However, can BPD turn into schizophrenia? While the two mental disorders share many similarities, borderline personality disorder cannot develop into schizophrenia. The prevalence of BPD is similar to that of schizophrenia.
The study's main finding is that in a sample of 30 clinically diagnosed BPD patients, the vast majority of patients met criteria for a schizophrenia spectrum disorder, i.e., SPD or schizophrenia (67% in DSM-5 vs. 77% in ICD-10).
Today, near‐psychotic symptoms appear as DSM‐5 criteria in both BPD and SPD. This makes the differentiation of BPD from the schizophrenia spectrum heavily dependent on the detection and registration of the schizophrenic fundamental symptoms.
For example, in one study, 24% of BPD patients reported severe psychotic symptoms and about 75% had dissociative experiences and paranoid ideation. Thus, we start with an overview regarding the prevalence of psychotic symptoms in BPD patients.
But research from 2018 illustrated that schizophrenia was present in only 2% of females with BPD.
Recent findings: Both auditory hallucinations and delusional ideation (especially paranoid delusions) are relatively common in individuals with BPD.
The patients in the current study experienced psychotic symptoms lasting between three weeks and four months. They were characterized by hysterical features, visual disturbances, and a possible history of sexual trauma. The diagnostic and therapeutic implications of these prolonged psychotic episodes is discussed.
Between 50% and 90% of patients with BPD report hearing voices that other people do not hear (Yee et al., 2005; Kingdon et al., 2010). Importantly, such auditory verbal hallucinations (AVH) are a risk factor for suicide plans, attempts, and hospitalization (Miller et al., 1993; Zonnenberg et al., 2016).
In particular, there is evidence that BPD is commonly misdiagnosed as Bipolar Disorder, Type 2. One study showed that 40% of people who met criteria for BPD but not for bipolar disorder were nevertheless misdiagnosed with Bipolar Type 2.
The Social Security Administration placed borderline personality disorder as one of the mental health disorders on its disabilities list. However, you'll have to meet specific criteria for an official disability finding. For example, you must prove that you have the symptoms of the condition.
Borderline personality disorder (BPD) cannot be cured, and anyone who enters treatment looking for a quick and easy fix is bound to be disappointed. However, with treatment the symptoms of BPD can be effectively managed, monitored, and ultimately reduced in intensity, or entirely eliminated.
There is increasing evidence regarding the negative impact of BPD on physical health, with increased risks of many major physical illnesses with BPD, including cardiovascular diseases, arthritis and obesity. Life expectancy in this regard has been shown to be reduced significantly.
According to DSM-IV, the key features of borderline personality disorder are instability of interpersonal relationships, self-image and affect, combined with marked impulsivity beginning in early adulthood.
Explains borderline personality disorder (BPD), also known as emotionally unstable personality disorder (EUPD).
Researchers have used MRI to study the brains of people with BPD. MRI scans use strong magnetic fields and radio waves to produce a detailed image of the inside of the body. The scans revealed that in many people with BPD, 3 parts of the brain were either smaller than expected or had unusual levels of activity.
Studies have found that there are clear links between BPD and memory loss. One such study determined that BPD patients displayed enhanced instances of memory loss in response to the presentation of negative emotions. 1 This is thought to occur because of other severe dissociative symptoms that sufferers experience.
Firstly, it was established that a significant number of BPD patients experiences various kinds of hallucinations - auditory, visual hallucinations, even olfactory and tactile. Other psychotic symptoms (such as ideas of reference, delusions, thought insertion) were also reported.
BPD is characterized by a chaotic emotional climate with impulsivity and instability of self-image, affect, and relationships. Most BPD symptoms, including psychosis, often are exacerbated by the perception of abandonment or rejection and other inter- personal stressors.
When stressed, people with borderline personality disorder may develop psychotic-like symptoms. They experience a distortion of their perceptions or beliefs rather than a distinct break with reality. Especially in close relationships, they tend to misinterpret or amplify what other people feel about them.
With borderline personality disorder, you have an intense fear of abandonment or instability, and you may have difficulty tolerating being alone. Yet inappropriate anger, impulsiveness and frequent mood swings may push others away, even though you want to have loving and lasting relationships.
Paranoia as a Symptom of BPD
Under the influence of non-delusional paranoia, people with BPD may see signs and symbols of hostile intent everywhere. They may detect hidden meanings in speech, body language, casual glances, and other behaviors that would seem non-threatening or perfectly benign to anyone else.
The young woman with BPD told Elite Daily, “Long story short, it's very hard for those with BPD to have successful and healthy relationships and stable confidence levels. Our version of 'logical thinking' is most often overthinking. We have a very hard time distinguishing between real issues or imaginary issues.
Today, the term “neurosis” isn't used as a diagnosis, and BPD is not considered a disorder falling under the category of psychosis. BPD officially became a personality disorder in 1980 in the Diagnostic and Statistical Manual of Mental Disorders III (DSM III).
People with BPD don't have more than one personality. BPD is a personality disorder in which you have difficulties with how you think and feel about yourself and other people, and are having problems in your life as a result of this.