BPD Symptoms and Features
**please note: the following post was originally posted by kellyann-graceful-warrior and has been reposted here by me and bolded and italicized to reflect which symptoms i feel apply to myself**
BPD is a chronic mental disorder of emotional dysregulation+hypersensitivity due to factors such as:
-A result of an overactive autonomic nervous system (fight or flight- functions associated to panic, anxiety, anger reactions, etc)
-An under-active parasympathetic nervous system (The system that is responsible to regulate the autonomic nervous system)
-Less active and smaller in volume abnormalities in the limbic system which has functions linked to: emotional reactions, memory, decision making, motivation, behavior, learning and developmental ability, thought pattern, instincts, psychotic symptoms, seizures, and senses/the way the body perceives external stimuli.
-Reduced volume in frontal lobe which has functions linked to: decision making, communication responses, ability to comprehend consequences, emotional-based memories and triggers, and relations to people, events and situations.
-Abnormal blood flow to parts of the brain that control emotions, resulting in one to be more reactive
-Emotional reactions firing off 20% longer
-A ton of other factors
Here are the 9 main symptoms noted in the criteria and research.
1. Extreme reactions to real or perceived/feared abandonment, rejection, or criticism
2. Splitting and idealization/devaluation
3. Identity disturbance- impoverished self image/self esteem and sense of self, dysphoria, despising ones self, and extreme instability and no direction towards the future, aspirations, goals, [career] plans, values, etc
4. Impulsive behavior- a sense of urgency to relieve intensity of emotions from stimuli, often self damaging (spending sprees, binge eating, steal, substance abuse, etc).
5. Reoccurring suicidal behavior/ideations (gestures, extensive thoughts, planning, role playing) and self-harm
6. Intense rapid cycling of affective instability due to hypersensitivity+dysregulation reactions
7. Depressive symptoms- chronic feelings of emptiness, frequent feelings of being miserable, shame, self-inferiority, and extreme difficulty recovering from such feelings
8. Intense anger and/or aggression reactions- frequent anger easily triggered from incidents
9. Paranoia/panic and dissociation reactions (often in response to stresses/anxieties)
[People with BPD may often experience reactions/episodes of psychosis- paranoia, hallucinations, delusions, body dysmorphic figures, etc, as well]
Then there are hundreds of other symptoms and features to this very complex, and unfortunately, highly stigmatized and misunderstood disorder. Here are a few indicated in research.
(Note- One with the disorder may display some or most of these, but nothing is guaranteed as each person with the disorder is an individual, so don’t use these as assumptions. Some may not have the same symptoms as others, and no person with it is portrayed the same way.
They are rather a guideline to mental health workers because they are often seen and developed from the disorder and symptoms).
(ALSO NOTE- Others without it can obviously ‘display/relate’ to some of this from time to time once you take a look, but the reasoning, cause, severity, and pattern is different and this is a chronic disorder.Please note it’s completely different than that and that this post is just for awareness/education purposes since not many know about it- how to deal, what to expect, etc.
Percentages show that 8/10 of these individuals attempt suicide, while 1/10 complete it. Stigma and assumptions don’t help, but awareness does.
10. Anxiety, nervousness
11. Headaches/migraines are common
13. Higher nociception (pain tolerance)- Studies show alterations in pain processing in over 50% of those with BPD. The result of this comes from different systematic responses and antinociception and may be a result of long-term self harm behavior in some cases).
14. Distorted/irregular eating patterns- reduced food intake, impoverished diet, etc
15. Obsessive compulsive features- intrusive thoughts in the thought pattern/processes, repetitive behavior as a result of self harm, paranoia, distress, etc, and repetitive speech, to name a few
16. Self discipline/work orientation as a result of OCD features
18. Extreme reckless-daring behavior
20. Unstable relationships
21. “Always” and “Never” statements/reactions (splitting)
22. Sleep deprivation or irregular sleeping patterns
23. Voice changing
24. “Acting out”
25. Extreme curiosity and interest
32. Difficulty processing information
33. Difficulty focusing and concentrating and poor attention span
34. Consistent/radical change of appearance
35. Certain feelings of fear, negativity, or rejection of authority/people of “high importance” in their mind.
36. Alluring/seductive behavior
37. Extreme need for acceptance
38. A need to prove themselves over and over as identity may be graded on a scale of what was done that very day
39. Extreme apathy, boredom, dullness, and indifference
40. ‘Flat affect”- lack of emotional reactivity and inability to express/show emotions due to depression, absence of emotional response
41. Creative thinking
42. Studies show some are able to read others easily from such hypersensitivity; however, often mistaking neutrality as anger probably as a result of symptoms
45. Magical thinking (assumed correlation, interconnection, etc)
47. Panic attacks
48. Anxiety Attacks
49. Hypersensitivity to caffeine, alcohol, some sugars and foods. Often described as being “allergic” to such things as it causes reactions from hypersensitivity and symptoms.
50. Memory lapses- a result of dissociation, intense reactions, etc
51. Extreme perfectionism
53. Euphoric reactions
55. Avoidance of eye contact
56. Difficulty transitioning with life aspects such as changes to plans and arrangements
57. Difficulty with awareness
58. Sensitivity to senses- light, sounds, temperatures, etc- from hypersensitivity
60. Difficulty with decision making, poor decisions, and/or indecisiveness, insecurity
61. Difficulty completing tasks
62. “Rapid” or excessive speech
63. Restlessness, difficulty relaxing, feelings of “being on edge.”
64. Extreme sense of security, comfort, and connection with animals/nature and inanimate objects such as transitional objects
65. Undermining a goal, success, or relationship
66. Often occurs with PMDD (Premenstrual dysphoric disorder) or worse reactions to menstrual cycles because of the hypersensitive and systematic changes
67. Extreme difficulty and lack of object consistency (inability to recall that people or objects are ‘still there,’ consistent, and reliable when they are not currently being physically seen/there and difficulty maintaining these feelings
68. Flight of ideas, racing thoughts, rapid thought patterns
69. Brief remission of symptoms in response to certain events (positive reactions)
70. Disrupted or delayed life aspects- education, relationships, jobs, etc
No particular order. If you may need a source, example, description/explanation for more understanding for any of these, feel free to ask :)