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How to tell if someone has a borderline personality disorder

February 23, 2025
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Misunderstood, fearing abandonment, on an emotional rollercoaster, and sometimes suicidal – that is life for many individuals with borderline persona dysfunction (BPD), however there’s a remedy that provides hope and restored high quality of life.

BORDERLINE PERSONALITY DISORDER IS LESS WELL-KNOWN

In line with Linda Christensen borderline persona dysfunction is much less well-known than different psychological well being circumstances, reminiscent of despair and nervousness.

“Nevertheless it comes with debilitating signs that trigger vital misery and unstable relationships for each these identified and their households and family members.”

She stated as much as 10% of sufferers affected by borderline persona dysfunction die by suicide, and a minimum of 40% will make a number of makes an attempt to take their very own lives, whereas self-harming behaviour reminiscent of chopping is a typical means to launch their intense emotional ache.

THERAPY AND MEDICATION OFFER A LIFELINE

“Nonetheless, psychiatrist and South African Society of Psychiatrists (SASOP) member Dr Aneshree Moodley stated long-term remedy, along with the proper medicine, provided a lifeline for individuals residing with a borderline persona dysfunction.

“Acceptable remedy can help BPD sufferers to manage their moods, feelings, and behavior,” she stated.

In line with Moodley, there are coping methods that may be realized, sources for data, and networks for help for these residing intently with a BPD affected person.

One in every of a number of forms of persona issues, border persona dysfunction is characterised by inflexible and unhealthy patterns of considering and behaving.

People with border persona dysfunction have issue decoding feelings and regarding individuals and life experiences, resulting in unstable interpersonal relationships and issue in performing at work and in social conditions, Dr. Moodley defined.

She stated, as with many psychological well being issues, the reason for BPD was “a mixture of nature and nurture”.

THE CAUSE OF BPD IS A COMBINATION OF NATURE AND NURTURE

“There are robust hereditary components within the causes of most persona issues. When it comes to nurture, the person’s early childhood atmosphere, the type of parenting they skilled, and their early childhood improvement all play a big causative function.

“A variety of emphasis additionally falls on the particular person’s attachment fashion, primarily based on the character of their childhood bond or reference to their main caregiver.”

She stated they generally see an actual or perceived sense of abandonment or rejection triggered, for instance, by the dying of a mum or dad or a divorce throughout the particular person’s early childhood, which ends up in the pervasive emotions of rejection or abandonment skilled in borderline persona dysfunction.

For individuals with borderline persona dysfunction, the worry of abandonment is deep-seated and persistent, and they’re going to reply with intense emotion and behavior to actual or perceived rejection, she moreover stated.

THE FEAR OF ABANDONMENT IS DEEP-SEATED AND CHRONIC

Dr Moodley stated it was necessary to tell apart between the emotions of rejection that many individuals expertise often and the BPD affected person’s “fixed stream of ideas of being rejected and deserted” in response to on a regular basis occasions.

“The BPD affected person’s response shouldn’t be like a once-off response which could possibly be defined or contextualised by an individual being below extra stress than typical, for instance. This can be a deep worry, an everyday, frequent sample of decoding some small incident – reminiscent of a companion being a couple of minutes late for a date – as utter abandonment, leading to accusations and offended outbursts which can be disproportionate to the state of affairs.

“The particular person with BPD might threaten to dam the opposite particular person or finish the connection, and in excessive instances make threats to self-harm or commit suicide.

“In the meantime, the opposite particular person is commonly left utterly befuddled as a result of the response is out of all proportion. This is without doubt one of the facets that makes it troublesome to stay with somebody who has BPD,”

Dr. Moodley stated.

She stated emotions of rejection for people with BPD have been a day by day if not hourly, prevalence.

“It’s fixed and it’s disruptive emotionally, socially and of their work lives. They really feel a continuing, intense psychological sense of being emotionally tortured.”

Listed here are some core traits of border persona dysfunction:

An individual with borderline persona dysfunction is unable to manage their ideas and emotions, and lots of describe a way of vacancy, hollowness, or numbness.

Additionally they show impulsive and reckless behaviour reminiscent of impulsive consuming or abuse of alcohol and/or medication, reckless driving, impulse shopping for, out-of-control playing or impulsive, disinhibited sexual behaviour.

Not like different persona issues, reminiscent of narcissism, people with BPD do really feel intense regret, guilt and disgrace, deepening their worry that their behaviour will result in additional rejection or abandonment.

Moodley stated it was necessary {that a} medical prognosis of BPD – or every other persona dysfunction – be made by knowledgeable reminiscent of a psychiatrist or medical psychologist, as a number of totally different circumstances may have comparable outward signs however totally different causes, requiring totally different remedy methods.

She stated remedy for borderline persona dysfunction was “an extended highway to stroll”.



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