Can trauma be mistaken for BPD?
Many different forms of mental illness share similar symptoms. One example of this is borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD). A person with symptoms of either disorder may be misdiagnosed with the other, and it's also possible to have both at the same time.
BPD involves a generalized under-regulation of intense distress related to real or perceived abandonment or rejection, whereas emotion dysregulation in PTSD is characterized by attempts to over-regulate (e.g., emotional numbing, avoidance, dissociation) distress related to reminders of traumatic experiences.
Stressful or traumatic life events
Often having felt afraid, upset, unsupported or invalidated. Family difficulties or instability, such as living with a parent or carer who experienced an addiction. Sexual, physical or emotional abuse or neglect. Losing a parent.
- Bipolar disorder.
- Complex post-traumatic stress disorder (C-PTSD)
- Depression.
- Anxiety.
- Psychosis.
- Antisocial personality disorder (ASPD)
cPTSD has often been misdiagnosed as BPD. cPTSD and BPD have some symptoms in common, but cPTSD is more complex than BPD. If you are experiencing symptoms of cPTSD, it is important to seek out help from a qualified therapist.
Recognizing a BPD Episode
Intense outbursts of anger are indicative of an episode of BPD as are bouts of depression and anxiety. Eighty percent of those suffering from BPD experience suicidal thoughts and behavior while in the throes of an episode as well.
Because antidepressants have not demonstrated significant high-level evidence of therapeutic benefit, these medications currently lack strong recommendations in treating BPD. Serotonin regulates amygdala hyperreactivity in BPD, thought to be a central neurobiological correlate of affective instability.
Myth: Bad Parenting Causes BPD
Parents are all too often blamed for all kinds of problems in their children, but there is absolutely no evidence that bad parenting causes BPD. They are likely individual cases in which parents have aggravated their child's underlying vulnerability.
This is where the term “favorite person” comes from in the borderline community. There is usually one of two people that we absolutely idolize and want to spend all our time with, and if they are busy and can't spend time with us we tend to get angry and feel abandoned.
One study showed that 40% of people who met criteria for BPD but not for bipolar disorder were nevertheless misdiagnosed with Bipolar Type 2. This is most likely due to some similarities between symptoms: impulsive behavior, intense emotions and suicidal thinking.
What is often misdiagnosed as BPD?
A common misdiagnosis and coexisting disorder with BPD are bipolar disorders. Both conditions have crossover traits that can be difficult to distinguish from one another. However, both disorders are conceptualised differently: BPD as a personality disorder and bipolar disorders as a brain disease.
High-functioning BPD tends to leave a person feeling chronic emptiness, uncertainty about their identity, insecurity, and dissatisfaction with self. Someone experiencing the disorder may ruminate, fear rejection, or perseverate on things they wish they never said (or should have said).
People with Borderline Personality Disorder are 13 times more likely to report childhood trauma than people without any mental health problems, according to University of Manchester research.
BPD splitting is an unconscious or unintentional reaction to uncomfortable or uncertain situations. This reaction involves the person with borderline personality disorder concluding that something is entirely good or bad with no middle ground. Essentially, it is an all-or-nothing scenario.
People with BPD often describe feeling intensely bored, restless, and/or desperately lonely when they are depressed. Further, depressed episodes in people with BPD are often triggered by interpersonal losses (for example, the breakup of a relationship).
Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.
“This can look like poor self-image and excessive self-criticism, feelings of emptiness and instability in goals, values and opinions.” Individuals living with quiet BPD may have decreased levels of empathy, high conflict relationships, clinginess and fear of abandonment, adds Dr.
Selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs) are the most commonly prescribed antidepressants for individuals with BPD who are experiencing symptoms of depression.
Borderline personality disorder (BPD) is a serious condition that sometimes requires intensive inpatient treatment at a psychiatric hospital. The idea of being hospitalized is very frightening for most people, but knowing what to expect can reduce your anxiety.
Antipsychotics are widely used in BPD, as they are believed to be effective in improving impulsivity, aggression, anxiety and psychotic symptoms [Nose et al. 2006; American Psychiatric Association, 2001].
Are PTSD and borderline the same?
The key difference between BPD and C-PTSD is that symptoms of BPD stem from an inconsistent self-concept and C-PTSD symptoms are provoked by external triggers. A person with C-PTSD may react to or avoid potential triggers with behaviors similar to those that are symptomatic of BPD.
Misdiagnosis with BPD
Some of the symptoms of complex PTSD are very similar to those of borderline personality disorder (BPD), and not all professionals are aware of complex PTSD. As a result, some people are given a diagnosis of BPD or another personality disorder when complex PTSD fits their experiences more closely.
Individuals with cPTSD tend to have a more stable sense of Self but struggle with consistent feelings of low self-worth, guilt, and shame. Individuals with BPD, on the other hand, have a more unstable sense of Self – they may not know who they are at their core and frequently change their interests and hobbies.
