-care, and how to better manage overwhelming emotions. Although it has not gained as much recognition as other therapeutic modalities for people with BPD, it is still an evidence-based approach with studies that show its success.
- Trauma Treatment
Studies show that people with borderline personality disorder are 13 times more likely to have experienced early childhood trauma. Because of the strong links to trauma, many clinicians have started using trauma treatment with BPD clients to see if processing the trauma helps lower emotional intensity and other symptoms. In fact, some preliminary studies show trauma work as a viable option for people who have BPD and a trauma history.
There are several notable types of trauma treatment that work well for people with borderline personality disorder who also have a history of trauma. Some trauma treatment methods that may work include eye movement desensitization and reprocessing therapy (EMDR), skills training in affective and interpersonal regulation (STAIR), and cognitive processing therapy (CPT). While each approach is a little different, they are all methods of processing trauma, which can help decrease symptoms over time.
Like most other mental health conditions, treatment options for people with borderline personality disorder shouldn’t be a “one size fits all” approach. However, many people with BPD don’t realize just how many viable treatment options exist for them, and instead they give up when one recommended method doesn’t work.
If you are looking for a path to recovery from borderline personality disorder, I hope this list gives you some options to pursue. Recovery from BPD is possible — it’s just a matter of finding the treatment method and lifestyle that works for you.
What Saved My Life
Black and white. In and out. Up and down. Love and hate. And hate. So much hate.
Why did I do that? Why don’t they like me? Why do they like me?
Every second of every day the battle rages in my head. Never stopping, never ceasing. Fight and fight and fight and… sleep.
All I can do is sleep. And then the dreams come and I want to wake up, or never wake up. It’s never stopping — always the same, but never the same.
Exhausting. No one wants to deal with me. I don’t want to deal with me. And then they love me so fiercely I have to push them away until they don’t.
Borderline personality disorder (BPD) is sometimes marked by a pervasive pattern of instability with relationships, fear of abandonment, unstable or changing relationships, unstable self-image and struggles with identity or sense of self.
“It’s time to get you reevaluated,” he said. I was 24 years old and getting “reevaluated.” How many times had I been “reevaluated?” The diagnosis they stamped me with: borderline personality disorder.
I had read about BPD in “Girl, Interrupted.” And there I was, like Susanna Kaysen, being shipped off to Mclean Hospital. I had spent the past three months in bed, hoping to rot away — praying to rot away. But my friends wouldn’t let me. How do I have such amazing friends? So, for them, I agreed, again, to get treatment.
How was this going to be different? Everything was so chaotic and calm. After three months of sleeping, I was still exhausted. My mind was so murky, making everything seem like a dream. I remember walking around Newbury street, the foggy streetlights danced shadows around an old church. I saw myself in all of them. The hotel room had a TV in the bathroom mirror. I remember staring at myself. My reflection felt as fake as the pixilated figure in the corner. For a moment, we fused.
People with BPD might experience extreme mood swings and can display uncertainty about who they are.
Suddenly it was weeks into treatment. The other girls were afraid of me; “You need to stop smashing all around the place, you are scaring the other girls. Be gentle.”
I am 5-foot-10-inches tell, how am I supposed to not “smash around?” I tried walking slower, but that only ended in me falling, which I thought was worse than the “smashing.” No one understood me. It seemed like everything I did was offensive. Everything I did was wrong. Even in a house full of “crazy” girls, I felt like the odd one out.
The program was run by a famous doctor; a cold man, a scientist, who made his fortune by studying the disorder no doctor before him dared go near. A logical man, who sat week after week in his bowties, nodding and observing, but never revealing much. I was certain that even he felt sorry for me. He led a group where we all sat around discussing how we felt about each other, or lack thereof. Every feeling exposed on the table like a naked child — innocent yet uncomfortable to see. And every week the hot topic was me. I said things people did not want to hear. I said things without thinking. I just said things. And that made me the target. Their discomfort was tangible in my actions.
“My poor daughter,” he cried out once during group. To this day, I wonder if that was real or if I imagined it. I often wonder how many of my memories are dreams.
Symptoms of BPD can sometimes include dissociative symptoms, such as feeling cut off from oneself, observing oneself from outside the body or losing touch with reality.
The doctor never showed personal emotion. He was a professional. Why would he say something like that? And then he asked me for a hug. It was touching, really, but the fact he felt the need to say that made me feel more confused and different than ever before.
Maybe he wept for me. I wept for me. I wept for others who experienced horrible circumstances. But he wept for me. I think he knew what I know; how deep down my pain will never subside because I don’t live for myself. You can’t hurt yourself when you don’t live for yourself. You can’t help yourself either. You just suffer in silence and let the wrath of the world seep deep down under your skin like a scar. I feel all of it. Everything. From everyone. I let them keep their happiness and their pain becomes my own. It scurries deep down like an insect. Sometimes I can feel it twitch.
People with BPD might feel emotions easily, more deeply, and longer than others do.
This residence was different than the other places I have been. Instead of focusing on medication, this program focused on dialectical behavioral therapy (DBT). BPD can’t usually be treated with medication, but it may ease the symptoms. My real issue with BPD is the inability to think logically, on an emotional basis. So I have to train and change my thought patterns. Every second of every day becomes a battle.
BPD is a serious mental disorder sometimes marked by a pattern of ongoing instability in moods, behavior, self-image, and functioning.
Mindfulness saved my life. Learning to redirect my love for everyone around me to myself was my key to actually living, not just surviving. This is not a happy ending, nor is it a battle won. It is a statement of hope. A hand kept out for those who need a boost. A path ready for those lost and unsure. A reminder that it is possible to love myself. A reminder that it is possible to love others and that you can love yourself, too. I just need to focus, relax and breathe. In and out. And let the clouds roll by.
Borderline Personality Disorder Makes You Feel ‘Unlikable’
I am not likable. Or so I hear people say. For as long as I can remember, I was labeled “over-acting,” “dramatic,” “attention-seeking” and even “too passionate.”
Growing up, I learned if I muffled the emotions, I was more “acceptable.” Through the years, I got better at it. I learned that bottling up my feelings made me more likable. There were certain situations where I could let go… but just a little bit.
I learned that people were entertained when I told stories animatedly. I learned the only public place I could cry without judgment is in a movie theater, watching sad scenes.
I learned to lie when I was not OK. When I truthfully replied to “How are you?” people would avoid my eyes and look for ways to escape the conversation.
I learned it was OK to show my romantic excitement and affection, but only in the early days of dating. When the relationship settled in its rhythm, I had to tone down the passion or I would be “too intense.”
When jealous or angry, I learned to shut down and turn away. I was derisively called the “walk-out queen” for that.
When afraid, I learned to float out of my body, my disembodied self like a drifting balloon watching events unfold down on the ground.
With anxiety, I learned to sit still as my thoughts ran rampant in my head. I invariably ended up with worst-case scenarios. Thoughts would spin like obsessive windmills in my mind. But instead of generating energy, they would drain energy. I would drift off to restless sleep, exhausted.
I learned to escape to the wondrous worlds of literature. Books were my lifesavers. Then I discovered streaming and more colorful worlds to escape to.
When I was diagnosed with borderline personality disorder (BPD) in my late 40s, my emotions and my experiences started to make sense. So, emotion dysregulation. That’s what’s been happening all my life. After decades of emotional muffling, I finally had the words to make sense of myself.
The National Education Alliance for Borderline Personality Disorder (NEABPD) defines BPD “a serious psychological and psychosocial disorder where people have extreme difficulties regulating their emotions. “
BPD is highly stigmatized, mostly because of a lack of education and understanding about it. It’s OK if you’ve never heard of it before. Even among clinicians, it is often not recognized as a legitimate mental health diagnosis.
Whether you understand it or not, it does exist. BPD affects men and women equally. In the U.S., about 1.6 percent of the population has BPD. In addition, BPD can be fatal. The Substance Abuse and Mental Health Services Administration (SAMHSA) found that up to 9 percent of people with BPD die by suicide.
So why does this happen? Individuals with BPD are in real distress. We are usually deeply ashamed by our behaviors.
With effective treatment and support, you can recover from BPD. Isn’t that hopeful and exciting? Most people with BPD can make great progress even in one year of treatment. Most move on to creative and successful lives worth living.
Treatment for me revolves around Dialectical Behavior Therapy (DBT). Medications help me manage BPD symptoms like anxiety and depression. Family and friends play essential roles as they cultivate an environment where I feel stable and validated.
With DBT, I finally learned tools that help me regulate emotions without stuffing or running away from my feelings.
I learned that stopping and taking a step back is OK. Walking out (disengaging) is an acceptable reaction.
I learned it is OK to let my thoughts flow without getting attached to them — just observing them pass without labels is possible. I learned it was healthy to get distracted by books, music and activities to survive a crisis.
I learned it is OK to soothe myself with self-care acts that others may criticize as wasteful indulgences. I learned that cutting myself off from crisis-provoking people and situations is an essential survival skill.
I learned that finding refuge in prayer and meaning works best for me. It took some time, but I found meaning in my BPD diagnosis.
A few months into intensive DBT therapy, it dawned on me. I’m not broken. I’m not an alien either. The part of my brain that processes emotions is not working as it should. It totally makes sense that I have intense and shifting feelings. It makes sense that I am sometimes overwhelmed by emotional pain, fears and hopelessness.
I continue to check the facts. When I think I’m not likable, I ask myself, am I really not likable?
Well, I like me.
I know I am loved, though I may not be understood. That’s good enough for now.
When a Hopeless Romantic Has Borderline Personality Disorder
When we fall, we fall hard. Nothing we do is soft, graceful nor classy. Rather it is hard, tough, uncouth, aggressive love. It is a love that is driven. Driven by pain, by the unabating desire to “get it right.”
Through fear of failure, we push those we love to the point of panic.
They question, “Will anything ever be good enough?”
In retrospect, we ask ourselves the same question. “Will it?”
The unanswerable is terrifying and the usual question arises. “Am I a monster?” Yet in its contradiction, internally we feel confused because our hearts feel so big.
But that is only a feeling. In reality there exists uncertainty and sadness. Are “we” really the cause?
How do we know we will not end up alone? Who will put up with me? I ask myself time and time again. Yet the feeling of having a manic episode is almost overwhelming, it is like an addiction. Will this addiction be greater than that of eradicating the sense of abandonment we feel consistently from those who we love most?
As hopeless romantics, we try and try again to build upon a false sense of hope, a false sense of emotions, in hope that this relentless feeling of solitude will one day go away.
What Happens After a Borderline Personality Disorder Diagnosis
I am realizing that with borderline personality disorder (BPD), there are various stages which we go through.
First of all, there is the pre-diagnosed stage where we are acting out constantly from our impulses and “emotion minds.” This is where all the symptoms are strong and seemingly unexplainable. We may come off as erratic, dramatic, unpredictable, even a little “crazy” and toxic with our rapidly changing moods, opinions and behaviors. People may tire of us and leave us. Our relationships may crash and our jobs usually do not last; that is if we can work at all. At this stage, we are unaware of why we are even like this and it is not a happy place to be, either for us or for the people who care about us.
Then comes stage one — “The Victim.”
We get a diagnosis. Usually, for many of us, it brings a kind of relief — a massive glowing lightbulb moment. This was certainly the case for me. At last, I had an answer to why! Despite the unpleasant thoughts of having a mental illness hanging over me, I could now also look for the support and help I needed.
Unfortunately, for a lot of us, there is precious little local support, and even fewer therapists trained to work with BPD, so we can quickly become disheartened. This is why I think there are so many Facebook BPD groups. They are full of thousands of people, all struggling with the same demon.
We have finally come home.
The ugly duckling becomes a swan.
Suddenly, we have so many people we can connect with, who validate us, who tell us that our symptoms and feelings are “normal” (for those with BPD). We may finally feel an acceptance. We gain sympathy and after years of not having this understanding, it can feel like balm to our burning souls. We can post whatever we want in these groups and there is always someone who will validate us. Great, right?
The danger is, we can then get caught up in over-identifying with our disorder. Over-identifying with the symptoms will eventually make us feel far worse. It’s a paradox. We can find temporary comfort in these groups, but at the same time we get triggered a lot, either by others’ posts or by the fact we can act out our BPD, and then we continue doing so because that validation feels so good. For a while, I became my BPD. There was no Marie. There was just this “Borderline” woman. Everything began and ended with Borderline. My entire life story was published as “Borderline – A Memoir,” even though there is so much more to more story than BPD. I was borderline.
So many posts start with, “is this a BPD thing or…?” It is like we begin to forget our own identities and BPD becomes the answer for everything. I have noticed that in these groups, a lot of us blame our loved ones for not understanding us or our behavior, and we become total victims of our own BPD demon. We forget we have any say in the matter, any power or control or even accountability. We don’t realize that, even though we are so emotionally sensitive, other people can have any feelings at all and we hurt people with our actions and words. We get offended when they react to us.
So many of us then attack the one person in the group who realizes this before we do and says, “hey, we are accountable for how we act.” Swans can get vicious and we jump on the individual who thinks and voices something different, so comfortable have we become in our pain. Why is it so hard to hear that truth? Do we really want BPD to be “forever?” To have such a hold on us that we have no power over our own selves? Why is it so hard to accept that we can get better? That we can take steps? That there is always help, even if it is not on our front doorstep? We buy so much into our disorder that we forget there is a person much bigger than BPD locked inside and struggling to get out. We insist doggedly, even loyally, that BPD is omnipotent and will always hold us in its grip.
“BPD is forever and will always be there, controlling me.”
No. Stop that runaway train. We are all stronger than our BPD, but we all need validating at all stages of our BPD. Feeling invalidated, especially in these groups which have become our comfort zone, can trigger us. We attack the person who threatens us with their alternative thoughts to our problem.
Then we come to stage two — “The Warrior.”
If the self-awareness does kick in and enlightens us, we generally seek help and find ways to kick the BPD’s butt. A lot of us access dialectical behavior therapy (DBT) courses and the majority can find it does work, providing we get a good DBT support group/therapist, and that we actually throw our whole selves into it. Some find it does not help after a few sessions, and then go back to stage one. Some do not have good DBT support networks and sadly encounter unsympathetic therapists so understandably, they fall back again. Some people actually need other therapy alongside DBT — trauma therapy, person-centered counseling or psychotherapy — but are not made aware of this. It is so wrong to insist that DBT is the only therapy that will help us, as it can trigger off past fears we have never dealt with and it is important to have a lot of support in order to deal with them.
At Stage Two, once we start healing. I personally find we become a little less sympathetic to our old BPD peers, the ones who have not yet really sought help beyond the BPD support groups and medications which may not work for them. Like the true warrior’s nature, we become hard and tough and lose sympathy for others still stuck where we once were. To my shame, this started happening to me. I want to help people so much that I end up hindering them. I became very much: “If it worked for me, it will work for you. There is no excuse to carry on like you are.”
It was like I wanted to distance myself and only be around solution-focused people, not BPD-focused. I am at a stage now where I take full responsibility for my behaviors and always look for solutions, for reasons, for things I could have done differently, but I made the mistake of forgetting that other people are still in their early stages and that change takes time. I upset a couple of people on my Facebook page recently with a status about accountability. A couple of the commenters managed to get me to remember where I came from and to think about putting things across in a more sympathetic way.
Hell, I still need lots of validation. What makes me think others need berating?
Stage three — I have not yet christened this stage as I have yet to reach it. I get glimpses of it at times, and I find myself getting into “Wise Mind” before making a decision, walking away from a potential argument, being calm and solution-focused at school meetings about my daughters (something which was always a massive trigger for me). I don’t even smoke cigarettes as much anymore and I think yes, finally I am getting there! I am doing so well. Then something sets me off and I plummet briefly into stage one before rapidly scrambling back up to stage two, where I can begin again with my DBT.
My DBT mentors and peers are at this glorious stage three. For me, they are like my earth angels. They know my pain, they do not berate me ever and they always seem to know how to get a point across without hurting anyone or being offensive — something I struggle with. They have beaten their BPD and for the most part are able to self-soothe. be independent and self-sufficient. They know their triggers and how to deal with them. Their hardness softens up again into something that is caring while remaining very strong. They know so well how to validate. I know, with time, I will get there too. I also know that everyone with BPD has that potential and my frustration lies in the fact that so many continue to struggle.
Feeling Misunderstood
At the very core of a person with borderline personality disorder (BPD), there is a longing, a yearning, a need to be understood. We are often told we are manipulative, selfish, needy, clingy and that we can never get enough of what we are seeking. It is not manipulation that is our motive. That has always been used to categorize the way that we approach things. Rather, it is a desire, a deep desire to be unconditionally accepted and loved by those who know us. In order for that to take place, you need to come into our world.
Just like a child needs to be understood, those of us with BPD have certain perspectives and parts of our personalities and thought processes that will never be grasped if you try to love us and do not have an understanding of those parts. We don’t want those parts, we didn’t ask for them and just like a child, we struggle to find our way, to explain our way in a world that stigmatizes and categorizes us.
Yes, we can have a dark side. We also have a side that is light, love, loyal, generous to a fault. We want you to be happy. We want you to love us back. The pain we feel when we hurt others or are misunderstood as to our motives is enough to make us want to take our own lives. That is our reality. Because we can’t handle that pain, we act out in different ways to try to get rid of it. Whether it’s harming ourselves or others, giving into our addictions in an attempt to self-soothe, we just want it gone. It is a pain that others cannot understand who have not walked this path. It rules us, defines us and makes our lives hell sometimes.
We try to adjust and make ourselves “respond normally” to situations that overwhelm us. We want to be and act the way you want us to, and we try so hard. Our loved ones walk away in frustration and we are left with the pain. I have come to understand that many of us will never be understood in this life. It is up to us to try our best to change and adapt ourselves to the norms of society. A society that is foreign and scary to us.
We don’t ever mean to hurt you if you love us. If anything, we love you too much — it’s too big, it’s too much to handle. We will go to the ends of the earth to show our love for you, but it is misconstrued. To you we are over the top, too much, our ways are to grandiose for you to consume. What we feel is wanting good for another is seen as manipulation and trying to force ourselves, our needs and our wants on you. Like a big happy dog, filled with joy and love, we are all over you, licking and jumping and asking for total attention. We retreat with our tail between our legs, realizing that we are too much.
The other disorders that cloud our minds, like obsessive-compulsive disorder (OCD), bipolar, depression or panic disorder, blend into our efforts to make us even more misunderstood. The medications we take have a way of changing us also. We don’t recognize ourselves. In the ocean of confusion we face day-to-day, we seek that one thing that will anchor us to us.
Yet, there is no such thing as stability in our lives. There is no such thing as peace. We are so used to the turmoil that we give in to it. All I ask, on behalf of all of us fighting this fight and trying to please you, be understood and exist with you, is that you try to understand us and how God created our brains. The path is long and hard and I would not want to be you on the journey any more than I want to be me. Yet without your understanding, we cannot coexist. It is sad and heartbreaking that we cannot give back to you what you want. That part of us was never developed and does not exist in our brain. We can’t know something we never knew. So we rely on you to teach us and lead us to that place that makes sense.
