Most people with borderline personality disorder (BPD) have triggers—particular events or situations that exacerbate or intensify their symptoms. BPD triggers can vary from person to person, but there are some types of triggers that are very common in BPD.
Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.
While many of the intense emotions experienced by people with BPD come and go, one feeling tends to stay: the feeling of emptiness. This is likely another symptom of an unstable or distorted self-image.
Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving and binge eating. Recurring suicidal behaviors or threats or self-harming behavior, such as cutting. Intense and highly changeable moods, with each episode lasting from a few hours to a few days.
Many people with BPD form extreme characterizations about themselves, others, objects, beliefs, and situations during episodes called splitting. Situations associated with anxiety often trigger splitting episodes. While it may be difficult at times, coping with splitting symptoms is possible.
Intense and sometimes inappropriate rage is a characteristic of borderline personality disorder (BPD). A person with this condition has difficulty regulating their emotions or returning to their baseline. Extremes of rage and other intense emotions may last longer than might be expected, from a few hours to a few days.
Splitting is a common behavior among people with borderline personality disorder (BPD). It means that a person has difficulty accurately assessing another individual or situation. Instead, they see something as completely good or completely bad, and their assessment may switch back and forth rapidly.
Avoid sarcasm or other tones that may be misunderstood. Tone it down and slow down to allow the person a moment to process their feelings. Listen without expressing personal judgement and blame and reflect back their own words in a calm manner.
Borderline rage, or borderline anger, is more than just a standard emotional reaction. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), anger in BPD is described as "inappropriate, intense anger or difficulty controlling anger."
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.
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.
These mood swings may also happen frequently. Someone with BPD can have many mood swings in the course of a day, whereas most people will only experience one or two major emotional shifts in the course of a week.
Understanding What Causes BPD Mood Swings
A single emotional text message may spark a full mood swing—and because these triggers are mainly interpersonal or environmental, they are random and incredibly hard to avoid. We may experience five or more intense mood shifts every single day—or every hour.
Someone with BPD may go to great lengths to feel something, as well as becoming increasingly withdrawn and avoidant during an episode. Paranoid thoughts of everyone being out to get them and hating them are also common during these times. Episodes can also be extreme highs, bursts of euphoria and positive emotions.
Most people with borderline personality disorder (BPD) have triggers—particular events or situations that exacerbate or intensify their symptoms. BPD triggers can vary from person to person, but there are some types of triggers that are very common in BPD.
It is now clear that DSM-IV-defined BPD is a heterogeneous construct that includes patients on the mood disorder spectrum and the impulsivity spectrum (Siever and Davis, 1991), in contrast to the original speculation that these patients might be near neighbors of patients with schizophrenia or other psychoses.
Intermittent explosive disorder involves repeated, sudden episodes of impulsive, aggressive, violent behavior or angry verbal outbursts in which you react grossly out of proportion to the situation.
However, those positive attributes are not without the proverbial strings attached; when the BPD explodes with vindictive rage, all they said or gave to their loved one may be taken away in one fell swoop of aggression. BPDs experience the world in extremes: black-and-white or all-or-nothing.
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.
Often, the borderline person is unaware of how they feel when their feelings surface, so they displace their feelings onto others as causing them. They may not realise that their feelings belong within them, so they think that their partner is responsible for hurting them and causing them to feel this way.
With over 70% of patients acting out aggressively against others within a year, aggression is frequent in BPD (5). Being predominantly reactive in BPD, aggression is triggered by frustration, provocation, or threat, closely related to feelings of anger, and causes severe interpersonal problems (3).
Only remorse leads to a real apology and change. One of the hallmarks of people with Borderline Personality Disorder or Narcissistic Personality Disorder (BP/NP) is that they often do not feel truly sorry. Even though a BP/NP may say he or she is sorry, there is often something lacking.
While people with BPD feel euphoria (ephemeral or occasional intense joy), they are especially prone to dysphoria (a profound state of unease or dissatisfaction), depression, and/or feelings of mental and emotional distress.
Those diagnosed with Borderline Personality Disorder (BPD) or those with BPD who may not even know they have it, are more likely than the general population to be verbally, emotionally/psychologically, physically abusive.