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.
Anything that causes someone to feel rejected or abandoned could be a trigger. While these fears are especially common in romantic relationships, any real (or perceived, for that matter) abandonment could escalate BPD symptoms. Breakups, canceled plans, or losing a job can all be triggering.
Although anyone can develop BPD, it's more common if you have a family history of BPD. People with other mental health conditions, such as anxiety, depression or eating disorders, are also at higher risk.
BPD may present for the first time in later life in response to loss of protective factors or triggering of past trauma. This understanding may reduce misdiagnosis or delayed diagnosis, prescription of inappropriate treatments or delays in receiving BPD-appropriate treatments.
According to the DSM-5, BPD can be diagnosed as early as at 12 years old if symptoms persist for at least one year. However, most diagnoses are made during late adolescence or early adulthood.
For many folks with BPD, a “meltdown” will manifest as rage. For some, it might look like swinging from one intense emotion to another. For others, it might mean an instant drop into suicidal ideation. Whatever your experience is, you're not alone.
People with borderline personality disorder have a deep fear of abandonment. They compete for social acceptance, are terrified of rejection and often feel lonely even in the context of an intimate relationship. Therefore, it is more difficult for them to manage the normal ups and downs of a romantic partnership.
Someone with BPD may go to great lengths to feel something, as well as becoming increasingly withdrawn and avoidant during an episode.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.
Many people with borderline personality disorder (BPD) have suffered from a traumatic event. As a result, their BPD symptoms are sometimes triggered by reminders of the trauma. Triggers can result in a flare-up of BPD symptoms, ranging from a mild depression to a suicidal crisis.
A person with BPD may experience intense episodes of anger, depression, and anxiety that may last from only a few hours to days.”
Intense episodic irritability or anxiety lasting a few hours or more than a few days). Recurring feelings of emptiness. Frequent intense, inappropriate anger or issues controlling temper. Severe dissociative symptoms or stress-related paranoia.
Cyclical Nature of BPD Abandonment
The fear of being abandoned often causes people with BPD to form unhealthy attachments. Sometimes, they may abruptly cut off these relationships, effectively abandoning their partners. Other times, they make frantic attempts to hold onto relationships.
Many people with BPD feel emotions deeply and find working in a caring role fulfilling. If you are an empathetic person, consider jobs such as teaching, childcare, nursing and animal care.
Rage in an individual with BPD can occur suddenly and unpredictably. BPD anger triggers can include an intense fear of being alone. Two other BPD anger triggers include a fear of rejection and quickly changing views.
People with BPD are very sensitive to rejection. They may lie or exaggerate to cover mistakes or to maintain an overly positive image so that others will not reject them.
Instead, they see something as completely good or completely bad, and their assessment may switch back and forth rapidly. A person typically splits unconsciously or without realizing it.
When stressed, people with borderline personality disorder may develop psychotic-like symptoms. They experience a distortion of their perceptions or beliefs rather than a distinct break with reality. Especially in close relationships, they tend to misinterpret or amplify what other people feel about them.
Once someone with BPD becomes angry, letting go of their rage can be challenging. After exposure to BPD rage triggers, they tend to fixate on the situation or event that upset them, replaying these thoughts repeatedly. Ruminating on negative emotions can increase aggression.
People with Borderline Personality Disorder have a reduced life expectancy of some 20 years, attributable largely to physical health maladies, notably cardiovascular. Risk factors include obesity, sedentary lifestyle, poor diet and smoking.
Another hallmark of borderline personality disorder is having a favorite person—usually a family member, romantic partner, or someone in a supportive role, such as a teacher or coach. For someone with this type of BPD relationship, a “favorite person” is someone they rely on for comfort, happiness, and validation.
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.