Those of us with BPD will have glimpses and snippets at times of what it feels like to process things the way you do. But it will often never be our norm. We lack the capacity for consistency. This angers you and frustrates you. Us too. With my very last breath, I vow to help others understand our journey. No matter what that means, no matter the sacrifice, whatever it takes, I will fight for those of us with borderline personality disorder to be understood.
With you on the journey.
What It Means to Be a ‘Functioning’ Borderline
I always get congratulated and praised for how well I function despite having borderline personality disorder (BPD) and emetophobia. But I don’t do it to fight through, or to seem OK.
I have this constant pressure of losing people in my life. I have this fear of letting people down, and then they leave me.
My functioning is fueled by a symptom of BPD.
That’s why I’m attending university, writing these articles and working full time.
It’s why I passed my driving test and never drink or do drugs.
“So what, your functioning is fueled by BPD. At least you’re functioning.”
I’m functioning to please this unrealistic expectation in my head that thinks I need to be doing things by societal timelines (passing test, starting university, starting a career) in order not to upset people or be abandoned. I know my loved ones really don’t care what I do, and they love me for me. But knowing that and being able to act accordingly is something I don’t know how to do.
I feel like I’m on autopilot all the time. Every success and win I have is quickly dampened by my mental health telling me it’s still not good enough and that no one I planned on impressing is impressed.
Because I am a functioning young adult, my loved ones cannot understand the magnitude of my symptoms when I decide to talk about them. How could they when there is no physical indication of my struggles? This pattern of thinking leads me to a want to be self-destructive. Quitting my job and studies would surely make people see how much this disorder affects me; then they would take me seriously.
I reach a full circle when I realize if I did that, everyone would abandon me. So I carry on as if everything is fine. Tricking people isn’t my intention, I’m just stuck on this seesaw of needing to be validated and not wanting to be alone. Currently the latter is constantly winning, which we could view as a good thing.
But I’m also aching and drowning in this disorder, and I’m doing so almost silently. This surely can’t be healthy and is almost terrifying, because I know how unpredictable I can get if things become too much.
My Journey With ADHD and Borderline Personality Disorder
( From You ) If I’m being completely honest — and honest is what I’ve chosen to be after my borderline personality disorder (BPD) diagnosis — if someone told me a couple of months ago that I would be sharing my story online, I would have laughed in their face. There was no chance I would have ever shared my experiences, feelings, or thoughts with an audience. There was no chance I would even admit there could be something wrong. That is, until all my symptoms got worse, and I had to come to terms with my diagnosis in the worst possible way, which I will get to later in this story.
Looking back on my childhood, I can’t help but reflect on the immense challenges I faced. I always felt that I was misunderstood. I had an early diagnosis of attention-deficit/hyperactivity disorder (ADHD) but was never medicated. The classic picture painted at the time was of a troublemaking little boy who can’t sit still, does poorly in school, and explodes in fits of rage. Girls were not yet in this category. This created behavioral problems both at school and at home. I was often labeled “disruptive” or all over the place by teachers at school. I never understood why I was always in “trouble” because, in my mind, I didn’t see that my behavior was wrong.
But my struggles didn’t end with ADHD alone; my weight became another source of torment. I was often bullied or made fun of for my weight, especially in elementary school. It was profoundly disheartening to be judged solely based on my outer shell when I had so much more to offer the world, and I knew that even as a kid. Because of my “behavioral issues,” when I was made fun of, teachers never cared. By the age of 1o, I began dieting.
Going into high school, I was terrified the bullying would continue, and it did. Although I had friends, the name-calling would always be there. I never felt pretty or fit in with my friends. Boys never liked me. I never wanted to eat in public for fear that someone would say, “Look, there she goes eating again.” I felt the lack of validation and inclusion affected my self-esteem. I often thought I wasn’t “good enough” for anything or anyone because of my appearance. My feelings of not being good enough later came out in all the interpersonal relationships I tried to have.
Overall, I don’t think I had the best childhood or high school years. I always felt that I didn’t belong or was worthless. Although I didn’t believe it then, I was a good kid despite what was seen. My appearance was always my biggest priority after graduating high school and attending university. I wanted to be thin and to be like everyone else. I wanted to feel pretty, too. I genuinely think my borderline personality began appearing during this time. I started having challenges with friends, binge eating, and then dieting, and I found myself with intense emotions that were out of control. I would go through ups and downs and see different therapists, but only when I was having an “episode” and needed relief. I never stuck with wanting help because I didn’t think I needed it. When I lost a ton of weight, I thought I would be happy because being thin was the key to happiness. But the feelings of being worthless and not good enough continued.
Once I began a relationship, my partner was brought into my emotional journey. Things the outside world never saw — only family or close friends — were brought into my world. My partner didn’t know what was happening or how to help but always remained patient as I was having an “episode” and pushed him away. Eventually, I started behaving in ways I didn’t understand. I wasn’t myself and began reacting to people and situations I never thought I would. I started seeking out attention, being malicious and spiteful, angry often, and crying immensely for hours. I cared less and less for people and continued pushing everyone around me away.
My world came crashing down when my illness took me hostage. I behaved more selfishly and was more self-destructive in many ways. I tried escaping the pain by projecting my pain onto the people I cared most about. I wanted everyone to feel the same pain I was feeling. My partner, throughout our almost six-year relationship, got the brunt of my pain. I began seeing the world only in black and white, and when something happened, he was immediately the villain and needed to suffer because I was suffering. I began being impulsive, lying, and doing things because I wanted attention. I knew it was wrong, but I couldn’t stop. I started believing that everyone hated me and that I did not deserve friends, so instead, I was mean and pushed people away. He spent much of our relationship on this emotional roller coaster, wanting to help and trying to get me to see that I was self-destructing. I didn’t want to believe or accept it because functioning people don’t have anything wrong with them. But I was crumbling.
I didn’t realize how much of my childhood affected me. After 10 years (and probably much more) of fighting with this “monster” inside of me, I faced my fears and was diagnosed with BPD. It was as if I got immediate relief because I had answers I was once too scared to face for my suffering. According to the DSM, an individual needs to meet five of the nine symptoms of BPD. At the time of my diagnosis, I had eight of the nine symptoms.
After therapy, reading, and support groups, I learned that I was a “high-functioning borderline.” Basically, I can function “normally” in society, and most people in my life wouldn’t know I had any mental health conditions. I could always attend school and work and maintain a good work ethic. Although I acted out, many people wouldn’t think there was a problem aside from my immediate family, close friends, and my partner.
Once I began and committed to recovery, I started viewing the world from a new perspective. With a lot of help from my therapist and support groups, I feel as if I am closer to who I truly am. Sometimes in life, you need to lose someone significant to grow. If my partner had not ended our relationship and the cycle of the episodes I was continuously putting him through, I would not have stopped to see the destruction I had around me. His walking out of my life saved my life because I would never have recognized or stopped my behavior. I would never have seen the pain I was placing on anyone else, as I was focused on myself and what I was feeling.
My recovery started because I desperately wanted my relationship back, but once I began learning about myself, it was for me. I deserved to heal. Although I desperately wanted to fix all my broken relationships, I tried to apologize. I desperately wanted to be forgiven, but I needed to come to terms with the fact that not all wounds can heal. I also needed to remind myself that borderline personality disorder was not my choice. I couldn’t turn it off and be “normal.” It was not my fault.
But to heal, I needed to forgive myself as well.
The Isolation That Comes With
Someone said something hurtful today or something I perceived as hurtful. Now, I am afraid. They told me they forgot we had plans today and would need to reschedule. Something else came up. Something more important than me, I guess.
They really don’t want to see me, and they really don’t want to spend time with me. Now I’m crying. Look what they did! People who love you don’t do this! They don’t like me and that’s fine because now I hate them. Yes, I loved them yesterday, but I hate them today. They never liked me anyway.
This is why I don’t have friends. This is why I can’t have friends. Friends hurt. Relationships hurt. I’m too scared to try again. It is much easier being alone.
Something as simple as cancelled plans can send someone, like me, into isolation. Before my diagnosis, I was unaware that what I was doing was isolating. I just knew there were periods where I was terrified to be around people. If someone said something I perceived as hurtful, then my relationship with them could change in an instant. We could go from speaking every day, to hardly speaking at all.
The only thing I felt was everlasting was the fear of the intentions and words of others. That is still true today. Having borderline personality disorder (BPD) means perpetual misunderstandings. Misunderstandings on both your end and on the end of the person you are communicating with.
Communication is a never-ending problem for me, affecting my ability to develop and maintain interpersonal relationships. I have an aching, nagging desire to interact with people on a personal level, but that fearful, irrational voice in my head wins me over every time with “what ifs.”
“What if this person is just trying to get something from you?”
“What if he/she is just pretending to be your friend?”
“What did they really mean when they said (insert said dialogue)?”
I manage well in passing interactions like, “Hi, how are you?” I can respond, “Good, and yourself,” and continue on with my day with little to no interaction with that person again. However, creating personal relationships is unbelievably difficult. Wanting to create relationships while having BPD is like being pulled in two directions.
Imagine a weak person is pulling on your left arm, and a strong person is pulling on your right arm. You are swaying from left to right, and both your arms are becoming stressed. You may start to panic, wanting someone to let go. The stronger person will end up winning, but both of your arms will be exhausted. The weak person is my “rational” thoughts, and the strong person is my “irrational” thoughts. My irrational thoughts about forming relationships always win because my fear is stronger than my courage. As much as I want the “weak person” (my rational thoughts) to win, it hardly ever happens.
Isolation with BPD is not wanting to be alone, but not wanting to be around people either. This is extremely conflicting and creates a lot of anxiety. I cling to just one person, and when that one person is busy, I will stay at home by myself no matter how much I want to interact. I can also become hostile towards them because I will feel as if they have abandoned me if they have other obligations.
Because I cannot trust anyone else, I would rather be alone for days on end waiting for one person than take a chance and spend time with someone new. The lack of support around me causes me to develop a lot of feelings of emptiness, depression and boredom.
Here are some things to know about the isolation BPD causes:
- Isolation causes an inevitable sense of paranoia.
Since I am too afraid to spend time with people, I can go days without too much social interaction. Because I am lost in my own mind and alone during these times, I become paranoid. I become even more paranoid people are saying things behind my back or are planning things that could hurt me. This becomes an unbreakable cycle of delusions that is problematic because it only causes me to isolate myself even more.
- Isolation also causes panic attacks prior to arranged interactions.
Being in isolation also worsens the anxiety I feel before social gatherings or interactions, causing me to have panic attacks. The idea of having to communicate builds up so much uneasiness that I become exhausted even hours before interacting. If I can avoid it, then I will. If I cannot, then it causes panic to the point of crying and hyperventilation. If I do have a high level of anxiety/panic, then I will disassociate.
This feels as if I am watching myself in a movie or as if I am out of my body. Since I had been in my own head for so long, it almost feels like I have forgotten how to have normal communication. I develop poor eye contact and look at my feet a lot. I will then resort to a corner or isolated area of the gathering to avoid social interactions.
- The isolation in BPD can cause you to lash out.
Part of having BPD is extreme emotional reactions, even aggressive ones, to simple situations. If I have isolated myself for quite some time, then I will become irritable as a result of all of the racing thoughts I have failed to manage on my own. I may scream, slam doors or throw objects. I have never (and will never) hurt anyone; however, I have turned my anger onto myself with self-mutilation.
- When I am being social, I can only pretend for so long.
I have BPD, but I am also a public speaker and Miss Maryland 2015 for the Miss World Organization, which puts me in social situations on a regular basis. I was able to manage social situations over short periods by making myself feel beautiful and glamourous. It was a lot like playing dress-up and make believe. I loved partaking in pageants because it allowed me to embody a confident, outgoing woman when I often felt unsure and nervous, with an unstable self-image. While I “pretended” to be much more confident and outgoing than I was in reality, it also gave me the courage to show parts of my personality while feeling safe in a physical image I felt was more acceptable to society. I still struggle with feeling “safe” in being myself.
Eventually, it became exhausting to keep my true feelings and changing identity a secret. Part of having BPD is having an unstable identity. One minute I want short hair and dark clothes. The next minute I would want to pretend to be Barbie. Being in pageantry required me to have self-confidence and knowledge about myself that I truly did not have and am still struggling to find. I could only pretend for so long. The same is true for having social interactions. It becomes exhausting and difficult for me to manage.
BPD is a serious, complex mental illness, with isolation as one of its primary symptoms. It is an illness that is often difficult for the public to understand as people with BPD struggle with “back and forth” thinking — we want relationships but also push people away. We want you to understand our intentions are not to hurt you, and we really do not want to hurt ourselves. All we want is understanding and love.
Ways I’ve Masked My Borderline Personality Disorder
Even before I received my borderline personality disorder (BPD) diagnosis in my late 20s, I knew I wasn’t quite like everyone else. Even as a teenager, I would encounter classmates and friends who would point out how “weird” or “abnormal” some of my behaviors were, especially as they related to my emotions. So, like anyone else in my situation would do, I learned how to become somewhat of a chameleon to fit in with the crowd or at least get positive attention instead of more criticism.
In fact, here are four ways I’ve masked my borderline personality disorder.
- I used humor to hide my pain.
Marsha Linehan, the founder of dialectical behavior therapy (DBT), once described the emotional intensity people with BPD live with as like having “third-degree burns over 90% of their bodies.” However, I don’t think most people understand what that actually feels like. Furthermore, most people enjoy a friend who will make them laugh much more than one who makes them cry. So, I quickly learned to use humor to hide my pain as a way to maintain friendships.
Sometimes, on my most difficult days, my friends would see me smiling, laughing, and enjoying life. I also became quite adept at using self-deprecating humor as a way to express my true feelings about myself, but in a way that was more digestible for the majority of other people. Keeping up this type of show is exhausting, though, and it usually makes me feel even more isolated and empty.
- I’ve “read the room” before displaying emotions.
When you live with BPD, you quickly learn that disclosing your diagnosis isn’t always safe or advisable because the label comes with a huge stigma. However, I have also learned that it’s not just the diagnosis itself, but the symptoms that come along with it that people are quick to judge. In fact, many people see any sort of extreme expression of emotion as “crazy” or “abnormal.” Because of this, I developed a habit of quickly identifying the company I was in before saying or doing anything.
Sometimes this looks like containing my excitement or pretending that a huge accomplishment is really “no big deal” so that I don’t seem too conceited or overly excited. Other times, it means making up excuses for my tears and quickly finding an excuse to “head out” so I can feel my sadness alone. It all just depends on what I’m feeling and whether or not the people around me feel safe, and if so, how safe they feel.
While there are some situations where I do feel safe showing my emotions, it’s usually only with my partner or a couple of select friends. Unfortunately, I have people I consider close friends but whom I have learned it’s best to downplay my feelings around to “keep the peace” and avoid judgment.
- I used perfectionism to help me look like I “have it together.”
Borderline personality disorder comes with lots of stereotypes. Many people assume that the diagnosis means you’re unreliable, unstable, and highly immature. However, I’ve learned that, once again, I can mask my mental illness by simply doing something that doesn’t fit into that stereotype — I just have to “pretend” to have my life together.
Unfortunately, this has led to strong perfectionistic tendencies. I push myself both in my personal and professional life to “get everything right” because, if I don’t, people may think I’m too “borderline.” So I show up early for any and all meetings and appointments, I go above and beyond with anything I do, and I volunteer to help people even when I’m already drowning in work. It’s exhausting, but at least people think I’m mentally stable?
- I’ve downplayed my suicidality to not worry others.
I think hiding pieces of myself to appease others is never a great idea. However, I can say that downplaying my suicidality to not worry others is probably one of the worst ways I’ve masked my BPD in the past. I’ve told people that I’m fine while simultaneously actively planning. I have lied about how severe my urges are because I worried that people wouldn’t understand. Worst of all, I’ve lied about what was going on inside my head to crisis counselors just because I didn’t want them to think poorly of me.
Ultimately, despite the different ways I’ve masked my borderline personality disorder, I think that I’ve used all of these for the same reason — to avoid abandonment.
I think many of us with BPD have learned that we aren’t welcome as we are, and as a result, we find ways to make ourselves more appealing to the masses. In my experience, though, this has only caused me more pain and made me feel like nobody genuinely loves me for who I am. I think for anyone who lives with borderline personality disorder, true freedom comes when you can be yourself without putting on a show, wearing a mask, or hiding who you really are.
Ways People With Borderline Personality Disorder Self-Sabotage
Self-sabotage is something most people experience at one point or another — particularly if mental illness makes you feel unworthy or undeserving of good things. But for many folks with borderline personality disorder (BPD), self-sabotage can often be at the forefront of their lives.
Self-sabotaging (relationships, jobs, etc.) is a fairly common habit of people with borderline personality disorder. Personally, I think I sabotage myself without even knowing it, mainly because I feel like I don’t deserve anything good in my life. When things are going well, my anxiety actually increases, because I’m afraid things will fall apart at any second. I’m not used to stability — it’s a foreign concept to me — so it makes me feel uncertain and suspicious.
There are many ways someone with BPD might engage in self-sabotage. Some engage in impulsive behaviors that wreak havoc on their lives. Others might secretly put their friends “to the test” by pushing them away to see if they still love them when they stick around. Some folks might engage in self-harm or suicidal behavior and don’t know where to turn for help.
It’s important to remember not just folks with BPD engage in self-sabotaging behaviors like these. If you find yourself self-sabotaging, please seek the help of a mental health professional.
Here are the self-sabotaging behaviors people shared with me:
- Pick Fights With Loved Ones
“Causing arguments by picking at every little negative, even if the negative hasn’t even happened yet. On my and my partner’s anniversary, we had an amazing day together, went out for a romantic meal at our favorite place, and I managed to get really upset because he’d not replied to a nice comment I made about him on Facebook. Luckily he knows me well enough that he held my hand and said, ‘Bronte, you’re sabotaging yourself again. Your brain doesn’t like letting you be happy so you’re trying to find ways to ruin a perfect day.’ I apologized, but I just felt like utter garbage afterwards.”
“I set up arguments to see if people will leave me. I haven’t in a long, long time but it used to be a regular occurrence prior to college. Sometimes I’m tempted because I’m convinced people are better off without me, but I avoid doing it because it’s something I [wasn’t] proud of doing before and I wouldn’t be proud doing it now.”
- Push People Away
“I purposely push people (usually a boyfriend) to his breaking point to see if he will leave me, but then I’ll be heartbroken and want him back. It’s that push and pull, but when I’m pushing, I push way too far and hurt them unintentionally. It’s something I want to change so badly.”
“I cut off healthy friendships because I feel they’re finding me annoying or are planning to leave me anyway, so I leave them before they can. Which leaves me isolated and completely alone.”
- Push Loved Ones to Their “Limit” to See if They Will Stay
“I tend to push people I care about to their limits. I’ve lost a lot of friends because of it. It’s heartbreaking because most of the time I do it subconsciously. I don’t realize I’ve done it till it’s done… It’s like a train on the tracks. I am the conductor, but I am also the one who put the dynamite under the bridge to blow up the track.”
“I will create impossible secret tests for my friends and family. If they fail the tests, I will disappear from their lives and train my mind to forget they exist even when it hurts. Sometimes it is irrational, but if my mind is made up, that’s it.”
