Listening to your loved one and acknowledging their feelings is one of the best ways to help someone with BPD calm down. When you appreciate how a borderline person hears you and adjust how you communicate with them, you can help diffuse the attacks and rages and build a stronger, closer relationship.
Tell them that you really want to understand, and ask if they can say more about what they are feeling and why. Give the person hope for recovery by reassuring them that people with BPD can and do get better. Accept that the person is struggling and that life goals might need to be broken down into smaller steps.
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.
Psychotherapy. Psychotherapy — also called talk therapy — is a fundamental treatment approach for borderline personality disorder.
People with borderline personality disorders are aware of their behaviors and the consequences of them and often act in increasingly erratic ways as a self-fulfilling prophecy to their abandonment fears.
People with borderline personality disorder often find it difficult to trust other people . This, along with their fear of abandonment and tendency to idealize or devalue relationships, may make it difficult to ensure that this condition does not negatively impact relationships.
Results found in a 2014 study found the average length of a BPD relationship between those who either married or living together as partners was 7.3 years. However, there are cases where couples can stay together for 20+ years.
Often, the person with BPD will react towards loved ones as if they were the abusers from their past, and take out vengeance and anger towards them. When the person with BPD feels abandoned, they can become abusive or controlling as a way to defend against feelings of abandonment or feeling unworthy.
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.
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.
Borderline personality disorder causes a broad range of reactions that can be considered self-destructive or self-sabotaging. It influences thoughts, emotions, behavior, and communication, adding a degree of volatility and unpredictability to daily living that can be unsettling for BPD sufferers and their loved ones.
People with BPD score low on cognitive empathy but high on emotional empathy. This suggests that they do not easily understand other peoples' perspectives, but their own emotions are very sensitive. This is important because it could align BPD with other neurodiverse conditions.
In close relationships, a person with BPD may appear jealous, possessive, or hyper-reactive. These individuals often fear being left alone and have deep feelings of worthlessness. In many cases, this disorder is the direct result of childhood trauma, abuse, violence, or neglect.
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].
Five major treatments—DBT, mentalization-based treatment (MBT) [1], schema-focused therapy (SFT) [2], transference-focused psychotherapy (TFP) [3], and systems training for emotional predictability and problem solving (STEPPS) [4]—have been established as evidence based treatments (EBTs) for BPD [5].
being a victim of emotional, physical or sexual abuse. being exposed to long-term fear or distress as a child. being neglected by 1 or both parents. growing up with another family member who had a serious mental health condition, such as bipolar disorder or a drink or drug misuse problem.
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.