Could I have Borderline Personality Disorder?

Borderline Personality Disorder, or BPD, has recently increased in notoriety. Self-diagnosing is on the rise with TikTok and Instagram reels covering the signs and symptoms of BPD. It is crucial to note that diagnosing mental health disorders should be done only by qualified mental health providers, like psychotherapists, psychologists, and psychiatrists. However, it can be useful to be aware of what symptoms could be associated with BPD, particularly when it is present in teenagers. BPD is complex, but it has some distinct characteristics like difficulty regulating emotions, unstable relationships, distorted self-image, and impulsive behavior. Here are some signs to look for:

1. Intense and unstable relationships

   BPD can cause us to have intense and unstable relationships that look like extreme idealization or devaluation of others. There is usually an intense fear of abandonment followed by actions to avoid that real or perceived abandonment.

2. Impulsive behavior

   Impulsivity is a marker of BPD. This can look like reckless driving, drug and alcohol abuse, unsafe sex, binge eating, and other traits. The key behind noticing this is planned actions vs. spur of the moment decisions.

3. Emotional instability

   Frequent and intense mood swings are a common trait of those who experience BPD. This can often look like quick shifts in mood leading to irritability, anxiety, and/or depression.

4. Identity disturbance

   Another trait we see with BPD is an unclear sense of self. This can look like a failure to understand who we are, what we believe, or what our values are.

5. Self-harm or suicidal behavior

   Some of those dealing with BPD engage in self-harming behaviors, such as cutting or burning, and often can have thoughts of suicide. This is a crucial sign to take seriously. The Columbia Protocol can be very useful in doing a quick screen to figure out how to respond to a loved one’s suicidal ideation.

6. Chronic feelings of emptiness

   There are often reports of chronic emptiness associated with BPD. There can be a great struggle to find meaning and purpose in life.

7. Paranoid thoughts or dissociation

   When dealing with BPD, we can experience brief episodes of paranoia and/or dissociation. This can look like feeling detached from reality or losing sense of time and place. The brain is working hard to protect us from perceived threats.

Again, it is imperative to remember that while these signs make up BPD, they are not exclusive to the diagnosis. Many teenagers and young adults experience some or all of these symptoms at different times. What is important to note is if the patterns of behavior have been consistent over time. Additionally, BPD is often comorbid, or happening at the same time, as other disorders such as depression, anxiety, eating disorders, or others.

If you notice ongoing behaviors like this present in you or your teen, it is great to seek out the guidance of a licensed mental health professional for a proper evaluation and diagnosis. Early intervention is most associated with better overall quality of life for those living with BPD. Halle Crutch, LPC-Associate is a therapist in Southlake, TX, under the supervision of Mary Dainty, PhD, LPC-S, who works with teen girls and young women affected by BPD. With the use of dialectical behavioral therapy, and focused therapeutic tools, there can be an improved quality of life! Ready to get started? Request an appointment now.