- Procrastinate
“I self-sabotage by waiting forever to do things that have a deadline. I allow myself to let the anxiety surrounding certain projects get the best of me, and I don’t get to complete it, and I feel so disappointed in myself afterward cause I missed out for no reason. ”
“Procrastinate like a pro into oblivion, both with important deadlines and menial things. Also, I will repetitively distance myself from those closest to me.”
- Spend Money Impulsively
“I hurt myself financially. I impulsively buy expensive things so I can have instant gratification and because it is fleeting, I continue to spend and get caught in an endless loop.”
“Overspending. I struggle with impulse control over buying things. I got into debt, and have gone through a debt relief order and setting up a bank account without an overdraft so I can’t get into the same situations as before. The bad credit rating has also been a blessing, as it means I don’t have access to any sort of credit. My spending habits have improved, but I have relapses… It’s hard work. And I hate being a burden on my aging parents. But I can’t run up debts anymore.”
- Overshare
“I tend to overshare as soon as I feel a little comfortable. I get over-enthusiastic and then the emotion multiplies by a thousand and I become a completely different person. I tell my life story or very personal issues to acquaintances and scare people away. I feel ashamed and guilty for a long period after the incident. After the whole ordeal, I tend to remain a hermit for as long as possible since I felt like I made a fool of myself once again.”
“I expect people to leave me, so to avoid it, for some reason I think it’s a great idea to bare my soul, just hoping they would feel bad and stay but it just scares them away.”
- Take on Everyone Else’s Problems
“I put everyone’s issues on myself. If someone is sad, I want to fix it. Even if it’s something beyond my control. I take in everyone’s problems and make them mine.”
“I take care of everyone around to the point there is nothing for me… I give and give and give so people don’t leave me… I don’t care for myself at all… forget to eat, shower, just basic things. I consume myself too much with other people’s needs.”
- Do Things to “Prove” Your Unworthiness
“I self-sabotage by ruining my own relationships. A guy can be completely perfect for me, but I can convince myself I’m not worthy of his love, so I’ll do things to prove to myself that I’m unworthy. I’ve cheated during my relationships to prove to myself that I don’t deserve to be in a stable and happy relationship. I understand now those actions are the results of my BPD thoughts. It’s like I try to leave a person emotionally before they can leave me.”
- Quit Your Job
“I was verbally abused at my previous job. Now I quit my job before I can be told I’m doing everything wrong. I can’t tell you how many times I’ve quit before I even really got started.”
“When everything is going well and I start getting comfortable at a job, I get paranoid that I am going to make a huge mistake and get fired. So I quit the job before that can happen.”
- Over-Apologize and Blame Yourself for Everything
“I apologize for everything, even if I know it isn’t my fault… I clam up… I push people away in fear that I will say/do something wrong.”
“I self-sabotage by blaming myself for everything, even if I may not be in the wrong. I question everything and take it to heart so I cannot see myself in a positive light, and I also apologize for everything, regardless of fault. I also reduce into a state of depression and can spend whole days in bed or cry for an hour-long shower. “
- Avoid or “Act Out” in Therapy
“When things get hard in therapy, I tend to miss appointments, call in ‘sick’ or do the silent treatment.”
“I sabotage my relationship with therapists by acting out because I feel I need to show them just how ‘bad’ I am to protect myself from being rejected by them later on in the relationship. It’s like, I’m so sure they will eventually see me for the horrible person I am and want to get it over with before I get to like and depend on them.”
- “Play Games” With People
“I play games with people. You haven’t talked to me in a few days? Cool. I can ghost you longer and faster. But then I find something online I want to share with them, and I become friends with them again.”
“I seek out attention then push people away. It comes across as playing games when I don’t mean it to. I freak out when I get the attention, but feel lonely and abandoned when I don’t. It’s confusing”
- Trigger Yourself on Purpose
“Triggering myself. Literally going out of my own way to make myself upset because I feel like I deserve it and don’t deserve to be happy.”
- Binge Eat
“Binge eating. Sometimes, even when I feel like I am most stable, I find myself reaching for food as a way to hurt myself the most. Stress or feeling guilty about things that may or may not be my fault always leads me to binge on food. It’s something that has gotten better over time, but it’s a constant daily mental struggle.”
- Hold in Emotions
“As what some people refer to as a ‘quiet borderline,’ I try my hardest to hold emotions in to the point of self-destruction because I don’t want to burden others or come across to them as ‘too much,’ ‘needy,’ ‘manipulative’ or any of the other stigmatizing comments I’ve heard referring to BPD. Empathy is a very common trait in people with a diagnosis of borderline personality disorder — one of my biggest fears is hurting someone.”
- Look for the Bad in People
“I’ll get paranoid thoughts that someone I’m in a relationship with will hurt me and find ways to make things seem negative when in reality everything is actually going fine and they happen to be very genuine people worth trusting. I tend to always find the bad in people.”
- Cancel on Plans
“Cancel on people, miss appointments, or call in sick. Basically let everyone down around me and then I sit back and taunt myself, trying to come up with a good reason as to why I do this.”
- Don’t Follow Through on Decisions/Commitments
“I don’t follow through with decisions I should, because I’m worried I won’t do well, or someone will judge me, and I constantly self-internalize about how I self-sabotaged. Then I look for validation that it’s OK, all the while internally berating myself for it.”
“My fear of failure keeps me from doing anything with my days. I wake up with great plans, but ultimately do nothing because I’m so scared I will fail at everything I do. I’m currently out of work so I spend 12-plus hours in the same position on the sofa. I become so dissociated and my muscles hurt from the lack of movement. I tell myself the following day will be different, that I’ll work on my novel, on some short stories, that I’ll exercise, that I’ll do something productive, but tomorrow comes and nothing changes. This cycle only worsens my depression and my self-hatred, but I feel stuck and have for years now.”
- Set Unrealistic Goals
“I make goals that are completely unrealistic and will always fail at reaching the goal which I then use as a reason to punish myself for not being good enough.”
- Second Guess Decisions
“I constantly second guess every single decision I ever make. I never know if it’s the right one, even when it comes to relationships. I think about what it would be like if I wasn’t in the relationship and what I’m missing, etc. Everyone always says, ‘If it’s the right person, then you won’t do that,’ but I can’t ever tell anymore. In short, I don’t rationalize.”
- Isolate
“I isolate myself. Partially because I simply don’t want to interact with other people, and partially because I feel as though I don’t deserve friends. I push away loved ones so I don’t end up hurting them, but I end up hurting them in the process. I don’t believe I deserve happiness and anyone who tells or tries to show me otherwise is wrong.”
- Violate Boundaries
“I break boundaries and snoop to see if I can trust them. Look for anything and it’s stupid and embarrassing that I can’t stop…”
“I force myself into my sister’s personal life to the point of her being so angry that it will start a fight. I need to know she still wants me in her life and doesn’t hate me. I just want to know that even if I am hard to deal with, I’m still loved.”
- Get Into Relationships Too Fast
“I get into relationships before I know they’re healthy or not in order to feel as though I have a connection to a person because I typically lose those who are closest to me due to my other self-sabotaging behaviors.”
“I overlook red flags, particularly in relationships. My paranoid thoughts always make me think other people are sabotaging me or my potential happiness when they point out the red flags too.”
- Overthink Situations
“ I tend to over-assess a situation, particularly someone’s actions, and overanalyze their words until I find a reason to put distance between me and them. Be it they are either ‘using me’ or they aren’t ‘trusting enough.’”
- Reject Love From Others
“I find it hard to feel worthy or accept or accept other people’s love. When my partner hugs me or my kids hug me, a voice inside my head constantly tells me I am not worthy of their love. I either cringe or pull away. I have to force myself to hug my children and to remember to do it enough to make them feel loved. It makes me feel horrible to have to force myself to do something that should just be freely given.”
- Get Into Toxic, but Familiar Relationships
“I self-sabotage in relationships. I crave toxicity. So when I finally find myself in a healthy relationship, I make excuses to leave.”
- Self-Harm or Act on Suicidal Thoughts
“I self-harm, I attempt suicide, I overspend a lot, I binge eat. I don’t do as well as I could in school or miss opportunities, I get into painful relationships, I isolate myself.”
- Assume Others Think the Worst About You
“Assuming I know exactly how someone else feels and making the worst assumption about how they feel about me in my own mind. DBT taught me to check facts and label my own emotions when it comes to conflict with loved ones.”
- Engage in Negative Self-Talk
“Negative self-talk, usually when I start something new (like a job), I’ll tell myself I’m no good at it, nobody likes me, I’ll never succeed. Generally leads to my quitting on bad terms.”
Habits of People With Borderline Personality Disorder
There are individual “quirks” and traits that make you, you. There are also the things you do because of borderline personality disorder (BPD). While personality traits and personality disorder behaviors can blend together sometimes, to an outsider it’s not always clear which of these “habits” are driven by BPD and which aren’t.
Whether a habit makes you seem “manipulative” (asking for constant reassurance, giving ultimatums) or “dramatic” (having intense emotional responses, struggling with your identity) — it can be hard when others judge you based on these actions without knowing what’s going on inside your head.
Here’s what people shared with me:
“I wake up every day and wonder if my friends have all decided they are done with me. It’s like living in the movie ’50 First Dates.’ Until I get a text or hear from each of them, I think they’re all gone. Sometimes I’ve even mentally started to move on and accept they aren’t coming back by 10 a.m. Every. Single. Day. Abandonment fears at its finest.”
“Obsessing about whether you are a totally good person or an incredibly horrible one without finding a balance.”
“My main reaction to nearly everything is anger. It’s almost a self-defense mechanism. And the thing could be so harmless, but I’m so used to having everything shatter in front of me, I prepare myself for the ‘in case it happens.’”
“Always asking my husband if he’s OK, and if I did something wrong, and if he’s mad at me, and if he still loves me or is still attracted to me.”
“I have a habit of having no motivation to try to achieve things. There are things I’m super passionate about and things I want to do, but I inevitably end up doing none of them and then feeling guilty about it which enhances the problem. Vicious cycle that is so hard to get out of.”
“Pushing people away the second they do something that hurts me. Because of the intensified emotions, everything stings extra hard and I instantly believe they only want to hurt me so I try to push them away before they get another chance.”
“Feeling constantly guilty over every decision I made, every word spoken, just always being guilty and apologetic
“Questioning everything I do because I have a hard time making decisions or trusting myself. Even the simplest thing like making a salad. I wonder if the salad I made is good enough…”
“Constant obsessing over all the wrong I have done and then trying to clean and organize anything I can just to feel as if I can get rid of all my negative thoughts.”
“I ask permission for everything. I’ve been with my partner for three years now, and still I’m always running to him for permission. ‘Is it OK to change the radio station? Can we change the heat? Do you mind if I turn the volume down? Is it OK if I paint my nails? My ‘better to be safe than sorry’ mentality runs my life.”
“Isolate myself when I have problems. In my younger years, I dealt with a lot of trauma on my own. I used to bombard people with my pain later on for years but now I keep people away from it as best as I can which sometimes makes it worse [during] times I need support. I still struggle to maintain friendships and initiate socially (lack of mindfulness for the most part day-to-day).”
“Obsessing. I replay words and sentences over and over in my head. To ensure I haven’t missed any hidden meaning or subtle hints from that person. It stems from my childhood of constant fear I was ‘bad’ and needed to constantly be whatever everyone needed in order to be worthy of life.”
“Spiraling the instant I perceive even the slightest change in someone’s tone, body language or facial expressions. ‘They seem annoyed, they hate me, they’re going to leave.’ It’s so painful and even though I’m aware of it, it’s hard to think rationally and correct the thought process.”
“Performing. I get stuck in a loop that’s based on the fear that if I’m not producing or performing, I lose my usefulness and will be discarded. It’s resulted in some beautiful moments and lessons, but it is beyond exhausting to constantly feel my worth is attached to my usefulness.”
“The constant switch from everything is sunshine to everything is terrible through the day. One thing going wrong is enough to go from I’m a good person to I’m the worst mom who ever lived.”
“Not being able to take criticism as I try to be tenacious in every aspect of my life, but when I face criticism, I subconsciously over-think, and see the relationship between that person and I as a form of abandonment, etc.”
“My sense of identity is constantly in flux. I never know who I’m going to wake up as tomorrow.”
Lies People With Borderline Personality Disorder Tell
Borderline personality disorder (BPD) can be a liar. Sometimes it says no one will ever love you. Sometimes it says you’re not good enough. Sometimes it says people will leave you no matter what. Even if rationally you know these things aren’t true, they often feel so true you can’t get them out of your head.
Sometimes, BPD can make you into a liar, too.
Maybe you lie because you desperately want to keep people in your life, and are afraid they will leave if you tell the truth. Maybe you lie because you’re afraid people will think you are a bad parent for feeling the things you do. Or maybe you have been hurt so many times before that being truthful about how you’re really doing doesn’t feel like an option anymore.
Whatever the reason you lie, it’s important to know you’re not the only one who feels this pressure — and that finding even small ways to be more truthful can have a huge impact on your BPD journey as a whole.
Here’s what people shared with me:
- “I don’t need anyone.”
“I want to believe so bad I can handle myself and accomplish what I need to without help from others, but really I just don’t believe anyone cares enough about me to want to be there for me when I need it so I just convince people I need no one.”
- “I’m just tired.”
“In reality, I’m probably irritated for no reason, and if you keep asking what’s wrong, my anxiety will ramp up and I will take it out on you in the form of anxiety-induced anger outbursts.”
- “I don’t care.”
“I actually care so much. Too much. ‘I don’t care’ is a defense mechanism to shut down the conversation so I can have a chance to escape. It causes so many problems in my relationships.”
- “I’m fine.”
“Even when I’m contemplating suicide or self-harm, I don’t want people to worry as I fear if they knew I was not OK, they would leave me. People leaving me has happened too many times to count now…”
“I don’t want to burden someone with my feelings. People have already worried too much. I don’t want it anymore. Plus I don’t want to give someone a reason to think I am not a good mom.”
- “I just have a headache.”
“Multiple social situations over a few days is incredibly exhausting and overwhelming for me at the moment, so sometimes I use ‘normal’ or ‘valid’ reasons why I can’t catch up with people, like having a headache or being sick, rather than being honest. ‘I’ve already seen too many people this week and if I have deal with anymore, it will take me at least two days of complete isolation to recover’ sounds really melodramatic to most people, even though it’s 100 percent true. I don’t want my friends or family to judge me, or think I don’t want to see them personally.”
“’I’m not feeling well…(insert fake symptom here)’ it’s a catch-all for when I’m sad, anxious, etc., etc. It’s just so much easier and more socially acceptable than telling people what’s really going on inside your head.”
- “I didn’t sleep well.”
“Honestly that’s a lot easier to say than explaining I woke up in one of my moods and no amount of sleep will make it go away. I’m terrified if I tell the truth, I will be judged or seen differently.”
- “I feel better now.”
“‘I’m better now. No I don’t have those thoughts anymore.’ Don’t want to stress out people I love. They don’t really need to know what goes on in my head. I’m happy they are happy, really.”
- “I’m on disability because of back problems.”
“‘I’m on disability because of back problems.’ But I’m actually on disability for mental health problems.”
- “It’s just PMS.”
“Because I get tired of trying to explain my moods/anxiety.”
- “I’m OK.”
“‘I’m OK’ — I can’t explain why I feel so down. Sometimes it’s for no reason so I say I’m OK because it’s too hard to try explain something I don’t understand.”
- “Of course that doesn’t bother me. Why would it?”
“More like, why wouldn’t it? After all, everything bothers me. Maybe I tell people that so much so I start believing it as well.”
- “I trust you.”
‘I trust you’ when I think I should but just can’t.”
How to Love Someone
The way to love anyone is to love them truly and with your whole heart. In order to truly love someone, you have to accept them for who they are. You have to accept their shortcomings, their successes, their bad habits and their humor.
When loving someone with borderline personality disorder (BPD), acceptance is one of the most important things about that love.
Accepting a person and their BPD diagnosis can sometimes be a difficult tast. I’ve found these people have to possess three qualities: patience, compassion and perseverance. Having these qualities won’t make loving someone with BPD a flawless experience, but it will make it possible, and easier than it would be if those qualities weren’t in hand.
My BPD causes a variety of symptoms that not only affect my life, but the lives of those I love. Some of these symptoms, like mood swings, irritability and hypersexuality, can be difficult for our loved ones, which is where having patience comes in.
Having patience with someone who has BPD can be challenging. It’s hard to have patience when the same symptoms continue to surface over and over. But in my experience, in order to effectively and truly love someone with BPD, patience is required. Having patience means having the ability to accept someone’s symptoms without becoming angry or upset. Anger can fuel certain symptoms of BPD, while patience puts the fire out.
My symptoms sometimes cause me to treat myself and others poorly, which is why it’s important for those who love me to have compassionate hearts.
Compassion means having sympathy and empathy for the suffering of others. In the case of loving someone with BPD, having compassion means showing and experiencing genuine concern and empathy for how their illness makes them feel. Being compassionate when loving someone with BPD will mean so much to that person, because compassion is not easy to find when you have an illness that affects how you treat other people. When loving someone with BPD, compassion is key. It’s important because it assures your loved one you are trying to understand the complications of their illness.
Loving someone means that you commit to every party of them. Loving someone with BPD means you are committed to loving them despite their illness and their symptoms, and that commitment takes perseverance.
I don’t give up on the people I love. Whatever battle I’m thrown in, we fight it together. When loving someone with BPD, the battle is fought together against our symptoms. Persevering through the tough parts is necessary in order to arrive at the end of it. Perseverance will have to happen daily, because the battle against BPD happens all day, every day. It will get tough when the person with BPD is depressed or irritable, but there is no giving up on them. Love them, persevere with them and win the battle together every day.
Loving someone with BPD is so worth it. We experience strong emotions, and love fiercely. What we need in return is genuine love, patience, compassion and perseverance. We need and deserve love just like anyone else.
Bipolar versus Borderline Personality Disorder
When I first started looking at the literature regarding serious mental illness (SMI), I became confused by the abbreviation BPD. At first, I thought it was a typo or an alternative for bipolar disorder. Of course, I found out that it wasn’t — BPD stood for borderline personality disorder.
Even if you know what the abbreviation means, it’s easy enough to get confused between the two. In fact, bipolar is often misdiagnosed as borderline, or vice versa. There are some similarities between the two disorders as well. Both involve mood swings. Both can cause reckless behavior. Both can be associated with childhood trauma. And both can lead to suicidal ideation or attempts. They’re both very serious diagnoses.
According to psychologist Dr. April Foreman, BPD “is characterized largely by the inability to regulate emotions, which can cause a person with BPD to have painful and unstable interpersonal relationships.
Sounds familiar, doesn’t it? The same could be said of bipolar disorder. So what’s the difference between the two?
Mental Health America explains that bipolar is a mood disorder while BPD is a personality disorder:
“People with bipolar disorder experience episodes of mania and depression.” While “personality disorders involve patterns of thinking and behavior that affect all aspects of a person’s life. People with BPD often have an insecure attachment style, meaning that they have a hard time trusting other people to stick around.”
