Borderline Personality Disorder (BPD)
Borderline Personality Disorder (BPD): Personality is defined as the combination of thoughts, behaviors, and feelings of a person that makes them unique. Personality stays pretty consistent during the lifespan. People will usually behave in similar ways across situations. Further, personality is both psychological and physiological. This means that although personality is a psychological construct, our biology influences it (Cherry, 2020).
What are personality disorders?
A personality disorder is characterized by longstanding thoughts and behavioral patterns that are different from the norm. A personality disorder is a mental health disorder where an individual has unhealthy and inflexible thinking and behavior. This usually begins in late adolescence or early adulthood. It causes significant distress and functioning problems. In some cases, an individual may not even realize they have a personality disorder and may blame others for their hardships (American Psychiatric Association, n.d.; Mayo Clinic, n.d.).
Borderline Personality Disorder
Borderline Personality Disorder, or BPD, is largely characterized by the dysfunction is emotional regulation and not being able to be alone (Skodol, 2019). Other characteristics of BPD (American Psychiatric Association, n.d.; Mayo Clinic, n.d.) are mentioned below:
- Friable self-image
- Instability in relationships
- Intense relationships
- Impulsive behavior
- Mood swings, usually due to relational stress
- Suicidal behaviors
- Threats of self-harm
- Afraid of being alone
- Fear of abandonment
- Feelings of emptiness
- Anger outbursts
- Paranoia associated with stress
Having BPD feels like being on a rollercoaster. The highs and lows are not only associated with emotions but also with a sense of self. When a person with BPD is experiencing the highs and lows of emotions, they are unable to have a consistent train of thought. They may also behave in reckless ways and say upsetting or spiteful things. Moreover, a person with BPD experiences frequent and confusing shifts in self-image, long-term plans, and preferences. Further, a person with BPD is usually very sensitive. Little things can instigate over-the-top reactions and it gets difficult to settle down. This is the reason why people with BPD have trouble with interpersonal relationships (Smith & Segal, 2020).
The prevalence of BPF is estimated to be 1.6% in the general population where it’s 20% of the psychiatric, inpatient population (Ellison, Rosenstein, Morgan, & Zimmerman, 2018). It can be difficult to diagnose BPD because its symptoms overlap with several other conditions like anxiety, depression, bipolar disorder, eating disorders, etc. Some symptoms even similar to those of psychiatric conditions. This is why BPD is usually underdiagnosed or misdiagnosed (Shannon, n.d.).
However, BPD is treatable. Getting effective therapy and learning coping skills can help a person with BPD get better, regain control of their thoughts, behaviours, and feelings, and improve relationships. If you would like to speak to a professional, you can book an appointment or an online session with Hero Health Care.
Hospitalization in BPD
According to the American Psychiatric Association Practice Guideline for the Treatment of Patients with Borderline Personality Disorder, some patients with BPD can get extended hospitalization under some specific situations. These circumstances can include those who with severe and persistent suicidality or an addiction problem (American Psychiatric Association, 2006).
If you think you or your loved one is going through something like this, you can speak to a professional to get more information. If you would like to speak to a professional, you can book an appointment or an online session with Hero Health Care
American Psychiatric Association. (2006). American Psychiatric Association Practice Guidelines for the treatment of psychiatric disorders: Compendium 2006. American Psychiatric Pub.
American Psychiatric Association. (no date). What are personality disorders? Retrieved from https://www.psychiatry.org/patients-families/personality-disorders/what-are-personality-disorders
Ellison, W. D., Rosenstein, L. K., Morgan, T. A., & Zimmerman, M. (2018). Community and clinical epidemiology of borderline personality disorder. Psychiatric Clinics, 41(4), 561-573.
Cherry, K. (2020, July 21) What is personality? Retrieved from https://www.verywellmind.com/what-is-personality-2795416
Mayo Clinic. (no date). Personality disorders. Retrieved from https://www.mayoclinic.org/diseases-conditions/personality-disorders/symptoms-causes/syc-20354463
Shannon, L. (no date). Why is borderline personality disorder hard to diagnose? Retrieved from https://www.clearviewwomenscenter.com/blog/bpd-diagnosis/#:~:text=Why%20is%20Borderline%20Personality%20Disorder%20Hard%20to%20Diagnose%3F,-Lori%20Shannon&text=Borderline%20personality%20disorder%20(BPD)%20can,anxiety%2C%20and%20even%20eating%20disorders.
Skodol, A. (2019, December). Overview of personality disorders. Retrieved from https://www.msdmanuals.com/professional/psychiatric-disorders/personality-disorders/overview-of-personality-disorders
Smith, M. & Segal, J. (2020, September). Borderline personality disorder (BPD). Retrieved from https://www.helpguide.org/articles/mental-disorders/borderline-personality-disorder.htm