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 may experience intense mood swings and feel uncertainty about how they see themselves. Their feelings for others can change quickly, and swing from extreme closeness to extreme dislike. These changing feelings can lead to unstable relationships and emotional pain.
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. When something happens in a relationship that makes them feel abandoned, criticized, or rejected, their symptoms are expressed.
Untreated personality disorders may result in: Poor relationships. Occupational difficulties. Impaired social functioning.
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.
Although there is sometimes a reduction of Borderline Personality Disorder symptoms as a person ages, it is dangerous to assume that you can just wait out the disorder and hope to get better. Generally, the symptoms of BPD are worse in one's early years and tend to decrease during the 30s and 40s.
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.
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.
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.
Stressful or traumatic life events
Often having felt afraid, upset, unsupported or invalidated. Family difficulties or instability, such as living with a parent or carer who experienced an addiction. Sexual, physical or emotional abuse or neglect. Losing a parent.
Studies have demonstrated that people with a BPD diagnosis are likely to have numerous co-occurring psychiatric disorders, such as mood disorder, anxiety disorder, substance use disorder, and other personality disorders [3, 15–19].
BPD in particular is one of the lesser-known mental illnesses, but all the same it is one of the hardest to reckon with. (Some people dislike the term so much they prefer to refer to emotionally unstable personality disorder.)
Children with BPD have higher rates of cognitive, educational and behavioural impairments, and also reduced lung function, through childhood and into early life than would normally be expected. The importance of these neurological and respiratory problems later into adult life needs to be determined.
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.
A pattern of intense and unstable relationships with family, friends, and loved ones. A distorted and unstable self-image or sense of self. Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance misuse, reckless driving, and binge eating.
So, what exactly does the BPD break up cycle look like? It can look like fear of abandonment, distrust of a partner, cheating, lack of communication and self-blame. It can look like idolizing a partner, confusing strong emotions for passion, anxiety and overreacting to interactions perceived as negative.
Lashing out in anger, a hallmark of BPD, often stems from one basic yet intense and overriding fear — the fear of being alone. People with borderline personality disorder often go into a panic or rage when they feel that they are being abandoned or are left alone, whether that abandonment is real or imagined.
If you're wondering, “can you have autism and BPD?” research shows that it's possible to experience both conditions. One study showed that 15% of patients with BPD also met the criteria for ASD. Living with these two complex conditions causes various difficulties that manifest differently from person to person.
Appearing High Functioning
Some people with quiet BPD can hide their condition and appear successful, independent, and overall high functioning. You might be able to hold a job during the day, but crash into a depressive, anxious, or dissociative state when the day is over. Think of quiet BPD as a mask.
Personality disorders, including borderline personality disorder, are diagnosed based on a: Detailed interview with your doctor or mental health provider. Psychological evaluation that may include completing questionnaires. Medical history and exam.
Borderline personality disorder (BPD) is associated with many negative physical health outcomes, including increased risk for serious chronic diseases such as diabetes, heart disease, and arthritis. BPD is also linked with obesity, a condition that is strongly related to many of the same physical health problems.
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.