“I hate you, don’t leave me” is a phrase that’s often used to encapsulate the meaning of borderline personality disorder as it reflects the idea of splitting, or alternating between extremes, a core principle of the condition. People with this disorder experience emotions with an intensity that few others can understand, making it easy for the signs to be missed. Here’s what you need to know about the signs of borderline personality disorder, its symptoms, and how it can profoundly affect one’s life.
Borderline Personality Disorder, or BPD, is a mental health condition that’s characterized by difficulties regulating emotions, maintaining stable relationships, establishing a secure sense of identity, and controlling impulsive behaviors. It affects between 0.7% and 2.7% of the general population and typically emerges in early adulthood. Despite its prevalence, BPD remains one of the most misunderstood mental health conditions.
Research shows that BPD may face more stigma than other highly stigmatized psychological disorders, like bipolar disorder and schizophrenia. This stigma includes:
Unfortunately, the stigma surrounding BPD can prevent people from getting the help they need, even though there’s evidence showing that treatment can be effective.
To receive a borderline personality disorder diagnosis, a person must exhibit five of nine specific symptoms. These symptoms must be present across different situations and environments and cause significant distress or impair functioning. Per the DSM-5, the diagnostic criteria for BPD is as follows:
Keep in mind, BPD symptoms can overlap with other conditions like major depression, PTSD, ADHD, and schizophrenia. This is why it’s important to get a professional assessment from a licensed mental health professional so that you get the most effective treatment possible.
BPD symptoms fall into four categories: behavioral, physical, cognitive, and psychosocial. These symptoms exist on a spectrum of severity and may fluctuate over time or in response to different triggers, especially relationship stressors.
People with borderline personality disorder often struggle with impulsive behaviors that can be harmful, such as:
However, recent research suggests that people with BPD don’t struggle with impulsivity across all situations. Instead, their impulsive behaviors are triggered by negative emotions, showing that impulsivity in BPD is driven by emotions rather than being constant.
Self-harm behaviors and suicidal gestures are also common and act as maladaptive coping skills in times of significant emotional distress. It’s important to note that these behaviors aren’t attention-seeking and are actually indicators of genuine psychological pain.
As with other mental health conditions, BPD can affect a person’s physical health. In fact, 68% of people with BPD report physical health problems, with 32% experiencing multiple medical conditions. This group also sees higher rates of musculoskeletal disorders and has more frequent doctor visits compared to the general population.
Physical symptoms of the disorder can include:
Cognitive symptoms can cause significant distress in those struggling with borderline personality disorder. These can include:
These cognitive patterns contribute to the emotional volatility and relationship challenges that are characteristic of BPD.
Research shows that people with BPD perceive less social support than the general population. This may stem from viewing relationships more negatively and experiencing greater relationship instability. Over time, social networks become smaller and less meaningful compared to those without the condition. Other psychosocial signs of BPD include:
The long-term effects of untreated BPD can affect nearly every area of life:
However, there’s hope. With appropriate treatment, borderline personality disorder can be effectively managed. Studies show that 85% to 93% of people with BPD achieve diagnostic remission within 10 years of treatment. Treatment may include medication, therapy, and lifestyle changes.
At Cura Behavioral Health, we offer evidence-based therapies like Dialectical Behavior Therapy (DBT), medication management when appropriate, and support services for those with borderline personality disorder. We create individualized treatment plans that focus on building skills like emotional regulation, mindfulness, and distress tolerance.
If you or someone you love is struggling with these signs of borderline personality disorder, know that recovery is possible. Contact our office today to learn more about our specialized BPD treatment options.
Determining if TMS therapy suits your mental health journey should involve consultation with a qualified professional. At Cura Behavioral Health, we provide comprehensive assessments to help you make informed treatment decisions.
Don’t let a mental health condition hold you back any longer. Schedule a consultation with Cura Behavioral Health today. Our experienced team is ready to answer your questions and create a personalized treatment plan tailored to your unique needs.
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Dr. Kevin Simonson, an esteemed Medical Director at Cura Behavioral Health, brings over 15 years of experience in psychiatry. A graduate from a top medical school, he specializes in the treatment of mood disorders and anxiety, employing a patient-centered approach. His dedication to evidence-based care and his commitment to advancing mental health practices have made him a respected figure in the field. Dr. Simonson’s leadership ensures the highest standard of care for the community at Cura Behavioral Health.
