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.
Coping skills for BPD are often centered around learning to manage moments of emotional instability and/or control anger. Some techniques to help in these situations could include: Using stress-reduction techniques, like deep breathing or meditation. Engaging in light exercise, like walking or yoga.
Romantic relationships are not the only ones that can trigger a person with BPD to experience an episode. Their relationships with friends, family, and colleagues can also spark symptoms if they experience any sort of rejection, criticism, or threat of abandonment.
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.
For example, a person with BPD may react to an event that may seem small or unimportant to someone else, such as a misunderstanding, with very strong and unhealthy expressions of anger, including: Physical violence. Sarcasm. Yelling.
Findings showed that 73% of BPD subjects engaged in violence during the one-year study period, and frequently exhibited co-morbid antisocial personality disorder (ASPD) and psychopathic characteristics. Reported violence was mostly characterized by disputes with acquaintances or significant others.
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.
A person with BPD may experience intense episodes of anger, depression, and anxiety that may last from only a few hours to days.”
But with some individuals with BPD, you don't want to get into the habit of allowing certain things such as calls after hours, visits to your home without announcing it, borrowing your things and never returning them, driving your car and keeping it longer than they should, etc.
In BPD, anger often leads to destructive behavior such as aggression. Typically, aggression in BPD is classified as reactive in nature with real or assumed social rejection, threat, provocation, or frustration being assumed to be the most important triggers [3, 9,10,11].
Living with someone with borderline personality may involve being falsely accused, dealing with changes in mood, and facing love and rejection cycles. Understanding these behaviors aren't personal may help.
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.
Borderline personality disorder (BPD) has long been believed to be a disorder that produces the most intense emotional pain and distress in those who have this condition. Studies have shown that borderline patients experience chronic and significant emotional suffering and mental agony.
BPD has been linked to the amygdala and limbic systems of the brain, the centres that control emotion and, particularly, rage, fear and impulsive automatic reactions.
Many people who live with BPD will also experience other mental health problems. Such as depression, anxiety, eating disorders, PTSD and alcohol or drug misuse. People who live with BPD can also be diagnosed with bipolar disorder. The symptoms of bipolar disorder can often be confused with those of BPD.
Antipsychotics are widely used in BPD, as they are believed to be effective in improving impulsivity, aggression, anxiety and psychotic symptoms [Nose et al. 2006; American Psychiatric Association, 2001].
The authors of a 2020 review state that antidepressants are the most commonly prescribed medications for BPD. A doctor may prescribe : selective serotonin reuptake inhibitors (SSRIs) tricyclic antidepressants.
Limited therapeutic effectiveness of antidepressants in BPD may be related to lack of serotonin receptor specificity, since 5-HT2A but not 5-HT2C antagonism is associated with decreasing impulsivity.