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Borderline Personality Disorder Triggers

Borderline Personality Disorder Triggers

Borderline personality disorder (BPD) is a serious psychological condition that is characterized by pervasive instability in moods, emotions, behaviors, and interpersonal relationships. Individuals with borderline personality disorder feel prolonged, intense emotions and are unable to return to a neutral emotional baseline after facing an emotionally charged experience in a timely manner. This can affect all areas of one’s life as the duration it takes an individual with BPD to process, integrate, and recover from emotional challenges is elongated. Individuals with borderline personality disorder often struggle with relationship issues, lack self-esteem, have a poor self-image, and have an inability to appropriately self-regulate. Borderline personality disorder is not an uncommon disorder, as the National Institute of Mental Health (NIH) estimates that 1.4% of the adult population in America experience BPD. 

BPD Triggers

Johns Hopkins Medicine explains “Triggers are external events or circumstances that may produce very uncomfortable emotional or psychiatric symptoms, such as anxiety, panic, discouragement, despair, or negative self-talk.” Many borderline personality disorder triggers arise from interpersonal distress. While BPD triggers can vary from person to person, there are some types of triggers that are common in BPD. Examples of commonly reported BPD triggers can include, but are not limited to the following:

  • Perceived or real abandonment
  • Rejection of any kind
  • Loss of a job
  • Locations that invoke negative memories
  • Reminders of traumatic events
  • Ending a relationship

A trigger, in relation to BPD typically refers to something that precipitates the exacerbation of one’s BPD symptoms.

Symptoms

The symptoms associated with borderline personality disorder can pervasively interfere with an individual’s ability to function optimally in his or her daily life. Common symptoms of borderline personality disorder can include any combination of the following examples, provided by the Mayo Clinic

  • Ongoing feelings of emptiness
  • Risky behavior (e.g., gambling, having unsafe sex, etc.)
  • Intense fear of being alone or abandoned
  • Fragile self-image
  • Unstable relationships
  • Erratic moods
  • Frequent displays of intense anger
  • Stress-related, fleeting paranoia
  • Suicidal behavior
  • Threats of self-injury

It is not uncommon for people with BPD to feel extremely intense emotions for extended periods of time. This makes returning to a stable emotional baseline far more challenging, especially after experiencing an emotionally triggering event. The symptoms that manifest because of borderline personality disorder often mimic those of other mental health disorders such as histrionic personality disorder, narcissistic personality disorder and bipolar personality disorder, which can make the diagnosis process rather challenging. 

Diagnostic Criteria

There is no definitive medical test to diagnose borderline personality disorder. According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), borderline personality disorder is diagnosed when an individual experiences “a pervasive pattern of instability of interpersonal relationships, self-image and affects, and marked impulsivity beginning by early adulthood” and must experience five or more of the following symptoms in a variety of contexts:

  • Emotional instability
  • Feelings of emptiness
  • Efforts to avoid abandonment
  • Impulsive behaviors
  • Identity disturbances
  • Inappropriate, irrational and/ or intense bouts of anger
  • Transient paranoid and/ or dissociative symptoms
  • Unstable interpersonal relationships
  • Suicidal and/ or self-harming behaviors

Due to its illusive nature, borderline personality disorder can be extremely difficult to diagnose. As such, to obtain the most accurate mental health diagnosis it is imperative to undergo a comprehensive evaluation that is conducted by one or more qualified mental health professionals. 

Disclaimer:

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment. 

 

Is Addiction A Disease?

Is Addiction A Disease?

Yes, addiction, also referred to as substance use disorder, is a mental health disorder listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). It is characterized by compulsively engaging in rewarding stimuli (often, dangerous, risky, and/ or unhealthy) regardless of the ensuing negative consequences. Engaging in habitual substance abuse is a slippery slope that can quickly lead to addiction. The type of substance abused, the duration of one’s substance abuse, the potency of the drug abused, one’s personal health history, as well as one’s family health history will all contribute to the length of time it may take for an individual to develop an addiction. An individual that struggles with addiction will put his or her need for satisfying a drug craving above all else in his or her life. Therefore, addiction has the propensity to affect every aspect of an individual’s life. It is important to note that addiction does not develop overnight, nor should an individual expect his or her recovery from addiction to occur instantaneously. The treatment process for recovering from an addiction will require steadfast dedication and will be a lifelong commitment.

