People with Borderline Personality Disorder (BPD) typically cry more often, not less, due to heightened emotional reactivity and intense, fluctuating emotions. While they experience extreme emotional instability that often leads to outbursts or crying fits, some individuals—specifically those with "quiet BPD"—may internalize these emotions, appearing flat or withdrawn instead.
Compared to non-patients, BPD patients showed the anticipated higher crying frequency despite a similar crying proneness and ways of dealing with tears. They also reported less awareness of the influence of crying on others.
A person with BPD fluctuates between calm and anger, happiness and sadness, affection and coldness, and empathy and anger. Their thoughts, emotions, and behaviors can change at any time. Their powerful emotions can be provoked by any incident, regardless of its seeming insignificance.
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.
People with Borderline Personality Disorder (BPD) split as a subconscious defense mechanism to cope with overwhelming emotions, particularly fear of abandonment and intense feelings of anxiety, by viewing themselves, others, or situations in black-and-white, all-or-nothing terms (good vs. bad) instead of integrating complex, contradictory qualities. This protects them from pain by simplifying a confusing world, but it leads to rapid shifts between idealizing someone as perfect and devaluing them as terrible, often after minor perceived slights or triggers.
Why BPD Symptoms Peak in Early Adulthood. In the 20s, identity formation and independence conflict with emotional vulnerability. Research shows impulsivity and mood swings occur most frequently between the ages of 18-25.
Some common types of delusions that may occur in individuals with BPD include: Persecutory delusions: Believing that one is being mistreated, harassed, or conspired against by others.
Challenges with getting a BPD diagnosis
The symptoms of BPD are very broad, and some can be similar to or overlap with other mental health problems, such as: Bipolar disorder. Complex post-traumatic stress disorder (C-PTSD) Depression.
Symptoms of Borderline Disorder In Women
Strong fear of abandonment, leading to frantic efforts to avoid real or imagined rejection. Risk-taking and impulsive behavior such as reckless spending, substance abuse, or self-harm. Identity confusion, marked by uncertainty about self-image, goals, and values.
11 Hidden Signs of Quiet Borderline Personality Disorder
Borderline personality disorder (BPD) has been described as a condition of intolerance of aloneness. This characteristic drives distinguishing criteria, such as frantic efforts to avoid abandonment. Both BPD and loneliness are linked with elevated mortality risk and multiple negative health outcomes.
Many Autistic people are misdiagnosed with borderline/emotionally unstable personality disorder (BPD/EUPD), with most professionals preferring to accept the initial diagnosis rather than acknowledging the realities of what it means to be Autistic.
Don't…
Emotional numbing or blunting
One reason why people can't cry is emotional numbing. This is a common symptom of conditions like depression and post-traumatic stress disorder (PTSD). For those with depression, emotional numbing can look like: A loss of interest in people and activities.
Curiosity – Being extra sensitive and connection emotions, senses and surroundings allows for greater curiosity in the minds of those with BPD. Bold – Impulsivity is a BPD trait that can be positively linked to being bold, courageous and having the ability to speak one's mind.
Quiet Borderline Personality Disorder is a subtype of BPD where the typical outward expressions are minimized. Instead of outward drama, individuals with quiet BPD experience emotional turmoil internally. They may seem emotionally stable and in control to outsiders.
Symptoms - Borderline personality disorder
Up to 50% of people with Borderline Personality Disorder (BPD) experience psychotic symptoms like hallucinations and paranoid thoughts. BPD-related psychosis typically differs from other psychotic disorders as symptoms are usually brief, stress-triggered, and the person often maintains some reality testing.
In general, Jekyll and Hyde behavior describes intense and dramatic mood swings. In some cases, these mood swings may be a symptom of narcissistic personality disorder. They could also be related to borderline personality disorder, bipolar disorder, or other mental health issues.
Clinicians can be reluctant to make a diagnosis of borderline personality disorder (BPD). One reason is that BPD is a complex syndrome with symptoms that overlap many Axis I disorders. This paper will examine interfaces between BPD and depression, between BPD and bipolar disorder, and between BPD and psychoses.
To tell if someone has Borderline Personality Disorder (BPD), look for patterns of intense mood swings, unstable relationships, a distorted self-image, chronic emptiness, impulsivity, intense anger, fear of abandonment, self-harm, and stress-related paranoia or dissociation; a diagnosis requires a mental health professional to assess at least five of these core symptoms, which often overlap with other conditions, making professional evaluation crucial.
Borderline personality disorder usually begins by early adulthood. The condition is most serious in young adulthood. Mood swings, anger and impulsiveness often get better with age. But the main issues of self-image and fear of being abandoned, as well as relationship issues, go on.
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).
Losing someone is painful for anyone, but if you live with BPD the emotions around grief can feel especially intense. You might experience strong waves of sadness, anger, confusion or fear. You might also feel numb, detached or unsure how to react. There is no right or wrong way to grieve.
How can I help myself in the longer term?