The Nine Symptoms, Explained
People with BPD may have 5 or more of these symptoms:-
- they may be hypersensitive to anything that might be seen as abandonment, rejection or being left alone. This can be as simple as someone walking away after an argument or carers going on a holiday and leaving the family member.
- they may have unstable relationships with family and friends. They elevate a person to an impossible standard and then devalue them when they donât live up to those standards.
- they may have trouble knowing who they are and what is important to them. They have an unstable self image. They do, however, believe they are unworthy and have a deep sense of shame.
- they may act impulsively, which often can lead to behaviour which is self destructive. This means at times of stress they canât sit and wait to think things through, but may take drugs, drink to excess, run away, overdose, drive recklessly, binge eat, spend money they donât have, or have risky sex etc, to relieve their distress.
- they may self harm by harming their body. This may be cutting, burning, head banging, pulling out hair. Self harm is usually not an attempt to die, but a form of distraction from the emotional pain they are experiencing. 60% of people who self harm report they do not feel pain when they cut or burn themselves, but feel a sense of relief (Valerie Porr).
- they may have mood swings or emotions that change quickly, often with seemingly no reason. These emotions are unpredictable and can change in an instant. âRapid mood swings are a core feature of BPD that Marsha Linehan describes as emotional dysregulationâ (Valerie Porr)
- they may feel empty and need others to make them whole. They donât know what they want or who they are. However they struggle with feeling that they deserve this emptiness. Once again a symptom of their overwhelming shame.
- they may have excessive anger or sometimes intense rage.
- they can numb out, go blank, have amnesic experience or feel detached, as if they are observing their body from the outside. It is often a coping mechanism to tolerate stress. At times of stress they may also become overly suspicious or have paranoid thinking.
Â
A word on Shame-
Shame is often the main emotion in people with BPD. It is an overall sense of being worthless, bad, unlovable â a loser!
Shame is enemy number one for people with BPD. They feel bad almost all the time. It is the emotion which most often drives most BPD responses to most situations. Shame is strongly linked to chronic suicidality, self harm and anger.
It is important for carers to remember that the person they care for lives constantly with this shame. If you want to help her/him it is vital that you have compassion for this constant pain.
Judy Burke, Sanctuary, 30 Mar 2016
Â
Image by Adrian Curiel on Unsplash
Related posts
Tuesday 14 January – Next Meeting
Our next Sanctuary meeting will be on Tuesday, January 14, at 6.00pm, in the Marjorie Black Room at
Surviving Christmas and the Silly Season
With the end of the year nearly upon us, we look forward to celebrating with family and friends. But
Living Life Well – BPD Awareness Week 2024
This week is BPD Awareness Week and the theme is Living Life Well - Recovery and BPD. Professor Bri