Habitual use of any substance can lead to increased tolerance, meaning an individual will require more of the substance (e.g., higher dosage, frequency of use, etc.) to achieve the same feeling. When an individual constantly abuses drugs and/ or alcohol, his or her body must make accommodations to properly function with the substance present. When a substance that one’s body has become accustomed to functioning with is absent or has less of the substance in his or her system, it will react accordingly. Adverse withdrawal symptoms will ensue, and the individual will be unable to function optimally. When an individual is unable to stop using a substance without experiencing withdrawal symptoms, he or she has reached some level of dependence. An individual that struggles with drug and/ or alcohol dependence and continues to abuse drugs and/ or alcohol increases his or her susceptibility to developing a full-blown addiction

Risk Factors

The precise reason behind why an individual develops an addiction remains unknown. There are, however, several risk factors that have been reported to increase one’s propensity for developing an addiction. According to the National Institute on Drug Abuse (NIH) these include environmental risk factors, genetics, drug of choice, method of use, and the age an individual started abusing drugs and/ or alcohol. Every individual is different and will have or lack various predispositions that can contribute to developing an addiction. Nevertheless, it is important to note that anyone can develop an addiction, regardless of social status, beliefs, or background. 

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment. 

Borderline Personality Disorder’s Effects on Relationships

Borderline Personality Disorder

Borderline personality disorder (BPD) is listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a chronic mental health disorder. It characterized by a pervasive pattern of instability in interpersonal relationships, self-image issues, and difficulty managing emotions and behaviors, which interfere with one’s ability to function in everyday life. The symptoms of BPD will often result in reckless and hasty actions, negatively affecting one’s relationships. The cause for borderline personality disorder remains unknown. However, the National Institute of Mental Health (NIH) alludes to research that “suggests that genetics, brain structure and function, and environmental, cultural, and social factors play a role, or may increase the risk for developing borderline personality disorder.” Though these factors can contribute to one’s susceptibility for developing BPD, exposure to one or more risk factors does not indicate an individual will inevitably to go on to develop borderline personality disorder. Most commonly, BPD develops in early adulthood, often with more severe symptoms occurring in the early stages of onset. 

Effects on Relationships

Borderline personality disorder directly affects how one feels about him or herself, one’s behavior as well as how an individual can relate to others. According to the DSM-5 key signs and symptoms of BPD that will have a direct effect on one’s relationships may include:  

  • Unstable personal relationships that alternate between idealization and devaluation, sometimes referred to as splitting
  • Frantic efforts to avoid real or imagined abandonment by family and friends
  • Impulsive behaviors resulting in dangerous outcomes (e.g., engaging in unsafe sex, reckless driving, abuse of drugs, etc.)
  • Distorted and unstable self-image, affecting one’s moods, relationships, goals, values, and/ or opinions
  • Self-harming behavior (e.g., suicidal threats)
  • Chronic feelings of emptiness and/ or boredom
  • Periods of intense depressed mood, irritability and/ or anxiety lasting anywhere from a few hours to a few days long
  • Dissociative feelings
  • Intense, inappropriate, and/ or uncontrollable anger, typically followed by feelings of guilt and/ or shame

People with borderline personality disorder have a more difficult time returning to an emotional baseline, which can make sustaining relationships challenging. The quick changing nature of BPD symptoms (e.g., emotional peaks and valleys) can lead to conflict-filled, chaotic relationships. Hence, people with BPD typically have rocky relationships with others, both platonic and romantic.

Treatment

Although BPD is a chronic condition, there are a variety of treatment options available for a person diagnosed with borderline personality disorder. Treatment for BPD will help an individual learn strategies, techniques, and tools to effectively manage the symptoms associated with borderline personality disorder, reducing the severity of symptoms experienced and increase one’s quality of life. Every individual is different and will require a somewhat tailored treatment plan when it comes to BPD. Often treatment plans include a combination of medication and psychotherapy (e.g., dialectical behavior therapy, cognitive behavioral therapy, etc.). Some individuals that experience severe symptoms will require inpatient, intensive care, while others may never need emergency care or hospitalization. With proper treatment an individual can have healthy relationships despite BPD. 

Disclaimer: 

The information above is provided for the use of informational purposes only. The above content is not to be substituted for professional advice, diagnosis, or treatment, as in no way is it intended as an attempt to practice medicine, give specific medical advice, including, without limitation, advice concerning the topic of mental health. As such, please do not use any material provided above to disregard professional advice or delay seeking treatment. 

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