It's rare for borderline personality disorder (BPD) and schizophrenia to occur together, but it is possible.
Although borderline personality disorder (BPD) and schizophrenia (SZ) are notably different mental disorders, they share problems in social cognition—or understanding the feelings, intentions and thoughts of other people.
BPD patients can experience hallucinations or even delusions similar to schizophrenia. Patients with BPD had higher scores in Psychotic Symptoms Rating Scales (PSYRATS) in the amount and degree of malicious content and distress from auditory verbal hallucinations, compared to patients with schizophrenia.
People with schizotypal personality disorder typically display unusual behavior, odd speech and magical beliefs. They often don't realize their behavior is unusual or problematic. Some people with schizotypal personality disorder later develop schizophrenia.
Schizotypal personality disorder is sometimes considered to be on a spectrum with schizophrenia, with schizotypal personality disorder viewed as less severe.
Your genes and your environment both play a role. But your chances of getting schizophrenia may be more than six times higher if one of your parents, siblings, or another close relative has it.
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).
Auditory hallucinations and paranoid delusions seem to be the most common psychotic symptoms in patients with BPD. Much effort has been made to better distinguish between psychotic symptoms in BPD and those that occur in psychotic disorders, most notably schizophrenia.
You could have: Hallucinations: Seeing or hearing things that aren't there. Delusions: Mistaken but firmly held beliefs that are easy to prove wrong, like thinking you have superpowers, are a famous person, or people are out to get you. Disorganized speech: Using words and sentences that don't make sense to others.
If left untreated, the person suffering from BPD may find themselves involved with extravagant spending, substance abuse, binge eating, reckless driving, and indiscriminate sex, Hooper says. The reckless behavior is usually linked to the poor self-image many BPD patients struggle with.
Individuals with Borderline Personality Disorder (BPDs) become overwhelmed and incapacitated by the intensity of their emotions, whether it is joy and elation or depression, anxiety, and rage. They are unable to manage these intense emotions.
Conclusions. Delusions in patients with BPD occur frequently and cause distress. Contrary to tenacious beliefs, hallucinations and delusions in participants with BPD are often present in an intermittent or persistent pattern. Persistent hallucinations can be severe, causing disruption of life.
BPD is a very different diagnosis than schizophrenia, though the two can co-exist. While BPD is characterized by a pattern of instability in interpersonal relationships; schizophrenia is characterized by a range of cognitive, behavioral, and emotional dysfunctions.
Overview. Borderline personality disorder (BPD) is a serious, long-lasting and complex mental health problem. People with BPD have difficulty regulating or handling their emotions or controlling their impulses.
In a community population of 46 patients with non-suicidal self-injury and BPD, the lifetime prevalence of psychotic disorders was 4.5% (31). More specifically, schizoaffective disorder, substance-induced psychotic disorder, and psychotic disorder NOS were present in 2.3, 2.3, and 9.5% of the patients, respectively.
BPD features are highly represented in subjects with psychopathy as well as psychopathic traits are highly prevalent in patients with BPD.
There's also a lot of anecdotal evidence from other people's experiences that suggest 2-4 years is more common. So, if you want to know how long your relationships might last if you have BPD, it really does depend on the intensity of your condition.
People with BPD also have a tendency to think in extremes, a phenomenon called "dichotomous" or “black-or-white” thinking. 3 People with BPD often struggle to see the complexity in people and situations and are unable to recognize that things are often not either perfect or horrible, but are something in between.
Many people who live with borderline personality disorder don't know they have it and may not realize there's a healthier way to behave and relate to others.
The presence of hallucinations in BPD was found to be associated with posttraumatic stress disorder and childhood trauma and (in particular) childhood emotional abuse 5. These findings are in line with other patient and non-patient groups who experience hallucinations 14-16.
Whereas the typical presentation of BPD involves angry outbursts and obvious and outward self destructiveness, those with quiet BPD have internalized emotional episodes2 (they turn their anger inward). For this reason, quiet BPD tends to go undiagnosed or is misdiagnosed.