Not to get picky about it, but as a person with bipolar, I’ve experienced intense emotional pain and feelings of emptiness, desperation, hopelessness, and loneliness while in the throes of a major depressive episode. (Not so much anger.) They did, however, last for months rather than a few hours at a time.
People with BPD can also experience dissociation, paranoia, and reckless behavior. They tend to have intense, unstable relationships. Dissociation is sometimes also seen in manic episodes of bipolar disorder, and reckless behavior is a symptom of bipolar mania as well. Bipolar disorder can cause difficulty with relationships too. In between mood episodes, the person with bipolar can achieve stability, while that’s less likely for BPD.
So it seems that BPD might be seen as “bipolar on fast-forward.”
The short timespan of BPD episodes is one of the major differences between the two conditions. (It’s been described as “pervasive instability.”) But since the two sets of symptoms overlap, even clinicians sometimes mistake one for the other. BPD appears to have a strong genetic component; the cause of bipolar is thought to be a combination of brain functions, genetics, and early trauma.
When it comes to treatment, there are more options for bipolar than BPD. With BPD, medication is generally limited to symptomatic relief, such as with antianxiety agents. Dialectic behavioral therapy is the treatment of choice, along with psychotherapy. There are dozens of medications available for bipolar, as we know from TV commercials if nothing else.
It’s important to note that the two diagnoses can coexist. When they both affect a person, which is possible, they can be even more difficult to diagnose and treat. It’s easy to see how that can happen. Mood swings, reckless behavior, and potential dissociation can be effects of either one. Seeing a person only once a week, as many therapists do, can make it difficult to track the symptoms and see the patterns. And if the person sees a therapist or psychiatrist less often than that, the difficulty is compounded. Symptomatic relief may seem sufficient at first, but long-term is no solution.
Am I satisfied with my bipolar diagnosis? I’d have to say I am. While I despise the long-lasting mood swings, those are now largely controlled on medication. My destructive relationships haven’t been quick but have still been intense, and now I’ve achieved stability in that too. All things considered, I’ll stick with what I’ve got — not that I have a choice in the matter. If I had lived with BPD, I hope I would have done as well.
Ways Borderline Personality Disorder Affects a Life
I am diagnosed with borderline personality disorder (BPD). It affects four main areas of my life:
- Emotional irregularity.
BPD is exhausting and confusing to live with. I’m never sure whether to trust my emotions, if they’re justified or if I’m just overreacting. My moods are mostly always triggered by something in my environment, but if something good happens five minutes later I’ll immediately feel euphoric.
Every emotion I feel is amplified. They can change at the drop of a hat and can last only minutes or hours. When I am in a severe crisis, where I am experiencing intense emotions, I will sometimes dissociate to deal with it. It will feel as if the situation isn’t actually real and I’m watching myself from outside of my body.
I have had difficulty controlling my anger and have often succumbed to attacks of extreme rage, throwing things, screaming or crying. It is usually very inappropriate for the situation and I can be very sarcastic and bitter. It is during these episodes of rage I am most likely to intentionally hurt myself. I am much more in control of this symptom now with the help of medication, but I still have my moments. I also usually feel very internally restless, like something is missing. I get bored extremely easily and sometimes feel like a hollow shell. I never have a sense of fulfillment.
- Unstable relationships.
I am very sensitive to what I perceive as rejection. I’m convinced people hate me and/or are just going to leave me eventually. I will do whatever it takes to stop people from leaving me. I will even unintentionally manipulate the person without being aware I’m doing it. I also alternate between idealizing people relatively quickly, and then devaluing them just as fast because of a perceived slight.
I take everything personally, so my relationships with others are usually very strained. I can also get paranoid and suspicious in close relationships with people. I will subconsciously try to sabotage my relationships because I am terrified people will hurt me. I will reject people before they can reject me, or even test them to see how much they care about me.
Obviously this behavior will drive some people away. It’s a self-fulfilling prophecy. Of course, I don’t actually want to end things, but I literally cannot cope with being hurt. So I’m trying to protect myself at all costs. Everything I do is protecting myself somehow. I know you have to let yourself be vulnerable in a relationship, but I can’t afford to do that. The risk is too great.
- Impulsive behavior.
Because of my dual diagnosis of ADHD, my impulsivity is through the roof. I don’t think before I speak or act, and I will engage in dangerous behaviors like driving recklessly, spending more than I can afford, alcohol abuse and sabotaging success, especially when I’m upset. This kind of behavior has gotten me arrested twice. I struggle a lot with this area. I will sometimes impulsively make suicidal gestures and threats in response to perceived rejection or abandonment.
- Identity disturbance.
I’m not sure who I am or who I should be. BPD tells me constantly I’m worthless, unlovable and my friends and family secretly hate me. Even though I rationally know this is not true, the voice is so loud and convincing. My self-esteem is very fluctuating and I can yo-yo back and forth between being very confident to feeling inferior. I am a chameleon and usually take on the personalities of those I am around. People with BPD look to others to provide things they find difficult to supply for themselves, such as self-esteem, approval and a sense of identity.
Another aspect of BPD that affects me is perfectionism. I am extremely hard on myself and hold myself to unattainable expectations, accepting nothing less than what I deem as perfection. If I don’t succeed in reaching these obnoxiously high standards, I will fly into a flurry of anxiety, rage at myself, depression and frustration. People with BPD desperately seek validation and approval from others because it determines our self-worth. If we are “perfect” in all dimensions, only then will we have unequivocal evidence we are worth something.
Despite all of the above setbacks, I still believe I am a good person with many positive traits. I am passionate, spontaneous, empathetic, devoted, loyal, creative, determined, flexible, brave, charming, intelligent and resilient. I am much more than my illness, and I refuse to let it control me.
What Happiness Feels Like in a Borderline Brain
(From you) I will tell you about my self-harming, my suicidal ideation, my dissociative episodes — pretty much all my deepest, darkest moments. In fact, having borderline personality disorder (BPD), I will overshare — bursting out such uncomfortable gems to anyone and everyone, at maybe not the best of moments. I will desperately try illustrating that’s it’s OK to talk about it all, so I can also feel justified in doing so.
But how on earth do I begin to explain how ‘happiness’ feels within my borderline brain? I would find it easier to tell you about my most shameful violent outburst than to tell you what’s really going on inside when you see me seemingly full of smiles and laughter.
When I’m not feeling down, maybe you might assume I’d be relaxed, calm or content. I’m afraid you’d be wrong. Every emotion I feel, be it good or bad, is inevitably turned up to maximum. And despite the emotional management skills I’ve learned, my condition is not an illness I can just recover from. It is intrinsically who I am; it’s a disorder within my personality, so it’s not something I can easily hide when I’m on a date or joining friends in the pub, especially in such situations when excitement or anticipation is enhanced by alcohol.
Happiness, for me, is feeling the blood coursing through my veins, pumping so fast it makes my heart race, my fingers tingle and my head foggy. My skull feels like it could crack open with the pressure mounting. I feel like it’s a wonderfully sunny day, but it’s far too hot on my skin and my eyes are blinded. It’s talking full-speed and talking over you, seemingly not stopping to care what you have to say. It’s oversharing with an exhausting spiel of antidotes and probably sounding like a bitchy gossip because everything is black and white, love and hate to me. It’s feeling the need to make sure everyone around me is feeling as invincible and euphoric as I am, needing to fix everyone’s problems. It’s never wanting the party to end and therefore being the last to leave, or otherwise going home with someone, anyone, in a desperate bid to keep hold of the high.
My brain shouts at me, “If the world seems wonderful right now then surely let’s just keep going with the drinking, the smoking, the spending, the partying?” My impulsivity decimates any forward thinking and often, in turn, my bank balance, my health and my reputation. For me, happiness with BPD is a wild ride of mania that results in relentless shame, self-doubt, regrets and apologies. It is inevitably more public and therefore humiliating, because of course feeling “up” equals feeling sociable, being out and about rather than when I’m low at home in the safe private confines of my bed. It’s also often harder to get off the emotional roller coaster and see the potential dangers ahead of me in social situations. And in the midst of my “happy” mania, I am incapable of visualizing what it must be like for you, my friends, to be on the outside looking in without a full awareness of what is raging inside me.
I am known and loved by many for my hedonism. It’s what men fall for until they realize what they’ve fallen into. But, friends, if there are times when I tire you out, please don’t take to thinking I’m an “idiot,” a pain, a bore, a drama queen, a gossip. Help me become aware and present in the moment – ground me by giving my hand a gentle squeeze if my hyper levels are rising too high. Don’t let it go unsaid or turn away from me; talk to me about it calmly, kindly and clearly. Make light of it with me so we can just laugh together at the uniquely “crazy” wiring of my brain. Don’t let me go home alone thinking I’ve made a fool of myself, that I’ve annoyed you somehow, because little nuggets of doubt like that — well, I think you get the gist by now — find their way to maximum volume in no time at all and it’s loud enough inside this brain already.
Finally, to borderlines who have found themselves nodding their way through this, you may well (as I do) get stuck on those people who haven’t found the strength to work at your friendship (and sadly miss out on the wealth of loyalty and love that are the rewards of having a borderline friend). Aren’t those the people you find yourself wishing you hadn’t upset, spending hours dwelling over and dissecting a probably quite minor interaction with? I have to continually remind myself that if they can’t find the time for me, then I shouldn’t waste any on them.
And if you really stop and think about it, whilst you’re busying torturing yourself, you and that interaction is probably the furthest thing from their minds. The friends who thank you for sharing articles like this with them, who take the time to read them, applaud your boldness in shouting about them on social media and see them as a useful resource in their ability to keep supporting you – now aren’t they are the true friends? My true, dearest friends who will have read this to the end and are thereby now rewarded with a debt of gratitude for never giving up on me and finding a way to love me despite all the madness.
Physical Symptoms of Borderline Personality Disorder
Because borderline personality disorder (BPD) is a mental illness that affects emotional regulation, people tend to focus on the mental and emotional symptoms people experience.
But people with BPD can also experience physical symptoms we need to talk about.
BPD also live with co-occurring mental illnesses like depression and anxiety (which may come with their own physical symptoms as well). Some studies estimate that 96 percent of people with BPD have a co-occurring mood disorder, and about 88 percent have an anxiety disorder specifically.
Here are the surprising physical symptoms our community shared with us:
- Sensory Block During Dissociation
Dissociation is one of the nine classic symptoms of BPD, but what we don’t always talk about is how detachment from reality can affect your senses. According to WebMD, in periods of dissociation, perception may be distorted and memory loss can occur.
“Staring into space and temporarily having hearing blockage during severe dissociation. It’s like I’ve left the room in spirit but my body is just left [frozen] and staring at the wall. It’s quite freaky and takes a long time to snap out of it. Especially if I’m on my own.”
“When I dissociate, I get tunnel vision, my ears start ringing, I start sweating profusely, my pulse rises and my face burns.”
- Developing Rashes or Worsening of Skin Conditions Like Eczema
In times of intense stress, the body increases production of stress hormones like adrenaline and cortisol. According to the National Eczema Organization, when the body over-produces cortisol, it can suppress the immune system and cause an inflammatory skin response like eczema or other kind of rash.
“I developed mild dyshidrotic eczema on my palms and fingers from being so stressed all of the time, mainly from dealing with my BPD symptoms. When I’m more stressed than usual, my hands itch and sting even more. And they sweat like there’s no tomorrow. “
“I get random hives. More prominent is when I’m having an episode or getting stressed.”
- Sensory Overload
Sensory overload is a symptom many folks with PTSD can experience. Though PTSD and BPD are different conditions, one study found that 53 percent of people who met the criteria for BPD also met the criteria for lifetime PTSD. Because of this, it makes sense that many folks with BPD experience this physical symptom.
“Being overwhelmed sensory-wise and certain noises/lights hurting me physically.”
- Constant Fatigue
Fatigue is a common symptom of depression, a mood disorder 71 to 83 percent of people with BPD have. Though folks with BPD will have emotional extremes lasting anywhere from a few hours to a few days, the periods of depression can be emotionally and physically taxing.
“Constant tiredness and fatigue — even if you do nothing or very little all day because your mind is busy processing racing thoughts and constant emotions throughout the entire day. It’s exhausting!”
- Hypervigilance
Hypervigilance is a heightened state of arousal that puts someone (usually someone who has lived through trauma) on high alert, even in times of safety. Studies have shown most patients with BPD have lived through trauma, especially in childhood.
“My BPD forces me to be in fight-or-flight mode for things other people find unimportant. This includes someone walking away from me while we are in public, loud noises, kids screaming, people staring at me, someone mentioning the way I eat, someone bringing up things I’m insecure about, etc… These things bring me into a panicked, fight-or-flight mode and it comes out as rage.”
- Digestive or Stomach Issues
Stress can affect digestive functioning. According to Harvard, “the gastrointestinal tract is sensitive to emotion. Anger, anxiety, sadness, elation — all of these feelings (and others) can trigger symptoms in the gut.” When you live with a disorder like BPD that is characterized by constantly fluctuating emotions, your gut may respond.
“Definitely a lot of digestive issues related to the stress I feel at agonizing over what people around me are doing and what it means for my relationship with them.”
“A physical symptom I have is now I have really bad stomach problems. With BPD, your body over-stresses and the acid in your stomach can grow. So I have ulcers.”
- Muscle Aches and Pain
Another common physical symptom of stress and anxiety is muscle pain/aches. Many folks with BPD experience high emotional stress due to rapid cycling moods, so this kind of physical symptom may be common.
“For me it’s the physical toll the anxiety takes on your entire body. Aches from muscles being tensed 24/7, fatigue all day every day no matter how much you sleep the night before, heart palpitations, nausea, shaking so hard I can’t even type on my phone. And then even more exhaustion from dealing with meltdowns caused by already being exhausted. It’s an endless loop.”
- Body Temperature Changes
Emotional stress may also contribute to temperature changes in the body. One study examined how stress may even induce “psychogenic fever,” a high body temperature response to emotional events or chronic stress.
“When the anxiety runs too deep, my body temperature changes to too cold in both feet and hands. The depression episode can last around three days with consequences such as insomnia, exhaustion and excessive eating.”
- Chest Pain
Chest pain has been linked to common psychiatric conditions like anxiety and depression — diagnoses many people with BPD also have. One study found that chest pain is a psychiatric symptom in up to 25 percent of patients. Chest pain can also be a symptom of panic attacks.
“Constant heaviness in my chest.”
Though we often think of mental illnesses as only “mental,” your mind is intimately connected to your body. If you live with borderline personality disorder and experience common “mental” BPD symptoms like “splitting,” uncontrollable rage or chronic emptiness, it might be worth talking to your doctor about if any physical symptoms you experience are related to your mental illness. Whatever your experience is, you’re not alone BPD warriors.
Living With the Limitations
“You can do anything you set your mind to.”
“Reach for the moon and if you fall short you may land on a star.”
“You are the master of your life.”
Platitudes, sayings, and motivational quotes such as these are common. I read them on stickers and signs, on therapists professional websites, and I hear them said around dinner tables, often meant to encourage.
I have borderline personality disorder (BPD) and I believe I live with limitations. I cannot do “anything” I set my mind to. I can do some things really well. There are some things I cannot cannot well. I cannot and have not achieved all my dreams. I have achieved some dreams, not in the same way I planned.
I believe that all of us humans have limitations; some of us more acutely aware of what they are and how the impact on our daily lives, hopes, and goals. Mine may not be always be “visible” for others to see (at this time in my life) but my limits are there and very real to me.
I can’t do anything I want to, and I cannot always be the person I want to be. I have wished before that I was easier, and that my feelings were less large. I feel limited by my physiology, psychology, and the environment around me that impacts my symptoms. Admitting this feels both sad and peaceful; it feels peaceful because I am giving myself permission to let go of “achieving the impossible” as a goal for my life. I cannot do “it all.”
Having limits doesn’t mean I am bad, wrong, or useless. I believe human beings are essentially good and valid. As I have read in the dialectical behavior therapy (DBT) manual, we each have essential goodness and essential validity, meaning each person has inherent significance which cannot be taken away or discounted (p.164 DBT Skills Training Manual, M. Linehan). I believe that you and I are a treasure.
One quick google search of a definition of a limit is: 1. “a point or level beyond which something does not or may not extend or pass.” We all have limits in some way. I would bet no one reading this article could suddenly fly like a bird, or whip up a gourmet meal in under 10 minutes. We cannot change the past, or predict the future. Life is full of limitations. We are limited by “time” whether we like it or not, it happens, things pass. Seasons change, in my case (in Canada) it is obvious when this occurs. Our bodies change, no matter how much we seek to resist and control them, our bodies are changing every second, and there are limits on what the human body can do.
And there are my own unique limits I see, on me, because of my personality disorder. Even with access, and all the privilege I have in being able to participate in therapy, I am still limited by my disorder. The very disorder itself for me, sometimes does feel like a limit. My body and mind simply shut down, and I cannot function if I feel have gone beyond a level I cannot be and, do, I cannot not extend, I cannot pass… My will is not enough. I simply must be “willing” to accept the present and the limits that exists when I am in the throws of an intense emotion, fear of abandonment, and urge.
My limits change depending on how emotionally vulnerable I am. For example, if I have not slept, eaten healthy, or spent time alone—I am at a greater risk of falling back into unhelpful behavior patterns, so my limits are much greater, more obvious, and crossing them, or (attempting to), may result in significant relapse. Other times, when I have had supportive relationships, rest, and meaningful leisure, for example, I feel I can extend my limits a bit more, I can walk a bit further on my path, take on extra hours of work for example, or write a few more articles. My limits change but they always exist. No amount of therapy, or perfect diet, or helpful relationship has erased my limits…. No matter what I have learned in terms of skills, I am sensitive at my core—I cannot “unfeel” things, I cannot seem to forget. I am deeply impacted by what happens around me, and the interactions I have with others. If I push myself too much, I fall. I collapse. I cannot keep going. I have limits.
While borderline personality disorder makes me limited—preventing what I can do in my life, the types of jobs I can take, and how I handle relationships and change, and the type of care I need to maintain my recovery—there is a dialectic here, a “both and” that gives me hope, and joy in the midst of my very real limits.
I have limits, and I am brave. I have limits, and I breathe through tough times. I have limits and I can skillfully grieve them. I have limits and I care deeply about other people and their experiences of joy and hope.
Having BPD and the limitations that for me are a part of the disorder does not mean that I fail at life, at love, at meaning, at hope. Limits mean I do have pain and struggle and with these very real limits…. I am valuable, essentially good and valid—just like you, just like anyone else.
I am limited. I cannot do everything or “anything” I set my mind to. I cannot overcome all obstacles, barriers or limits. I cannot guarantee that my falling short will land me on a shiny star. Whatever your limitations are, I believe you are also deserving of life, love, meaning, hope. I have limits and so do you. Together we are limited and together we are still so very treasured.
Hidden Signs of Borderline personality disorder
(BPD) is a mental illness characterized by trouble regulating one’s own emotions, which can lead to painful and unstable interpersonal relationships. Below, we’ve listed the nine classic symptoms of BPD, outlined in the Diagnostic and Statistical Manual (DSM-5). To receive a diagnosis of BPD, a patient typically meets five out of nine of the listed criteria.
Symptoms of Borderline Personality Disorder
Making frantic efforts to avoid real or imagined abandonment.
