Rage in a person with BPD can occur suddenly and unpredictably, often triggered by an intense fear of being alone. Fear of rejection can be so intense that they begin to anxiously expect rejection. Subtle cues that they associate with rejection can set off unexpectedly intense reactions.
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.
When faced with BPD rage – which stems from the BPD person's interpretation of an event – it is important that you react in a calm and validating manner. Take care of your own emotional and mental health and seek therapy for yourself. Encourage and support treatment (when the BPD person is ready)
Borderline rage, or borderline anger, is more than just a standard emotional reaction. In the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), anger in BPD is described as "inappropriate, intense anger or difficulty controlling anger."
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.
Those diagnosed with Borderline Personality Disorder (BPD) or those with BPD who may not even know they have it, are more likely than the general population to be verbally, emotionally/psychologically, physically abusive.
Listen actively and be sympathetic and focus on emotions rather than the words. Ensure that you demonstrate that the person with BPD feels heard. When someone is upset or angry, it's easy and understandable to reciprocate, but it is not helpful.
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.
The Characteristics of BPD
Emotions are extremely intense, leading to episodes of depression, anxiety or anger that may persist for days or weeks. They may be consumed with an intense fear of abandonment, but at the same time, impulsive behaviors and mood swings act to push others away.
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.
Patients with BPD showed significantly reduced volumes of both brain structures (left hemisphere hippocampus reduced 15.7%, right hemisphere hippocampus reduced 15.8%, left hemisphere amygdala reduced 7.9% and right hemisphere amygdala reduced 7.5%).
It can be challenging to make and keep friends if you live with any mental illness. If you have borderline personality disorder (BPD), your unpredictable behaviors, tumultuous emotions, and fear of abandonment can drive others away. However, managing your BPD symptoms can help you to stabilize your friendships.
Anger that is intense, uncontrolled or inappropriate can be a devastating symptom for someone who has BPD. They may be driven by a desire to be connected to others, yet loss of emotional control frequently drives others away. In some cases, the level of rage experienced can lead to violence.
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 patients may become distraught at ordinary criticism, which they experience as a blow to self-esteem; may react with rage to a disappointment or minor slight; or may feel terror at a separation that they experience as virtual abandonment.
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].
If someone has a borderline personality, they will always push people away, in fear of getting hurt. This is extremely difficult and painful for the people around them, as the sufferer can seem cold and angry, attention seeking, or not wanting help.
BPD features are highly represented in subjects with psychopathy as well as psychopathic traits are highly prevalent in patients with BPD.
A favorite person is the center of attention of an individual living with BPD. This means they consider this person as a trusted friend, confidant, and counselor all wrapped in one. Dr. Roberts notes that the person with BPD demonstrates an “anxious-preoccupied attachment style.”
The Drama Triangle is commonly exhibited by sufferers of Borderline Personality Disorder (BPD). BPD is typically characterized by the intense emotional turmoil experienced by the individual and those around them.
Further, supplementation of magnesium, in conjunction with vitamin B6, has been indicated to be supportive for reducing symptoms in individuals with BPD (20).