part of a monthly examination of various mental health disorders

By Amy Beth Taublieb, PhD

Borderline Personality Disorder (BPD) is a relatively common mental health disorder that severely impacts the ability to manage one’s emotions. Individuals with BPD have an unstable sense of self, and define their self-worth by their interactions with others. Their continuous feelings of emptiness cause them to focus on fulfilling their emptiness in any way possible, leading to unstable interpersonal relationships.

Often referred to as an emotionally unstable personality disorder, people with BPD are extremely sensitive to any form of perceived rejection or abandonment. Someone with BPD who believes rejection or abandonment may be imminent, will engage in extreme behaviors triggered by intense feelings of desperation. These may include threats, violence, acting out sexually, explosive outbursts, and possibly self-injurious behaviors or suicide attempts.

People with BPD also experience dramatic fluctuations in their feelings toward others, ranging from extreme admiration to strong dislike or hatred. They often engage in impulsive sexual, spending, gambling, or substance abuse behaviors, hoping to ease their boredom, and also suffer from episodes of depression, anxiety, depersonalization, and guilt.

While medication can be prescribed to address BPD symptoms, it is crucial to also address the emotions and beliefs underlying the problem behaviors. There is no formal assessment tool for diagnosing BPD, but if the description of this disorder resonates with your own experience, you may want to contact a clinical professional with expertise in diagnosing and treating BPD.

Dr. AmyBeth Taublieb is a Licensed Clinical Psychologist, author, media personality, and public speaker. She maintains a private practice in Western New York providing psychotherapy and assessments for individuals, couples, and families. To make an appointment, call 716-834-1505, or visit www.dramybeth.com.