Having a pattern of unstable relationships often characterized by idealizing or devaluing a person (also known as black and white thinking or “splitting”).
Struggling with unstable self-image or identity.
Engaging in risky or impulsive behavior.
Having frequent suicidal thoughts or engaging in self-harm.
Experiencing periods of emotional intensity, or frequent/rapid mood swings.
Having chronic feelings of emptiness.
Living with intense or uncontrollable anger.
Dissociating or having an “out of body,” disconnected from yourself-type feeling.
Though we typically associate BPD with volatile, outward expressions of painful symptoms, not everyone experiences BPD the same way.
What Is ‘Quiet’ Borderline Personality Disorder (BPD)?
Those who experience “hidden” manifestations of BPD symptoms are often called “quiet” borderlines. The term “quiet” BPD isn’t an official diagnosis, but rather a term to describe someone with BPD who doesn’t express their symptoms as obviously. For example, a person with quiet BPD might experience the same level of uncontrollable anger as a person with “typical” BPD, but instead of lashing out outwardly, they might direct their anger inwardly through constant negative self-talk or hidden self-harm.Borderline Personality Disorder
The perception of BPD is one who ‘acts out.’ That’s the ‘classical’ definition, but like every disorder, the condition manifests itself in different ways… So what does being the ‘quiet’ borderline mean? ‘Quiet’ BPD is acting in, rather than acting out, but internalizing all the emotions they feel. The fears of abandonment, mood swings, anxiety, self-injurious behaviors, impulsiveness and even suicidal tendencies and black and white thinking (splitting) are all part of being a quiet borderline. But those emotions are typically acted against ourselves.
Here’s what people shared with me:
- Self-Blame
Because people with BPD tend to feel more strongly than others, they experience emotions like guilt intensely. This can lead to chronic self-blame.
“I usually blame myself for a lot of things, even when it isn’t my fault. And a lot of the time I think my friends could do better than me. I feel like I annoy them too much or I’m too much trouble to bother with.”
“I take every little thing really personally even if there’s no connection to me. Like if my friend got mad at something, I would automatically feel like it’s my fault and they are mad at me even if I have nothing to do with it.”
- Mentally Retreating
When triggered, it’s normal to retreat inward to protect yourself. If this is something you consistently struggle with, you’re not alone.
“Mentally retreating and feeling myself go down the spiral, while being able to maintain a good outward appearance. Nobody notices the change… Having to deal with depression and anxiety along with my BPD. People think I’m ‘doing better’ whereas I’m just good at hiding the hard things.”
- ‘Beating Yourself Up’
As we mentioned earlier, folks with quiet BPD often direct anger inward. This can lead to chronic negative self-talk. If you are struggling with negative self-talk, we encourage you to reach out to a therapist. Here’s a handy tool for finding a therapist in your area.
“I internally attack myself. Like a wolf attacking its prey, my mind rips me to shreds.”
“I replay all of the day’s conversations and beat myself up for them. I never answer well enough or I said something that made me look ‘stupid.’”
- Being a People Pleaser
People-pleasing or “fawning” is a typical response to trauma. The majority of people with BPD have a history with trauma. In fact, researchers found BPD was the mental illness with the strongest link to childhood trauma.
“I get attached to someone almost immediately and I spend 90 percent of my day trying to make them like me. If I think they are a little mad at me or dislike me, then my world crumbles and I feel like the worst human being alive.”
- Being Afraid of Emotional Intimacy
Fear of abandonment can cause folks with quiet BPD to retreat from relationships entirely. Unfortunately, this leaves people without the support friends, family, and partners can provide. Thankfully, many therapists specialize in relationship issues and can help you address your fears if this is something you struggle with.
“Most people wouldn’t consider [I have] borderline just because I never get that far in the relationship where they can see me truly. When I go out with ‘friends’ and I feel my emotions are going over the ‘standard levels,’ I take some moment to watch my breathing so I can lower my euphoria or bring myself to my center again. Nobody knows this. People regularly think I am ‘normal.’ I’m constantly working with my breathing when I’m around people without getting noticed.”
- Dissociation
According to Mental Health America (MHA), dissociation is a mental experience that causes a person to disconnect from their present circumstances, thoughts, memory, and identity. Like most symptoms, dissociation exists on a spectrum from mild to severe. Dissociation is common in people who have lived through trauma.
“If me and my husband had an argument, I’d start shutting down and dissociating. I wouldn’t be ‘there’ because in my mind, it was either, ‘Oh god I was wrong and he’s going to leave me, I better shut up to not make it worse’ and I would sit for hours in my head, going over why I wasn’t good enough… But I’ve got a great husband who understands, and knows if I get that way it’s not the silent treatment, it’s me not being there and he helps pull me back to reality and ground myself.”
- Experiencing Internal Rage
Uncontrollable anger is one of the nine classic symptoms of BPD, and quiet borderlines are not immune to experiencing it. Though they may not act outwardly on their anger, the emotion itself can be intense and difficult to handle.
“Internal rage and a racing mind. The things that go through my head are so distorted and it leaves me trembling inside some days.”
- Fear of Abandonment
Making frantic efforts to avoid abandonment is one of the hallmark symptoms of BPD, and affects almost all people with the diagnosis. If fear of abandonment is impacting your day-to-day functioning and relationships, you might benefit from trying out “Wise Mind,” a dialectical behavior therapy (DBT) skill recommended for folks with BPD.
“It’s not the typical fear of being left alone. It’s more like a constant fear I’m going to push people away.”
- Self-Sabotage
Self-sabotage, or a deliberate attempt to interfere with one’s growth or goals, can be common for folks with BPD — especially if they experience self-harm tendencies. If you can relate, you’re not alone.
“I’m excellent at self-sabotage. Consciously or unconsciously, it’s always ‘me vs. me.’”
- Feeling Suicidal or Wanting to Self-Harm After Social Interactions
One of the most notable parts of BPD is having unstable and stormy interpersonal relationships. When quiet borderlines experience social rejection or letdowns, they may have painful internal experiences like suicidal thoughts or engage in self-harm.
“I get set off and then just get mad at myself for it. Like I will get triggered, and instead of dealing with whatever my problem is, I just take that as a last straw and I just release the flood gates of emotion in my head. I’ll go from there to hating myself to whatnot and ultimately end up with suicidal ideation. Even when I don’t feel particularly suicidal.”
“If somebody makes me really mad, I almost immediately internalize it and want to self-harm over it because I feel it’s always my fault.”
- Shutting Down
In classic “quiet” style, a person with quiet BPD is more likely to internalize and shut down rather than act out or lash out.
“I shut down rather than blow up. I’ve always internalized things, especially as a kid, so talking about/expressing my feelings aloud is still really difficult.”
‘Manipulation’ in Borderline Personality Disorder – The Truth
The word is used with a negative implication; most people wouldn’t like to be called manipulators. However, it is the biggest stigma that people diagnosed with borderline personality disorder (BPD) face. Automatically, people assume that people living with BPD are overreacting because of a desire to manipulate a certain reaction out of others.
On one hand, those who live with this disorder have an emotional hypersensitivity. As Dr. Marsha Linehan, creator of the dialectical behavior therapy explains, “People with BPD are like people with third-degree burns over 90% of their bodies. Lacking emotional skin, they feel agony at the slightest touch or movement.” When people with BPD “overreact,” it’s because they are really feeling intensely. There is an absence of emotional regulation.
On the other hand, a person with BPD has a distorted vision in regard to their relationships. From idealizing someone and rapidly devaluating them to having difficulties setting limits, relationships tend to be a roller coaster of extreme emotions and confusions. There’s an almost vital necessity to feel loved and needed, to feel validated, to receive from others what the person can’t give to themselves. And, just like a baby cries when they are hungry, tired or lonely to get a reaction from their caregiver, the same way a person with BPD is trying to communicate that they have a pressing need to be met. It’s not a healthy way to communicate but it’s still a way of communication and not actually manipulation.
Through psychotherapies, the person with BPD is taught to express themselves more effectively, to regulate their emotions, to work on those situations that gave way for the person to adopt such harmful mechanisms. But other than the work the person with BPD has to do, it’s necessary that the stigma of the disorder ceases to have such an accusatory tone.
When we assume the person is acting erratically because they want to manipulate, a normal reaction would be one of anger. Nobody likes being played upon. But if we understand the person is acting erratically because they are unable to tolerate the intensity of their own emotions, and that the person is trying to communicate their incommodity through their behavior, then we’ll understand that people with BPD are the people most affected by their behavior. In this case, help the person stabilize their emotions. This can be done through conversation in which we aim to verbalize the emotions underneath the anger or desperation the person exhibits.
After a crisis, people with BPD feel guilty, sorry and shameful. They don’t want to hurt others, even though they sometimes do. They don’t want to lose control. Their intention is not to trick others; their purpose is not an evil one. So, let’s listen to the message their mouths don’t say, but their hearts desperately scream.
Signs You Grew Up With Borderline Personality Disorder
Borderline personality disorder (BPD) is a highly stigmatized and misunderstood mental illness that affects about 14 million Americans, or 5.9 percent of adults in the U.S. But because the symptoms usually first occur while a person is a teenager or in their early 20s, it’s too easy to dismiss those early signs as “bad behavior” or “teenage angst,” when in actuality the person is really struggling.
Here’s what people say:
- “Ever since I can remember, even as far back as first grade, I have always been extremely sensitive to everything. I remember I would always feel different and really alone… Looking back, it really set in around age 14. That’s when the anger started coming out, the abuse of drugs and alcohol, the impulsivity, very rocky relationships — basically all the symptoms of BPD. I’m 20 years old now and I have gotten some aspects under control, but it’s still a battle I fight every day.”
- “The impulsiveness, reckless behavior and trouble maintaining healthy relationships. The black-and-white thinking, self-harming behaviors… pushing and pulling people in and out of my life.”
- “I always thought I just felt everything a lot more than other people. I would get super excited about things other kids didn’t seem to care about. I can remember jumping up and down because my team scored a point and looking around wondering why no one else was as excited as me. I was told over and over to calm down, be quiet and even when I expressed outrage over an injustice, I was told there is nothing I can do.”
- “A friend of mine, who I thought was my BFF, wanted to sit next to another girl in class next. When she told me that, I threw myself on the ground and cried my heart out as I thought she hated me. In that moment I hated her with my very soul. I was crying for days because of that.”
- “It was like no matter how good things were, I could always find a negative in everything… [it was like the] wall that was up was always getter higher could never reach it.”
- “Extreme sensitivity. I would idealize people, then push them away. I had the biggest fear of abandonment. Anger would consume me, and I felt I could not get rid of it unless I self-harmed. Then, I would feel horribly guilty and ashamed about it. I remember scratching at my face and hair as early as 4, I think.”
- “Going from being best friends with someone to hating their guts, and then going back to being best friends after a while… My self-harm as a teenager… having only two to three close friends growing up. I found it very hard to make and keep friends. I was very emotionally sensitive and would get hurt easily. All these things I can see now as signs of my BPD.”
- “I was only diagnosed a year ago, but looking back it all makes sense. As far back as I can remember, I was extremely sensitive, had highly fluctuating moods including intense anger and I would self-harm. I would freak out over any sudden changes in plans, and I was terrified of abandonment. It wasn’t until years later I realized it was something much more than just depression and anxiety.”
- “Making impulsive, life-changing decisions without thinking through the consequences, moving from city to city and job to job thinking my problems would go away if I moved to another city. I now have a very unstable work history and am finding it very difficult to find employment.”
- “Dissociation. Feeling like you’re out of your body — like it’s not even yours, is the most terrifying feelings ever, and was the main symptom/sign that I had something different from depression. Nobody ever really talks about dissociation, and I have no idea why, it horrified me more than anxiety attacks ever did. It’s like this huge seemingly endless brain fog. You can’t think, you can’t talk, you just can’t function. You feel completely numb from the inside and out. To me it gets so bad it feels like I don’t ‘exist,’ and it’s terrifying. Especially when you think you’re the only one who felt this way (which was the case for me for months).”
- “I felt like I’d always be alone, like I was not worthy of having friends. I’m in a better place now and have been in treatment for five months.”
- “Being extremely sensitive, wanting to be everybody’s best friend, being insanely hard on myself, thinking everyone was talking about me behind my back, loving people way too much, being co-dependent, thinking in absolutes, being very black and white, constant fear of abandonment.”
- “My whole life I have been extremely sensitive. If an adult so much as raised their voice a little, I would burst into tears. I also once I hit puberty could never seem to have a steady relationship with peers. My friendships were always very up and down and one-sided especially as I became a teenager. I never had a self-esteem and I started cutting when I was 13. I was misdiagnosed with depression and anxiety first. I always wondered why I was so different, why weren’t other kids like me? Now it makes perfect sense.”
- “Black/white thinking. Am I a good/bad person? I love/hate you. Don’t ever leave me/I want be on my own. With everyone of these issues it is extreme and intense, there is no middle ground, no balance or stability.”
- “It was a constant up and down. I didn’t have steady friendships. I felt insecure and had a low self-esteem. Oftentimes social interactions induced intense emotions that completely overwhelmed me and made me feel isolated and invisible. I felt anchor-less and didn’t know where I belonged or if I would ever find someone who would love and understand me. I was so afraid of my friends leaving me that I tried everything to make them love me. I started self-harming at 14, desperately trying to keep me grounded and gaining recognition.”
- “As far back as I can remember as a little kid I’d deliberately push people away to test their limits and kind of prove to myself that I wasn’t a lovable person. As a teenager it mainly showed in my complete inability to handle breakups and extreme impulsivity, self-harm, constant suicidal thoughts, etc. This was all shrugged off by everyone around me as ‘being a teenager’ and ‘attention seeking.’ As a result I struggled for years without treatment. I’m still in shock that I survived that to be honest.”
- “I have had a serious problem with overspending money and self-harm. I would get so emotional at things that were not even real (fictional things or playful things) and the constant changes of my moods were hard for me to handle. Now I have been diagnosed with BPD and as I look back I see that I’ve had this for quite some time. It feels good to have a name for it now.”
- “I felt alone, unwanted and so different.”
- “Definitely getting overemotional at almost everything. Sensitivity to violence, I couldn’t even handle violent TV shows like CSI. Even reading books would put immediately in a mood related to the book — it would make me happy or sad depending on how it ended. I was and still am more sensitive in my interactions with people. I would get easily upset even if they didn’t mean to upset me. I thought for years that something was wrong with who I am. That everything about me was wrong and it was all my fault. Even at age 9 I was self-harming. I hated myself and had no self-confidence. I was dual diagnosed with borderline and bipolar at age 19, and everything finally made sense. All the things I thought were wrong with myself actually had a name. Not that that made it any easier to accept. I’m now 24, and I’m finally starting to accept this is just how I was made. And it’s not my fault.”
‘Obsessive’ Things People With Borderline Personality Disorder Do
If you have borderline personality disorder (BPD), you might have experience with being called “obsessive.” What loved ones may not realize though, is that for someone with BPD, the core issue is usually not about the object of the obsession — it’s often the result of underlying symptoms of BPD.
I am obsessive in love — falling quickly, deeply and I always put my partner’s needs before my own… Once I become attached to someone, I get drunk on lust as dopamine floods my body. I’ve fallen in love so many times, it’s like an addiction. I crave the affection and touch of another human so much I have overlooked some questionable personality traits just so I don’t end up alone.
- “If I have a flight with someone or I feel like someone is avoiding me, I obsess over thoughts. I will spend hours just replaying conversations, actions, everything I can possibly remember that has ever happened with that person. I try to figure out where I messed up or what went wrong, usually in hopes of repairing things.”
- “I become extremely obsessed with TV shows/characters. I start watching lots of episodes, reading all kind of fan fiction and looking at fan art. I read theories — anything that will make me feel closer to that show/person. When it gets really bad, I start taking on personality traits. Nothing ever fills the need I have though and eventually I fall apart.”
- “Apologizing — even it it’s not my fault, even if it’s something trivial. I will hear ‘Why are you apologizing?’ several times a day. My co-workers are used to it. Honestly, it’s because growing up, my father was physically and verbally abusive. I learned to apologize early and often. I do it to defuse any possible confrontation because I can’t take being confronted or chastised. And I usually look down while I do it and I hate it but have been unable to break the habit.”
- “If I think someone is mad or upset (particularly my husband) I obsessively ask what’s wrong. If I sense anything is off, I literally will repeatedly ask what’s wrong and how I can make it better. He winds up getting mad often, saying he wasn’t mad before I asked/accused him of being mad 300 times.”
- “I also obsess over one person in my life which is my partner. It’s like he is my whole entire world, which I know is unhealthy, but I can’t control it! It’s like no one else’s opinions matter. It’s like I can’t get along with anybody else like I do with him. He is my everything and I know that comes off as being needy when it’s just my disorder… and I’m unhealthily jealous of anybody else he gives his time and attention to.”
- “If I want to buy something (usually expensive) I will spend days, weeks, sometimes months researching everything about it. I’ll find every review I can, find as many websites that sell it, make spreadsheets to compare prices. I can’t stop thinking about it either.”
- “As soon as I feel a tickle of attraction for someone, I start obsessing over every one of my insecurities. I analyze everything, I can’t eat or sleep, I basically become lovesick and can’t function without them, until inevitably I get fed up and start emotionally disassociating and switch between love and hate for a while until one day love just doesn’t switch back on. (One of the reasons I stay single now, it ain’t worth the chaos.)”
- “I have BPD and OCD. My obsessions always present themselves in the same form: I take a thing I said or did in the past (recent or a long time ago) and keep playing it to myself to try to know where I went wrong. I once spent two whole years obsessing and going over about a 30 minutes event. It broke me.”
- “I’m time-obsessed, I have to leave my house within a 10 minute time frame in the morning. I get to work almost an hour before I clock in to ensure I am always on time. I have anxiety attacks if I don’t get to any type of appointment 15 minutes early. I have a bit of a problem with perfectionism, which can sometimes make my job difficult. I have to do certain things in a precise order and I have a compulsion to touch certain items when I walk past them.”
- “I obsess over which side of my personality is the ‘real me.’ When I can be two drastically different versions of myself, several times a day it can be exhausting trying to understand the real me. Currently working on a ‘gray area’ with people, rather than keeping score of which side of my black and white personality they are on. I’d like to integrate my laidback self with my quickly angered self and find a medium even though it’s often uncomfortable being mindful, present and conscious to do so.”
- “I have phases, like a crafting phase, one time I picked up running in the mornings, obviously bingeing Netflix, reading a bunch of those ‘self help’ books, journaling, baking… they only last for a week maybe two tops but in that time, that’s all I do in my free time.”
- “When I am doing a craft project, reading a book or am on a cleaning kick, everything else seems to get neglected and I can only seem to focus on the one thing. When I was working, I was not able to make sure I was eating and sleeping and all I could do was make sure I was at work on time, looking presentable and appearing calm and in control.”
- “Pretty sure everything I do is obsessive. Everything is all-or-nothing with me.” ‘Bad Habits’ of People With Borderline Personality Disorder
Whether it’s biting your nails, being too lazy to do your laundry for weeks on end or marathon-watching “Gossip Girl” for the fifth time (no judgment, we swear!), we all have “bad” habits we sometimes wish we didn’t. But when you live with a borderline personality disorder (BPD), sometimes your “bad” habits are directly related to your mental illness.
