[cw: self harm, suicide]
So this month, as some of you know, is BPD (Borderline Personality Disorder) Awareness Month. I’m going to pack as much information as I can into as small a space as I can, because this is a really important issue that tends to be either grossly underrepresented, is grossly misrepresented.
What is Borderline Personality Disorder?
BPD is, as you might have guessed, a personality disorder. What most people forget is the fact that BPD is also a mental illness, and as with all mental illnesses, results from a combination of (neuro)biological, social, and environmental factors. It is closely related to C-PTSD (Complex Post-Traumatic Stress Disorder). There is no ‘cure’, and whereas some mental illnesses (like depression) are straight-forward in their biomedical treatment, medical regimens and therapies can vary greatly between each BPD patient.
What are the symptoms of Borderline Personality Disorder?
BPD is marked by the symptoms listed below. Currently, a diagnosis requires that a patient meet 5+ of these symptoms:
- Extreme reactions—including panic, depression, rage, or frantic actions—to abandonment, whether real or perceived
- A pattern of intense and stormy relationships with family, friends, and loved ones, often veering from extreme closeness and love (idealization) to extreme dislike or anger (devaluation); Black and White thinking.
- Distorted and unstable self-image or sense of self, which can result in sudden changes in feelings, opinions, values, or plans and goals for the future (such as school or career choices)
- Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving, and binge eating
- Recurring suicidal behaviors or threats or self-harming behavior, such as cutting
- Intense and highly changeable moods, with each episode lasting from a few hours to a few days
- Chronic feelings of emptiness and/or boredom
- Inappropriate, intense anger or problems controlling anger
- Having stress-related paranoid thoughts or severe dissociative symptoms, such as feeling cut off from oneself, observing oneself from outside the body, or losing touch with reality.
Wow. That’s terrible and totally not at all romantic like it was in Girl, Interrupted!
Yeah, we get that a lot.
Is there a cure?
There is no cure for BPD, and recovery for most is a long, ongoing process. There are ‘recovered’ borderlines, but relapses are possible. In general, it is a life-long struggle.
Anything else?
Some more facts on BPD:
- Borderlines have the highest rate of suicide attempts out of any other mental illness. We are also more likely to attempt it more frequently, and with more impulsivity.
- While most Borderlines are diagnosed after age eighteen (due to the hesitation to diagnose personality disorders during pubescent years, where hormones may affect personality even in the neurotypical), BPD typically onsets earlier, and adolescents and children may also be diagnosed.
- We make up ~1.6% of the US population alone.
- We’re actually quite lovable and friendly. Our lives are intense and painful, but just like everyone else, we have friends, partners, families, jobs, hobbies, quirks, dreams, and cute little companion animals. The stigma surrounding BPD can often be more painful than the disorder itself, so please, don’t glean your information from movies and tv shows!