Borderline personality disorder (BPD) affects your mood and how you interact with others.
BPD can cause a wide range of symptoms, such as:
- feeling empty
- emotional instability
- disturbed patterns of thinking or perception, including paranoia
- impulsive behaviour
- difficulty controlling anger
- intense but unstable relationships, with frantic efforts to avoid real or imagined abandonment
- suicidal or self-harming behaviour
Emotional instability
If you have BPD, you may often have some of these negative emotions:
- rage
- sorrow
- shame
- panic
- terror
- long-term feelings of emptiness and loneliness
You may have severe mood swings over a short space of time.
You may also feel suicidal and then feel positive a few hours later. Some people feel better in the morning and some in the evening. The pattern varies. The key sign is that your moods swing in unpredictable ways.
Urgent advice: Phone your GP or the out-of-hours GP service if:
- you have suicidal thoughts
You can also:
- contact the Samaritans on freephone 116 123 or email jo@samaritans.ie
- free-text HELLO to 50808 for an anonymous chat with a trained volunteer
- contact a friend, family member or someone you trust
Emergency action required: Phone 112 or 999 if:
- you or someone you know is about to harm themselves or someone else
- you have seriously harmed yourself - for example, by taking a drug overdose, or cutting or burning yourself
If you have BPD, tell someone you trust about it. Give them the contact details of your care team. Then you can ask them to contact the team if they become concerned about your behaviour.
Disturbed patterns of thinking
Different types of thoughts can affect you. These include:
Upsetting thoughts
Thinking you're a terrible person or feeling like you do not exist.
Brief episodes of strange experiences
It's important to get help if you:
- hear voices outside your head for minutes at a time
- have lasting hallucinations
- have beliefs that no one can talk you out of
These may be a sign of psychosis.
Impulsive behaviour
If you have BPD, you may have an impulse to:
- self-harm
- take part in risky behaviour
Impulsive or risky behaviour could include:
- binge drinking
- drug abuse
- going on a spending spree
- having unprotected sex with strangers
Unstable relationships
You may feel that other people abandon you when you most need them. You may also feel that they get too close and smother you.
You may have difficulty trusting people, or have an irrational fear of their intentions.
When people fear abandonment, it can lead to feelings of intense anxiety and anger.
You may make frantic efforts to prevent being alone, such as:
- constantly texting or phoning a person
- suddenly calling that person in the middle of the night
- clinging on to that person and refusing to let go
- making threats to harm or kill yourself if that person ever leaves you
You may feel others are smothering, controlling or crowding you. This can provoke intense fear and anger.
You may then respond by acting in ways to make people go away. This might involve you withdrawing, rejecting them or using verbal abuse.
These 2 patterns may result in an unstable 'love-hate' relationship with certain people.
You may seem to be stuck with a very rigid view of relationships. Either a relationship is perfect and that person is wonderful. Or the relationship is doomed and that person is terrible. People with BPD often view their relationships with others in 'black-and-white' terms.
Emotional relationships can involve 'go away' and 'please do not go' states of mind. This is confusing for you and your partners. It can often lead to break-ups.
Content supplied by the NHS and adapted for Ireland by the HSE