From impulsive shopping to constantly texting your friends asking, “Are we OK?,” “bad” BPD habits often show up when you’re just trying to manage the roller coaster of emotions that so often comes with BPD. Sound familiar? You’re not alone.
We wanted to know what “bad habits” people develop when they live with BPD — and more importantly, how they cope with them — so we turned to my community to share their experiences.
We also want to remind you that having a “bad” habit doesn’t make you a bad person. “Bad habits” often help us cope with the inevitable emotional turmoil we experience in our lives. On your journey with BPD, you might just find better ways to cope — and it’s important to let yourself be open to them! In the meantime, wherever you are, you aren’t alone.
- Impulse Spending
One of the nine classic symptoms of BPD is engaging in risky or impulsive behavior. For some, this can look like driving too fast. For others, it can look like spending a lot of money on things they don’t really need.
“My bad habit is my spending. On anything and everything I desire. I have/had no control.”
“I impulse buy a lot of clothes when my self-worth is low — I try and make myself feel better by changing my aesthetic and buying new outfits.”
“I found a hobby that allows me to spend a lot less… I became a ‘picker’! Being a person who hunts yard sales, thrift shop, private sales and picks out treasures for cheap and sell them for a lot more! I do good with it. I am making money while meeting my need to spend it. I spend two dollars on an item and sell it for $200. It meets the need for the thrill of the spending, while only spending little.”
“I’ve been overcoming [my overspending] by making wish lists that I check back on in a month. This means I’m no longer impulse buying these things and if I don’t still want it in a month, I don’t buy it. It’s really helped me save my money and stop myself [from] spending all of my money in the first week I get paid.”
“I have a trusted person with my finances who gives me an agreed-upon allowance and that’s my ‘play money.’ He uses my card to ensure bills are paid first and money goes into savings. And, of course, my kids’ needs are being met. It’s frustrating to feel like a child with money, but I have him as a safety net to not allow it to get out of control.”
- Seeking Validation
When we’re struggling, it’s only natural to turn to people we love for support and validation. But sometimes, if we lean on our loved ones too often and don’t have some self-soothing strategies up our sleeves, we can put undue pressure on important relationships.
“I need attention to make me feel worth it.”
“Needing validation from others.”
“I screenshot meaningful texts from my favorite people and read them over and over to help me through the dark times when I feel like texting them directly will be ‘too much.’”
“I’m really trying to stay centered and meditate on the truth that God resides within me so the attention from others is not essential to my well-being.”
- Isolating
It can be really tempting to isolate yourself when you’re struggling. For some this might look like “ghosting” on social media or texting. For others, it might mean locking yourself in your room with Netflix and junk food. Most of the time though, isolating can make things worse. If this is your typical coping strategy, try to stretch yourself and reach out — even if it’s just a simple text to a friend letting them know you’re feeling a little down.
“Staying in bed all day. Isolating myself.”
“I isolate myself because I feel no one actually wants me in their life.”
“When I’m feeling like this, I try to make myself go visit my friends who are out of town so I can get out of the house for a few days.”
“I try to just listen to music or read to turn my isolation periods into more of a ‘recharge’ session and then I can start socializing again and feel happy about it.”
- Skin Picking
Skin picking is often associated with anxiety and obsessive-compulsive disorder (OCD). It’s important to note skin picking is not the same as self-harm. According to the TLC Foundation, body-focused repetitive behaviors (BFRBs) like skin picking (excoriation disorder) are rarely engaged in to intentionally produce pain or obtain relief from a negative emotional state — as in most cases of self-harm. If you struggle with skin picking in difficult moments, you’re not alone.
“I pick at the skin on my fingers. Sometimes until there’s a noticeable hole and I’m bleeding.”
“Usually I use artwork to help handle it. I draw and I paint. So far this year I’ve painted probably close to 100 canvases of all different sizes.”
- Being Indecisive
If BPD makes you feel like you can’t make decisions effectively, you’re in good company. Maybe you’re worried you’ll make the “wrong” decision or are afraid of making a decision someone you look up to wouldn’t approve of. Whatever your underlying struggle for indecision is, we want you to know you’re not alone.
“I can’t make a decision to save my life. It’s very annoying. I wish I could just make up my mind and be confident about what I pick.”
“I get indecisive or impulsive or both. I can’t decide on important things but will act impulsively doing meaningless things.”
“I’ve found drawing how I’m feeling and also writing it all down helps make the thoughts stand still rather than jumping about so much. That and just crying it all out!”
- Disconnecting From Reality
When your feelings get intense do you try to disconnect from the world around you? While there’s nothing wrong with distracting yourself from time to time when you’re struggling, if you’re habitually using things like TV or casual sex to avoid dealing with your emotions, it may be time to take a step back and re-engage. Feelings can be difficult, but moving through our emotional experiences is an important part of healing and being human.
“I like to disconnect from reality. I watch too much TV. It’s comforting but I stay up far too late and then lose out on too much sleep. If I don’t get enough sleep, I get worse.”
“I have to force myself to break the cycle. I recently tried a no-TV weekend. I was forced to sit with my thoughts while I did other things. It really helped to ground me again.”
- Ruminating on Negative Thoughts
When you’re feeling low, it’s easy for your brain to jump to the worst possible thoughts that match your mood. While this is something that happens to many folks, you might not realize you can actually fight (and win!) against the negative thoughts. It takes practice, but if you struggle with ruminating, you might want to try the cognitive behavioral therapy (CBT) skill of reframing.
“Wallowing in my misery. It’s almost like I want everything to be terrifying.”
“Being negative about myself. I’m always like, ‘excuse my hair’ ‘excuse my legs’ ‘excuse this.’ Must really annoy people and I’m starting to annoy myself. No one’s perfect, so why am I asking people to excuse my appearance or the way I am?”
“Thinking someone can’t be friends with someone else other than me because then it means they don’t like me or value me enough.”
“I text my person — my rock. I tell them how ‘crazy’ I feel and how I’m struggling and they help me get out of it. I really don’t feel like this is the kind of illness you can get through on your own.”
“I will fix myself hot tea with a lot of raw honey and cream… I really like lavender and matcha teas a whole lot… I will fix a sleepy tea at night to try to soothe my thoughts before going to bed.”
“I just catch myself and say everyone can exist equally and I am not lesser than.”
- Rearranging the House
It’s no secret that cleaning, redecorating and rearranging our spaces can be mood-boosters. Sometimes these strategies can help us, but other times they may be exacerbating a deeper issue — especially if you notice your stress levels going up, not down. If you find yourself cleaning compulsively or redecorating so often that it overwhelms you, it might be time to reach out for support. Talk to a loved one or mental health professional if it’s affecting your life negatively.
“I rearrange every damn room in my house. I’m not happy until I got so tired I can’t do anything but sleep.”
“I’m doing schema therapy which I’ve only just started, but it will help me understand how to deal with things and also understand why I am the way I am and where my personality traits come from and how to manage them.”
- Oversleeping
Oversleeping is another way we can distance ourselves from our thoughts and feelings. Though getting enough sleep is a good and important self-care practice, if you find that you’re using sleep to avoid engaging with the world, reach out for support.
“Nail picking, constant sleeping and overeating.”
“Spending time outdoors and taking cool showers helps bring me back down a bit. Also having a nice homemade meal reminds me I can face whatever comes my way and just take it one day at a time.”
If you have a “bad habit” because of BPD, you’re not alone.
New Study on Borderline Personality Disorder Treatment
Despite treatment for borderline personality disorder (BPD) being difficult to access, no published study had examined the efficacy and safety of telehealth treatment for borderline personality disorder (BPD). The current studies that do evaluate telehealth focus on outpatient settings in people without BPD.
Given the complexity and intensity of the symptoms (e.g., self-injury, suicidal ideation, rapid fluctuating emotions, impulsivity, frantic
efforts to avoid abandonment), efficacy and safety considerations have to be made to best adapt telehealth treatment for people with borderline personality disorder. These considerations are especially true for partial hospitalization programs, where people with BPD may be at risk for suicidal and aggressive ideation, may be transitioning from inpatient hospitalization or may need a higher level of care.
A new study published in November 2021 from the Rhode Island Methods to Improve Diagnostic Assessment and Services project adapted telehealth partial hospitalization treatment and found that it was just as effective as their in-person partial hospitalization treatment in treating people with BPD. Full access to the study can be found here. The Rhode Island Hospital Adult partial hospital program transitioned to a virtual format when the COVID-19 pandemic began.
Patients in the virtual and in-person partial hospitalization program were compared on effectiveness, satisfaction and safety. Both treatment modalities remained similar in their structure and content. Specifically, the study found that patients in both groups reported significant improvement in functioning, coping ability/stress tolerance, positive mental health and general well-being.
By program completion, more than 95 percent of patients in both the virtual and in-person program reported they were very or extremely satisfied with their treatment. Likewise, more than 95 percent indicated they would recommend the treatment to a family member or friend.
Given the risk mitigation strategies in the virtual program, which can be perceived as burdensome or intrusive, the high levels of patient satisfaction in both groups warrants considerable attention. The safety strategies included daily check-ins, daily updates and information on patient location/physical address, on-call clinicians for emergencies and an emergency contact person.
The researchers followed a transdiagnostic approach, meaning they used a treatment and measure that targeted the above mentioned areas of improvement (functioning, coping ability/stress tolerance, positive mental health, and general well-being) more broadly. Some patients in the study were also assigned to the borderline personality disorder specialty track. Thus, one limitation of the study is the lack of a BPD outcome measure. Still, the study highlights transdiagnostic improvements that can be made in BPD.
Program completion and attendance were also assessed. The study demonstrated that the virtual program attained a higher attendance rate. This result may attest to the accessibility of a virtual format. The authors described that some of the patients in the program had medical conditions that made in-person treatment attendance more difficult to manage. Notably, several patients who were treated in the virtual program described that even in the absence of a pandemic, they would not have presented to in-person treatment. Limited transportation options and parenting were two other accessibility concerns.
This study highlights several key factors those of us with borderline personality disorder encounter in our treatment. We often encounter considerable difficulty accessing quality treatment given the shortage of BPD practitioners, stigma, location and other barriers (e.g., financial). BPD may require a combination of treatment approaches and multidisciplinary teams, such individual therapy, group therapy, or intensive outpatient programs.
Potential comorbidities can further complicate treatment. BPD is known to present with considerable comorbidity, including psychological conditions such as depression, physical health symptoms, and other disabilities.
For example, one study found greater BPD symptom severity was associated higher rates of later physical health problems, such as headaches, dizziness, stomach aches, back pain, bruises, muscular problems, colds and coughs, even when controlling for depression and anxiety. Another study indicated that while BPD is present in about 1-2 percent of the population, the rate was
around 30 percent for chronic pain patients (e.g., fibromyalgia, chronic back pain). The presence of BPD appeared to intensify pain scores.
In my experience with treatment, accessibility issues were an unbearable predicament that overshadowed my decision to drop out and stop pursing treatment. If I did experience a benefit, such as learning a new skill, the potential progress was significantly reduced due to numerous accessibility issues, and progress did not remain over time.
I started treatment at 10 years old and was treated by approximately seven different mental health specialists by the time I was 22. Accessibility issues in treatment fostered feelings of shame, hopelessness, mistrust and being misunderstood.
For example, my severe sleep disorder and depression that accompanies borderline personality disorder increased further complications. One of my psychologists usually scheduled me for morning appointments, despite my opposition, to which I would arrive 20 minutes late with only an hour or two of sleep that night. The fact that treatment decreased my sleep and compelled me to drive for long periods of time while sleep deprived produced a negative impact on my well-being. I frequently cancelled appointments and dropped out with little to no improvement.
I also live with many other disabilities, including postural orthostatic tachycardia syndrome (POTS). This condition can limit my mobility at times or prevent me from driving. During periods of increased symptoms, along with depression, it may not always be possible to attend treatment, get out of bed or leave the house. It seemed the reasons I needed treatment prevented me from receiving it, and no one cared.
People who need virtual or hybrid options for treatment have been advocating to receive it long before COVID-19. We were often denied services that were suddenly created during the pandemic. One significant barrier to this progress is insurance approval/reimbursement, which can hinder attempts to increase accessibility unless appropriate policies are made.
It is crucial that virtual options remain post-pandemic, and studies such as these remain an important part to advocate for that change.
Things Your Borderline Friend Wants You to Know
There are several tough things about having borderline personality disorder (BPD). The daily swings in moods, emotions and identity is certainly no cakewalk. I find for me, the worst part about having BPD is the constant struggle to maintain stable friendships and relationships.
I only found out I had BPD about three years ago, and since then, especially concerning friendship, it has been a steep learning curve. I’ve loved and lost so many friends, and I’ve had to relearn how to be a good friend, how to beat the borderline inside me who tries to warp friendship into something it’s not meant to be — therapy. I’m sure the story is the same for many people out there trying to recover from BPD and form lasting friendships.
Two things prompted me to write the list below about BPD and friendship. First, it truly hit me that borderlines view the world in a completely different light than neurotypicals do, and it’s important that our friends have an inkling of what’s going on as they watch our brains go haywire from the outside. Secondly, an event transpired a few nights ago that prompted me to write today, and it also leads me to my first point.
- My worst fear is abandonment.
I was in a group chat with three of my closest friends an evening or two ago. We’ve been friends for about two years, were roommates in college, have shared mental health crises — the works. I even travelled to Europe with one of them. And yet, when all three vehemently promised they would remain my friend, would not suddenly stop being my friend and truly thought of me as one of their favorite people, I was genuinely shocked and moved.
BPD makes it nearly impossible to believe anyone could ever want to stay in my life. Trust is incredibly hard, even with assurances as wonderful as my friends have given me. To anyone reading, know that borderlines go day to day expecting those they love to leave them, and understand this is often the baseline where their emotional reactions are coming from.
- I need constant validation.
Considering those with BPD have a generally irrational and constant fear of abandonment by loved ones, it may come as no surprise that many of us require a constant stream of validation that our loved ones don’t hate us, aren’t going to leave us, aren’t mad at us, aren’t annoyed by us, etc.
While it probably isn’t healthy to validate 24/7, I believe the best thing you can do for a borderline friend is send them an unsolicited text everyone once in a while to tell them you love them or are thinking about them. Knowing I am in my friend’s thoughts and matter to them, without asking for validation in the first place, is literally the best thing in the world.
- I question every interaction I have and action I take.
Because I fear abandonment, I also fear doing something wrong. And because the symptoms of BPD include rapid, uncontrolled swings in mood and emotions, there is a very likely chance that at any given point in the day, I could say or act in a way that is hurtful (recovery is an ongoing process to help control these changes in emotion).
The issue is, I don’t always recognize if I have acted incorrectly. So I overanalyze every interaction for potential flaws in fear that I said or did something wrong. No one is more critical of me than myself.
- My emotions hinge on tiny, mostly irrational moments. Be patient.
If someone doesn’t text me back the moment after I text them, it feels like the end of the world because I assume the only answer is that I’ve somehow said something wrong or annoyed them.
Other times, if someone cancels plans, I spiral into a depression because I planned my entire day around seeing that person. I may or may not assume that person hates me.
When I see a picture on Facebook of a friend hanging out with someone else, I get a pang in my gut because that friend is hanging out with other friends, and so they obviously must not love me.
Borderline is not rational most of the time, and neither are the emotions attached to it. As mentioned above, I view the world in a very different way. My world is all or nothing, black and white, soaring or spiral. Be gentle with me but also keep me in line by reminding me you are allowed to have your own life apart from me.
- Boundaries are hard-learned and important.
Borderline personality disorder, despite the stigma, is not inherently toxic or abusive. Borderlines can be loving, supportive and kind. I am one of them. From a cursory reading of the above, however, it’s easy to see how BPD friendships can cross boundaries into the realm of toxicity.
It may not be for everyone, but I find myself asking my friends consistently, “Is this OK?”
Is it OK for me to talk about certain topics, to text at certain times of day, to ask for validation in a certain manner? As a borderline, boundaries can be easily blurred in the search for validation and in desperate attempts to avoid abandonment. Establishing checks with your friends to ensure those boundaries are still in place can mean the difference between saving or losing a friendship.
- I love you intensely.
Borderlines are truly all or nothing. If I love you, I love you completely, with all of my being. If you are loved by a borderline, then you are loved by someone who would do anything for you.
This love can be unhealthy is left unchecked and painful if abandonment occurs. I would fly around the world in a second for my friends (I’ve been known to spontaneously travel days just to see people). I would probably take a bullet for my friends. You can be left thinking you love the people in your life more than they could ever love you, and this can lead to some toxic power dynamics in relationships.
However, I think this love is the most beautiful thing about being borderline. I think borderline love is one of the strongest loves on the planet. If you are my friend, I am loyal to you. You are beautiful to me. You accomplishments are poetry. I think you’re fucking amazing. And you’re one of the best friends I’ve ever had.
To anyone who is a friend to someone with borderline personality disorder, thank you for being there.
Ways to Support Someone With Borderline Personality Disorder
As someone with borderline personality disorder (BPD) I know it can be sometimes overwhelming to support me. BPD can impact every aspect of our everyday lives and wreak havoc in our relationships. Considering the stigma, the lack of sufficient research and the lack of public education on mental illness – especially heavily stigmatized disorders like BPD – it can be challenging to know how to support friends and family facing symptoms of BPD or even how to approach the subject of mental illness in a way that’s respectful and effective.
The powerful stigma associated with BPD labels us as inherently violent, abusive and manipulative. This causes many people with BPD to avoid speaking up about their disorder altogether, and the stereotypes demonize and often alienate those with the disorder. In reality, people living with BPD tend to be notably empathetic, passionate, loyal and resilient, and there are many ways to provide support. It’s true the symptoms of BPD tend to infiltrate friendships and relationships, but – like anyone struggling with overwhelming emotions, mood swings, impulsivity and more – a little effort goes a long way. Here are some tips for supporting someone in your life living with traits of borderline personality disorder.
- Validate, validate, validate.
Even if you don’t understand why someone is feeling a certain way or if their reaction seems overdramatic, it’s important to recognize that whether or not you agree, that doesn’t make the emotion any less real. Whether or not it seems like someone “should” feel a certain way doesn’t change the fact that they are. Often, someone with BPD has a history of emotional invalidation, neglect or abuse. This leaves them afraid to trust their own emotions, so a little validation can go a long way. Sometimes living with BPD can feel isolating, and external validation and acknowledgment of our experience can be an important step to recovery or, at the very least, surviving a moment of distress.
- Listen, ask questions when appropriate and do your research.
If someone with BPD opens up to you, pay attention. Rejection is difficult for anyone but can be especially debilitating for someone with BPD; if we feel silenced, ignored or sense you’re generally uninterested in what we have to say, that can be painful enough to stop us from opening up at all. Make a point to do your own research rather than expecting us to do it all for you.
- Learn their triggers.
When it comes to BPD, triggers can be difficult to avoid as they’re generally based on relationships and interpersonal interactions. Each person is different, but common triggers for people with BPD include harsh criticism, the perceived threat of rejection or abandonment. Abandonment sensitivity may seem inconsequential to someone without the disorder, but it can be very real for us. Additionally, people with BPD may be triggered by their own thoughts, memories or reminders of past trauma. Despite the stigma associated with triggers, they must be taken seriously. There’s a difference between feeling hurt or offended and being triggered by something; when I encounter a trigger, for example, I face intense emotional reactions in addition to debilitating physical symptoms such as difficulty breathing, chest pain, extreme nausea and vomiting, hot flashes, uncontrollable shaking and sweating, body aches, loss of appetite and total exhaustion.
- Learn their preferred coping skills.
Dialectical behavioral therapy (DBT) is a common and reliable treatment option for people with BPD. DBT is a year-long program divided into four basic modules — mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness. It isn’t for everyone, but much of the content of DBT can be beneficial to anyone with or without BPD, and most of the skills, tips and tricks are available online. Everyone has their own preferred coping skills, so while some people find peace in practicing, for example, the “Nonjudgmental Mindfulness” skill, others may find it challenging and frustrating. I personally find the TIPP skills to be the most effective way to calm down during moments of intense distress, and it can be helpful to have someone remind me of these skills when I’m feeling particularly worked up.
- Be honest, direct and respectful.
One of the most frustrating symptoms of BPD can be our tendency to ruminate over comments, moments and mistakes that affect the way others perceive us. In my experience, the threat of rejection can be enough to send me spiraling into a paralyzing panic attack or worse. I’ve found the best way to avoid this kind of thing is just to address the situation directly but graciously, keeping our triggers in mind. When it comes down to it, compassionate communication – while not always easy – is fundamental.
- Try to remain patient, gentle and empathetic.
Remember that people with BPD tend to be particularly sensitive when it comes to interpersonal interactions, and triggers can be everywhere. One of the most prominent symptoms of BPD is the debilitating fear of rejection, abandonment and isolation. Keeping up with relationships can be an overwhelming roller coaster in itself when you have BPD, and although we – like anyone else – are bound to make mistakes, try keep in mind the risks we take every time we open up or let someone into our world. This also means we deeply treasure the people who put forth an effort to understand our experience. Often, effectively supporting someone with BPD is as simple as reaching out or actively listening with empathy and compassion.
Everyone is different and heals in different ways, but it’s important we make the effort to support one another – especially when faced with a disorder as frightening and life-threatening as BPD. You don’t have to live with the same symptoms in order to support someone who does. Really, these tips can be useful for any relationship; validation and respect for another’s emotional experience can be a relief to anyone, whether or not they have BPD or exhibit any traits of the disorder.
I don’t want to gloss over reality here: it can be challenging to keep all of these things in mind at times. Still, if you find yourself feeling irritated, try to consider the obstacles they overcome every single day. Personally, BPD causes me to feel conflicted by my desire to maintain close relationships and the urge to isolate myself as a way to avoid feelings of rejection and abandonment. When you’re used to feelings of emptiness and isolation, support from loved ones, friends and acquaintances is often what keeps us afloat. It’s important we have allies by our side as we navigate a disorder as unpredictable and stigmatized as BPD.
Travel With Depression and Borderline Personality Disorder
Depression is my least favorite travel companion. She’s the kind you never really invited to come along with you, but she heard about your plans and took it upon herself to come. She never wants to go out exploring and she hates the idea of making friends with strangers. She wants to lie in bed all day and complain about how unfriendly everyone is and that no one likes her. She is desperate to get drunk but then spends the whole night crying about how ugly and unwanted she is. Depression likes to sleep for 12 hours a night and then take a two-hour nap every day. She doesn’t care if you had plans; she would rather just hide away from the world. She’s overwhelmingly clingy and doesn’t like to let you out of her sight.
Borderline personality disorder (BPD) is an out-of-control travel companion — the kind you wouldn’t mind on a boozy bender in a European city, but would never dream of taking on a long-term trip. She is impulsive to a T and is constantly on the lookout for alcohol and drugs, no matter how much you tell her you’re clean and mostly sober now. She seems to conveniently forget that the comedown from drugs makes her hyper-suicidal, and is adamant she needs to have the best time possible and not waste her youth. BPD is hyper-paranoid and obsessive about the fact that everyone back home, especially her boyfriend, must have forgotten about and stopped caring about her by now. She’s incredibly emotional and overall exhausting to be around for extended periods of time.
So what can you do when depression and BPD decide to invite themselves along on your travels? You can’t just ask them to leave. Mental illness is a constant for me and so I’ve had to learn to adapt. I’m not prepared to let anything hold me back from exploring the world, I’ve just had to adjust the way I travel.
- Build support networks on the road.
It can be really difficult to be away from your therapist, loved ones and close friends when you are living with chronic mental illness. Depression likes to tell me to isolate myself, but this only makes things worse for me and doesn’t allow me to see the things I want to see. I’ve found that using sites like CouchSurfing can be really beneficial, as it allows you to stay in a family-style environment and constantly be supported and included in activities. I had a really positive CouchSurfing experience with a couple in Argentina and found my depression was definitely less prominent in the time I was staying with them. Another option is taking study tours overseas, as I have done in both Vietnam and Argentina. Although this is not an option for everyone, it gives you a steady community of people to interact with and form relationships with over a period of a few weeks. I’ve found combining a study tour with independent travel gives a really nice balance.
- Be strict with substances to consume and avoid.
BPD makes me extremely volatile and self-destructive, and therefore drugs and binge drinking are a big no-no for me. It can be really difficult to socialize in the substance-heavy environment of hostels, but I have picked up a few tricks to make it easier. I tend to have one or two drinks in a night and sometimes I pretend to drink and put my drink back down. I have felt peer pressure to drink in some social situations, but I find I can usually trick people into thinking I am drinking more than what I am. In terms of substances to consume, I have to be strict about taking my antidepressants at the same time every day. If I forget to take them for a few hours, I begin to experience intense nausea that knocks me flat on my back. It can be difficult to establish a routine while traveling, but it is so important for medications.
- Take rest days and travel slowly.
The nature of depression, in particular, is that you spend whole days doing nothing. Depression sits so heavy in my body and makes me feel exhausted, so I often need to have rest days or only do one activity in a day. If I was jumping between places every couple of days, this would both make me more exhausted and also mean I miss out on so many things I would like to do. My general rule is to dedicate at least five days in one place, if not longer.
- Have contingency plans.
Living with BPD means my behavior is sometimes erratic and out of control. Sometimes I feel I am genuinely a danger to myself, and there are steps I need to take to make myself safe if I lose complete control. My psychologist asked me to write down details of emergency departments in cities in case I needed to take myself there on suicide watch. I also cut the length of my trip from six months to 10 weeks because I was at a pretty unstable point in my life. It’s really important to know what you are going to do if things go south quickly.
It’s not possible to travel in the exactly the same way as people without mental illness do, without compromising your own sanity. However, that doesn’t mean travel is unattainable or unenjoyable. Solo travel has hugely improved my self-confidence and assertiveness in the face of adversity. Having to deal with my mental illness more on my own has made me feel more in control of it and not as suffocated by my depression and BPD. It may still be many years before I can consider myself in remission from my mental illnesses, but I intend to travel as much as possible as I can in my life and not let it hold me back.
Ways Borderline Personality Disorder Affects People’s Sex Lives
word that can invoke desire, nervousness, discomfort, fear, excitement, and a whole host of other feelings in different people. While talking about sex is still largely taboo, it’s everywhere — in the advertising we see, in articles online, in our thoughts and often in our relationships.
Because sex can be such an intimate and pervasive part of being human, it only makes sense that our mental health can change how we relate to it. When you live with a mental illness like borderline personality disorder (BPD), it can touch all aspects of your life — including your experiences in the bedroom.
Maybe BPD gives you a constant craving for attention and validation that fuels sexual desire, and you just can’t get enough. Maybe past sexual abuse or emotional trauma coupled with BPD symptoms makes you afraid of or disgusted by sex. Or maybe you experience intense fear of abandonment and only engage in casual sex because you don’t trust yourself to not become “too attached” or “too borderline.”
Whatever your experience with BPD and sex is, we want you to know you aren’t alone. To open up the discussion around this sensitive topic, I turned to our BPD community.
We understand sex can be embarrassing to talk about, but please, if sex (or lack of sex) is adversely affecting your life because of BPD, talk to your partner, a trusted friend or medical professional. You deserve to get the support and help you need.
- Wanting Sex Constantly
“In a relationship I need hot amazing sex every day otherwise I get anxious and worried that there is a problem in the relationship or that my partner isn’t attracted to me. If I’m single, my self-worth and validation depends on how sexually desirable people find me which can be really self-destructive.”
- Never Feeling Sexual
“My BPD makes me almost never want to have sex. I am not interested in it, or rarely am. Sometimes I don’t want to be touched at all, even in just a cuddle aspect. Sometimes I have to make myself want to, because I feel bad for my spouse. He isn’t upset with me for not wanting to have sex often, but I am upset with myself. I feel [like] less of a person.”
“I have always been uninterested in sex. I don’t like people that close to me. So if it’s going to happen, the universe is aligned just right.”
- Alternating Between Wanting Sex Constantly and Not Wanting It at All
“I find myself bouncing between hyperlibido/hypolibido depending on a variable of factors that at times can be uncontrollable, (like amount of stress at work and relationship status) but also just my moment-to-moment mood which varies greatly. It not only makes me feel like there’s something wrong with me, but it takes a toll on my partners too.”
“I go through sexuality ‘phases.’ I go through months where I want sex constantly, multiple times a day. I go through phases where I feel like I don’t want to have it at all, [when] no matter how hard I want to want it, I just don’t have the libido or energy. I try to meet in the middle, to please my partner and give him the attention he deserves, but I end up frustrated, self-conscious, exhausted and in tears.”
“Either super horny or 100 percent not sexual.”
- Using Sex to Fill an Emotional Void or Get Validation
“I use sex as a way to fill some kind of hole in me and sometimes as a way to keep someone around. It’s a way to validate that I’m wanted. I found later that I’m really craving intimacy with others, but sex was really the only way I knew how to fill it.”
“I have an extremely high libido and I crave attention constantly. I find that sexual activity or being considered sexy is very validating for me and I find that BPD makes me crave constant validation.”
- Only Being Able to Have Casual Sex
“I tend to gravitate toward men/women who only want a casual hook up or who only want me for sex. Especially when the emptiness hits me and I want someone to fill that void.”
- Only Having Sex in the Context of a Committed Relationship
“I don’t know how to have ‘casual sex.’ If I’m willing to open up to someone sexually, they are already my ‘favorite person’ and I couldn’t imagine ever wanting to be with anyone else.”
- Losing Interest in Sex Quickly
“My BPD can make me lose interest or get super uncomfortable with sex in an instant. I’ll be going and having fun, then it’s like a switch is flipped and the only thing I can think is that I want it to stop. I feel super uncomfortable and my self-esteem drops like a freaking hammer.”
- Feeling Intense Rejection When Partner Doesn’t Want to Have Sex or Doesn’t Orgasm
“It tends to make things incredibly difficult when my partner is not interested or unable to perform when I want it. I take it as rejection in the worst possible way, which leaves me feeling worthless and fearing that my partner is no longer sexually attracted to me or that he’s going to leave.”
“Something that affects my sex life with my partner is that if he isn’t doing exactly what I expect or he doesn’t ejaculate, I feel like it’s all me and that he isn’t attracted to me anymore. Then the thoughts go running through my mind. ‘Maybe there is someone else.’ From there even if he has told me it is not me, that he is tired or age plays a factor, I still end up sleeping on the other side of the bed and it could be days before I even allow him to touch me. I want to check his phone to make sure there aren’t any other girls or to see that there were and I wasn’t ‘crazy.’ Eventually I can make my mind turn to have no emotions at all, and the ‘splitting’ of borderline personality disorder kicks in. Now I hate him and feel disgusted by him. Thinking how could I ever be with someone like him. Now this is from one night of not the typical sex I enjoy. One night can turn me into a dark mess.”
- Being Unfaithful
“Before I was diagnosed, I was ruining my relationships because of cheating. I needed the attention, the feeling of being wanted and the sex. I often found myself feeling even worse afterwards. I just couldn’t stop.”
“Honestly, it led me to have an affair… I wasn’t being satisfied enough (that’s fixed now due to therapy) and it led me to have a year-long affair with someone who broke me down further.”
- Being Unable to Initiate Sex
“I don’t ask for sex as I may be rejected — even with a four-year relationship! I don’t initiate sex ever. I wait for him to… Which is a huge problem in a relationship!”
- Feeling Disgusted by or Uncomfortable With Sex
“My borderline makes me disgusted by sex. I can’t deal with it, not even any touching at all.”
“I can’t have sex with anyone. When I do, I’m so uncomfortable, I almost begin to cry. Somehow the BPD has made me sooo uncomfortable with even the thought of sleeping with someone. It makes me so sad. I can’t hold a steady relationship because I refuse to have sex with them.”
- Dissociating During Sex
“I dissociate. Either my auto pilot takes over or I switch to a different version of myself. Afterwords, I forget for a while then I remember it like it was a dream.”
- Being Afraid of Sex
“Honestly, I’m way too scared to get that intimate in a relationship. I’ve barely even dated due to the fact that I ‘split’ on people so easily. I don’t trust my feelings, so I avoid all of it.”
“It makes me scared of sex. It makes me scared that the ‘all’ part of the ‘all or nothing’ will be unleashed and there will be no coming back especially with the potential for abandonment. I’m also scared of it because of my BPD impulsivity. As a result of all these fears I prefer nothing, that is why I choose to be totally celibate. If the right person comes along who is willing to commit to a long-term relationship, only then would I consider sex again. But in the meantime, it is better [for me] to work on building healthy friendships first.”
- Jumping Into Sexual Relationships Too Quickly
“I jump into sexual relationships way too quickly, like first or second date. I don’t plan on it, but I’m just way too spontaneous and have no self-control.”
- Not Feeling “Good Enough” in Bed
“I can’t even enjoy if half the time because of all the thoughts going through my head thinking that once it’s over they will leave because I wasn’t good enough for them or something else along those lines. Or if I do one night stands, I get super depressed and frustrated because I know they are just using me for self-pleasure, but I don’t want them to leave because of getting overly attached. Everything is just complicated when it comes to BPD.”
- Feeling “Unworthy” of Experiencing Sexual Pleasure
“Sometimes I don’t feel worthy of pleasure. I feel like I’m not attractive enough or good enough. I have had meltdowns in the middle of sex. It can be difficult for me to remember that I deserve to have pleasure and that I’m capable of giving it.”
- Giving but Not Receiving Sexually
“I can give, but it is difficult for me to receive. It’s as if I can’t focus when it’s me.”
- Desiring “Rough” Sex
“My partner and I both have very high sex drives, but often in the downward portion of a BPD spiral, I want it harder and rougher in an effort to feel something — when what I really need is for him to validate me with love and for us to reconnect.”
- Feeling Deeply Insecure When Having Sex
“I absolutely hate my body so I don’t like having sex. I hate being touched too.”
“BPD makes it absolutely terrifying to move into the next stages of intimacy in a new relationship. Poor self-image and self-judgment leave me overwhelmingly insecure, wondering if my partner is truly satisfied, no matter what they say.”
- Being Especially Attuned to Your Partner’s Needs in Bed
“This is all personal, but I find the effect BPD has on my sexuality and libido to be one of the few ‘positives’ of this disorder. I think because our minds are constantly analyzing how others react to or interact with us, our awareness of body language is more keenly adjusted. I’ve always been able to read my partners well, and leaving a lasting impression is, to me, the best validation there is. We hate deep and we love deep, and the latter translates well into the bedroom. Plus, it’s a great outlet — you could say that sex is an ‘extreme’ display of affection or desire, so I feel like I can be myself and really let my emotions go.”
Unexpected Ways Borderline Personality Disorder Affects Everyday Tasks
( From You ) She’s not the only one. When you live with a condition like BPD that affects your emotional regulation, it’s hard to keep it from affecting your daily functioning. Classic symptoms like frantic efforts to avoid fear of abandonment, “splitting” and dissociation undoubtedly affect daily parts of life like getting chores done, communicating with others and your job.
No matter what your experience with BPD is, we want you to know you’re not alone and there is help available. For more information on managing BPD, check out our in-depth explainer that answers frequently asked questions about BPD.
- Texting
“I would say texting. I want to tell all that’s going on in my mind, but it’s absolutely impossible to do.”
“Texting. I want/crave talking to people at times but then continuing the conversation or friendship I initiated suddenly becomes just too much. At times it feels like my fingers weigh tons and I can’t manage to type anything. I’ve begun to avoid opening messages, sometimes for only hours, but also for days as well. When I’m in the mood for people, I can overdo it and message everyone, yet the moment I’ve lost interest and feel down, I block up on all sides from socializing.”
- Driving
“Driving. I’m totally paranoid about what other drivers think of me. If I let someone out and they don’t thank me, I get disproportionately angry. If someone is behind me, I worry they’re judging my speed. I worry the person in front thinks I’m following them and the list goes on. I’m also quite erratic as a driver, sometimes overly-cautious and anxious and other times reckless and speedy. All dependent on mood!”
“Driving! I have an irrational fear of having an accident, thinking something is wrong with my car or everyone else is out to get me and drive aggressively.”
- Work
“Working. I have such a hard time finding and keeping a job because of my anxiety. I constantly feel like I won’t be good enough and I’ll be let go under pressure.”
“Working. I have a hard enough time manufacturing reasons for me to care about doing things for myself that actually benefit my life. As I get older, it is nearly impossible to do useless tasks assigned by someone else simply to justify the amount of hours I’m forced to leave my home.”
- Cleaning
“Right now BPD triggers have me so upset, mad, angry, depressed, dejected, teeth grinding and crying that I’m afraid to do dishes. [I’m afraid] I might break them because I’m distracted and dizzy.”
“Cleaning for sure. I try but once my mood changes to something negative/stressful, my day is shot. I’m so embarrassed my house is filthy but sometimes I just can’t force myself to get it done.”
“I find daily chores incredibly daunting. I will plan to do them, but once I’m there, all motivation and energy is drained from me. I stare at crumbs on the table and cannot find it in myself to care enough to grab a simple washcloth to wipe them up.”
- Maintaining Relationships
“The mood swings make it so hard to go through my daily life, especially working or maintaining relationships. The smallest things set me off into rage that is basically impossible to come back from, I lash out at customers or my significant other. And when I’m finally able to bring myself out of it, I’m immediately greeted with [debilitating] shame and guilt so strong that I can’t help but cry, even at work.”
“Communication… Sometimes, I am overly enthusiastic to speak to my friends but then some days, I don’t wanna hear from any of them and end up feeling as though they don’t truly care and are just using me.”
“Talking to people. I’m either overly excited and annoying or awkwardly and aggressively quiet.”
- Talking on the Phone
“I absolutely dread talking on the phone, sending voice memos, voice chat or FaceTime. I don’t even know why… I think I’m scared of sounding ‘stupid’ because I don’t have as much time to think of what to say like I do with texting. It literally fills me with anxiety to the point that I have a panic attack and feel like I could throw up.”
- Walking the Dog
“Walking the dog. It can be so frustrating when she pulls and I don’t have much patience but I’m I’m too firm with her. I’ll feel crazy guilty and have more problems after…”
- Taking Care of Kids
“Caring for my kids. I have my mom staying with us because I can’t even get them ready for school or be around because they are too loud and I can’t deal with it… I feel like the worst mom… so debilitating.”
“Picking up my daughter from school… Some days I feel so disconnected from everything and everyone in my life that the very act of going to the school and waiting in the parking lot for 45 minutes (I have to get there that early for a parking spot) is a nightmare. I sit with my feelings of emptiness and loneliness and disconnection and cry.”
- Shopping
“I hate going to busy stores, the mall, grocery stores etc. I get overstimulated and hyper-anxious. I’ve definitely disassociated in the mall before. Once I got my diagnosis and started DBT, I was able to notice these patterns and avoid them or cope ahead.”
“Grocery shopping can be a real issue for me, as I disassociate, get confused and have a lot of anxiety.”
- Opening Emails
“Opening replies to texts and emails. Just always scared of what the reply will be. Will they hate me for asking this question? Will they laugh at me? Was I acting ‘crazy’ or paranoid? Did I just get everything wrong again? Did I unnecessarily worry someone?”
“I’m scared of getting emails. I always think it’s going to be bad news about me, from my boss or friends. I have terrible anxiety when starting up my computer in the morning. The suspense of not knowing what’s in there is overpowering. I’ve had to turn off the email alert tone as it was scaring me during the day.”
“Work emailing — really easy to misread them and take things personally that weren’t about you at all.”
- Getting Out of Bed
“Generally getting out of bed… With no motivation, it’s hard to do anything I need to do — and I automatically think there’s no point in anything, so I may as well stay in bed.”
“Getting out of bed is one of the biggest challenges that comes with my BPD. Before I even open my eyes to check what time it is, I’m already worried about what could make my day go wrong.”
- Doing Homework
“It’s really hard to study and read because of my symptoms sometimes. If I’m dissociating, I can’t focus on the words in front of me. If I’m shaking with rage, my thoughts are racing, and I can’t slow down to get my homework and studying done. If I’m preoccupied with thoughts of abandonment or flashbacks of times I’ve been treated badly in the past, it seems like my mind keeps switching away from the task at hand, and I keep getting angry and depressed. I have disability accommodations at college, and when I absolutely need it, assignment due dates can be extended. The symptoms are both psychologically and physically painful. The intensity at which the symptoms hit is totally underestimated.”
“Homework, it makes it really hard to be able to get anything done. I know I can do it but it makes me feel impossible to achieve.”
- Exercising
“Exercising. I rarely get off the couch or even out of the house. And going to the gym basically doesn’t happen because I can’t/won’t go alone.”
- Cooking
“Cooking… I want to, I am hungry but I don’t want to. [When] I finally do it, I dread the clean up. My anxiety spirals…. the next time I don’t do it at all…”
- Eating
“Eating and hygiene. My brain has so much trouble with impulse control.”
“Eating. I find myself apologizing because I’m anxious about eating, and the fact I need to eat. Then I hate myself because I’ve eaten. And apologize for that.”
If BPD negatively impacts your daily functioning, you’re not alone. No matter what symptoms you are currently battling, there is help available to you. Dialectical behavior therapy (DBT) is the gold standard treatment for folks with BPD.
Movies That Got Borderline Personality Disorder Symptoms (Mostly) Right
There’s so much stigma surrounding borderline personality disorder (a mental illness characterized by emotional dysregulation and unstable interpersonal relationships) that finding a movie that accurately depicts it can feel like an impossible task. Many people only know BPD based on stereotypes, so it’s easy to question whether compassionate depictions of BPD and its symptoms exist in pop culture at all.
While it can seem like Hollywood either depicts borderline personality disorder badly or not at all, there are actually movies some believe accurately depict symptoms people with BPD experience. As a note, not all the movies listed below show characters officially diagnosed with borderline personality disorder or any mental illness. Many of them merely demonstrate symptoms commonly associated with BPD.
here are the movies that got BPD symptoms (mostly) right:
- ‘Eternal Sunshine of the Spotless Mind’
“Eternal Sunshine of the Spotless Mind” is a science-fiction romantic comedy/drama that focuses on the relationship between introverted and anxious Joel Barish (Jim Carrey) and free-spirit Clementine Kruczynski (Kate Winslet). The central conflict arises from the existence of a procedure that can erase memories — a procedure Clementine undergoes to forget about Joel.
Though she’s never given a mental health diagnosis in the movie, some believe Clem is a good representation of borderline personality disorder — as well as the antithesis of the popular “manic pixie dream girl” (MPDG) trope. As the movie progresses, we see that some of the “free-spirited” behaviors she exhibits are indicative of some deeper issues. In a blog on Flavorwire, Alison Herman wrote,
As we’re taken through the lowlights of their relationship, the audience learns that the booze she pours into her coffee isn’t an endearing quirk; it’s a sign of the drinking problem that led her to total Joel’s car. She’s mercurial, irresponsible, and resentful of Joel to the point of being outright nasty. And, of course, she’s repeatedly described — by herself and everyone around her — as that term more associated with the MPDG than perhaps any other: “impulsive.”
The impulsivity and substance abuse problems Clem exhibits — as well her emotional intensity and idealization/devaluation of Joel — could perhaps indicate a struggle with borderline personality disorder. But whether or not Clem was written with this specific diagnosis in mind, many with BPD relate to her.
- ‘Wreck-It Ralph’
“Wreck-It Ralph” is a 2012 Disney movie that follows arcade game character Wreck-It Ralph (John C. Reilly), who is tired of always being the “bad guy” in his game when compared to the beloved Fix-It Felix (Jack McBrayer). Wreck-It Ralph sets out to shed his villain status and fulfill his dream of being the game hero, but instead ends up wreaking havoc on the arcade.
Wreck-It Ralph displays a number of classic borderline personality disorder (BPD) symptoms, though there is no mention of mental illness in the movie. One of the symptoms he displays most clearly is impulsive behavior.
Wreck-It Ralph is definitely an impulsive guy, to say the least. His emotions constantly push him toward rash decisions based on virtually zero logic. His desire to please others and find acceptance pushes him to game jump, break countless laws and ultimately put his life in danger.
In addition to impulsivity, he also displays a propensity for letting his emotions get the best of him, and struggling with fear of abandonment.
“While the discussion of mental health is not explicit, Ralph exhibits attachment issues to Venelope,” she wrote of the movie. “I honestly cry every time I watch this movie because I feel so validated. It’s the only media I feel [has] depicted my fear of abandonment and dependence on one individual.”
- ‘Girl, Interrupted’
“Girl, Interrupted” is set in the 1960s and follows Susanna Kaysen (Winona Ryder), a woman diagnosed with borderline personality disorder during her stay in a psychiatric hospital following her suicide attempt. During her stay, Kaysen befriends other women struggling with mental health issues, most notably Lisa Rowe (Angelina Jolie).
Honestly, as someone who was diagnosed with BPD, I identified with a few of the other characteristics of the other actors way more than Susanna. Lisa can be manipulative, [exhibits] black and white thinking and self-harm. Mostly Susanna’s thought patterns and mood showed BPD well, but it was subtle.
While the movie is humanizing in many respects, some have argued that it goes too far, romanticizing mental illness and equating it with being “cool but misunderstood.” In a post on The Radical Notion, a clinical social worker wrote,
“Girl, Interrupted,” though one of the more well-known books or movies about mental illness, is certainly not the only popular representation of mental illness out there, but it has, maybe more so than others, resonated deeply with young women. There are, of course, benefits to that, but if you zoom out and look at the bigger picture of the way that mental illness is represented through books and movies, there is a problem. The problem is in the way that it is being romanticized. Through the romanticization of it, mental illness is minimized and beautified and almost turned into something that is cool and desirable as opposed to a painful struggle.
- ‘Welcome to Me’
“Welcome to Me” is a 2014 comedy-drama that follows Alice Klieg (Kristen Wiig), a woman diagnosed with borderline personality disorder who wins the lottery and uses the funds to create a talk show about herself.
BPD is largely characterized by unstable interpersonal relationships, which we see play out in Alice’s life. On her talk show (called “Welcome to Me”), Alice performs skits based on her past experiences — the good, the bad, and the embarrassing. In the process, she manages to expose numerous unhealed social wounds by calling out almost every person in her life. This lack of social discernment coupled with the oversharing of intimate details can be typical struggles for folks with untreated BPD.
Though the film does a fairly good job of portraying BPD in a humanizing (and comedic) way, one of the plot points isn’t completely accurate. In the movie when Alice wins the lottery, she stops taking her medication — which is supposed to “explain” some of her erratic behavior. For clarity’s sake, it’s worth mentioning that there is no specific medication that treats BPD directly. Folks who have BPD often are on medication to treat co-occurring mental illnesses like anxiety and depression, which may indirectly help BPD symptoms.
- ‘Silver Linings Playbook’
“Silver Linings Playbook” follows Pat Solitano (Bradley Cooper), a man with bipolar disorder who was recently hospitalized and Tiffany Maxwell (Jennifer Lawrence), a woman who many believe exhibits symptoms of BPD — though she is not given a specific diagnosis in the movie. As both cope with the loss of relationships (Pat’s marriage ended in divorce and Tiffany was recently widowed), they navigate the process together in the movie.
Silver Linings Playbook is my favorite movie of all time and it’s very relatable. It falls short though in the ending where it gave an impression they were “cured” by love. I don’t think that was the intention, but it looked that way.
- ‘Star Wars’ Episodes II and III
The “Star Wars” movies follow the space adventures of a variety of characters, including Yoda, Princess Leia and Luke Skywalker, “a long time ago in a galaxy far, far away.” Though the franchise is familiar to many, some may not have associated Anakin Skywalker (Hayden Christiansen) with symptoms of borderline personality disorder.
Some people may disagree with me at first, but as someone with BPD, I’m going to have to say Anakin Skywalker from “Star Wars.” I highly relate to him… The symptoms he portrays of BPD include preoccupations and fears of abandonment and loss, separation difficulties, intense passion and sensitive emotional responses, his sensitivity to potential slights, impulsiveness, anger bursts, feelings of being lost, empty and extremely unsure about identity, paranoid ideation about who is on his side and the frequent intense shifts between what he thinks, does and how he feels towards people in his life — like splitting. It’s all shown throughout the second and parts of the third movie.
What’s also important about this particular depiction of BPD symptoms is that a male was the one experiencing them. While we typically associate BPD with women because they are diagnosed with it more often than men, the reality is that men do struggle with BPD as well.
Though Anakin Skywalker exhibits many “classic” symptoms of BPD, it’s important to highlight that having a diagnosis of BPD doesn’t mean you are dangerous or will join the “dark side.”
- ‘Thirteen’
“Thirteen” is a drama that focuses on dysfunctional family dynamics and how it affects (and encourages) the relationship between two troubled teen girls, Tracy (Evan Rachel Wood) and Evie (Nikki Reed). The film is known for themes of teenage angst and self-destruction, and was loosely based on Reed’s life from ages 12 to 13.
Arguably the most prominent BPD symptom evident in both girls is emotional dysregulation — and the use of substances and self-harm to try to regulate these painful emotional experiences. Throughout the film, Tracy struggles with self-harm (cutting), and Evie, who came from a more obviously broken home, introduces Tracy to the world of sex, drugs and crime.
Evie comes from an abusive borderline environment. It’s hard to know exactly what is true about her and what is not because of her incessant lies, but Evie describes her mother as a “crack whore.” Her uncle sexually abused her and pushed her into a fire — she has the burn marks and a newspaper article to prove that. Her care has been taken over by Brooke, a plastic-surgery addicted cousin, who lets her drink beer, tells her she is not allowed to go to certain places but never seems to really care what Evie is doing, and disappears for days at a time.
This film is heavy, so if you have triggers surrounding self-harm, substance abuse or childhood trauma, it might be a good one to skip, even though it does a good job depicting some classic untreated BPD symptoms and behaviors.
- ‘Prozac Nation’
“Prozac Nation,” a movie based on the Elizabeth Wurtzel autobiography of the same name, follows Lizzie (Christina Ricci) as she navigates her first year at Harvard. The movie explores themes of divorce, drugs, sex and mental health, characteristic of the generation at the time. Though Lizzie has depression, some suggest she exhibits traits of BPD as well.
- ‘Fatal Attraction’
“Fatal Attraction” has long been viewed as the absolute worst depiction of borderline personality disorder. The movie, which follows Dan Gallagher (Michael Douglas) and his affair with Alex Forrest (Glenn Close) — a woman with BPD — shows her stalking Gallagher and engaging in violent behavior like boiling a pet rabbit. Glenn Close, who now has experience with mental illness in her family, regrets how stigmatizing the film is. In an interview with CBS in 2013, the actress said, “I was in ‘Fatal Attraction’ and that played into the stigma. [Now], I would have a different outlook on that character.”
So why does this movie even make the list?
‘Fatal Attraction’ depicts what it’s like to fall in love while suffering with BPD. One of the main characters, who played the part of the ‘one-night stand,’ then becomes full-on obsessed and infatuated with the married man she slept with once. Her thought process begins to spiral and she ends up stalking this person. People who [struggle] with BPD have a tendency to fall quickly for people that show them even the slightest amount of attention and I think this movie hits the nail on the head.
- ‘New Moon’
“New Moon,” the second installment in the “Twilight Saga” universe, has long-been viewed as the worst book/movie in the series. For those who have never seen or read “Twilight,” it follows the star-crossed relationship between Bella (Kristen Stewart), a human, and Edward (Robert Pattinson), a vampire.
In the second movie, Edward breaks up with Bella and leaves town, because he believes he is too dangerous for her. Throughout the majority of the movie, she pines for him, slipping into a deep depression. Some viewers have associated this period of time with the BPD symptom of dissociation, which is a mental experience that causes a person to disconnect from their present circumstances, thoughts, memory and identity.
In addition to her possibly dissociated state, she clearly engages in impulsive behavior in this movie. After a while, Bella discovers she can “hear Edward’s voice” when she’s engaging in risky behavior. This is because Edward is naturally cautious, so she begins to imagine him chastising her for putting herself in dangerous situations. In an effort to “hear him” she learns to ride a motorcycle, and even jumps off a tall cliff into the ocean.
‘Paranoid’ Thoughts People With Borderline Personality Disorder Can Have
If you have borderline personality disorder (BPD), you may have experienced paranoid thoughts before. If you have, you’re not alone.
Stress-related paranoid ideation is often listed as part of the diagnostic criteria for diagnosing BPD. Paranoid thoughts for someone with BPD typically are categorized as intense beliefs about the malicious intentions of others.
Sometimes paranoia can manifest as being afraid that two strangers on the street talking and laughing are actually talking and laughing about you. For others, it might manifest in fears of being abandoned or cheated on by a partner.
Folks living with BPD tend to experience paranoid thoughts after being triggered by stress or anxiety. If you can relate, this piece is for you.
- “I’m going to be ‘stood up.’”
“Because of my huge fear of abandonment, I am always paranoid that I am going to be ‘stood up’ when meeting somebody. Whether that be friends, my girlfriend, family, mental health workers, literally anyone. I work myself into a state convinced that they aren’t coming because they don’t like me and don’t want to see me.”
- “People are talking about me.”
“Sometimes my paranoia gets so bad that I can hear people talking about me when they actually aren’t. I had to leave class because I kept ‘hearing’ my classmates talking about me but when I’d look at them, they weren’t even talking. [It escalated] me to a state of panic and I had to leave midway through class.”
“I always think everyone is talking about me. Even while I’m in the room. And I always think everyone just pretends to like me. And whenever I seem to let my guard down and believe someone is my friend, the friendship usually ends soon after. I think I overburden them with all of me.”
“That people are always talking about me behind my back, and that they don’t think of me in reality the same as they act toward me, that they are different in person than when not around and I’m only getting a fake view of everyone. And also that people are always lying to me.”
- “People are just using me.”
“I’m also always paranoid that my wife is using me and doesn’t love me. It’s very unfair to her that I think that way when it’s obvious she loves me a lot.”
“That people keep me around just to use me, hurt me or have other motives.”
- “My partner is cheating on me.”
“[I fear] my boyfriend is cheating on me all the time. Today, I was at the train, and a young woman came in texting and giggling at the phone. I immediately thought she was exchanging dirty texts with my boyfriend, and they were laughing and making fun of me… She was a complete stranger.”
“[I’m] paranoid my boyfriends are cheating on me. That’s my major one.”
- “People think I’m ‘crazy.’”
“A big paranoia is that everyone thinks I am crazy or delusional and not worthy of being taken seriously… Also paranoid that maybe I am delusional and I can’t trust my own intuition and can’t trust my own perceptions.”
- “Nobody really cares about me.”
“That no one really loves me and I’m just a filler in people’s lives.”
“When high anxiety kicks in so does the paranoia when the thoughts of people are watching me, nobody really cares about me… And then dissociation starts and I feel robotic.”
“No one really likes me I’m unlovable and people are only in my life out of pity and I don’t go out because I feel everyone is looking at me and laughing at me.”
- “People are plotting against me.”
“I always think people are plotting against me. And I didn’t realize it ‘til I heard one of my closest friends talking to someone else, ran to my work office in a panic, [and] when asked what was wrong, I told my girlfriend he was surely plotting against me. I do this with even family members… I see them speaking softly and automatically think they’re talking about how bad I am and plotting against me.”
“I think people are talking about me whenever I go out. Waiting or planning to attack me.”
“Always paranoid that people who communicate with me have an ulterior motive for doing so. Like there’s a reason behind it and that they are going to humiliate me in some way or another. It’s hard.”
“Everyone is out to get me and destroy my life. I am forced to be independent because everyone tries to abuse me.”
- “Everyone will leave me.”
“I’m positive everyone will leave or hurt me, my BPD paranoia makes relationships really difficult sometimes.”
“I have a huge, overwhelming fear of abandonment. I fear that every person I meet will leave, and the ones that do perpetuate and further that theory. Other than my partner, I’m terrified to let my walls down to anyone, because usually I’m either replaced, ignored or forgotten about.”
- “I’m going to die.”
“I can’t have baths due to the fear of being grabbed by a shark. On my really bad days, just turning on a tap can send me into floods of tears. Pardon the pun.”
“I’m terrified of home invasions. I never leave my house and I’m afraid every knock on the door or random noise is someone coming to break into my house.”
- “Everyone hates me.”
“I never believe people who say they like/love me. I worry everyone hates me as much as I hate myself.”
“I have a fear that everyone hates me or is always mad at me.”
“Everyone hates me and wants to get rid of me because I am a bother.”
- “They’re always judging me.”
“That everyone is judging me just because I have BPD. I fear rejection so much, that it has caused the majority of my family to hate me. And what little family I have left, don’t want to accept that I have a mental disorder. I constantly fear that I am losing everyone I love because I can’t control my thoughts. Trying to explain to my family that I actually feel, and believe that they hate me. And even after they reassure me that they love me. My mind races with every possible thought that they may be thinking about me now that I accused them.”
“That I’m being judged constantly and that if I die everyone would be extremely relieved.”