Borderline Personality Disorder

People who struggle with Borderline Personality Disorder experience their emotions as intense and overwhelming. It can feel like the negative emotions may never come to an end and the individual often feels like they have no control over their emotional experience.

As a result, it can be hard for individuals with this diagnosis to cope with their emotions. Sometimes in order to try to manage these emotions people turn to unhealthy coping strategies like self-harming and alcohol or drug use among others.

The experience of intense negative emotions along with the fear that others will not be there for them can make it hard to maintain close relationships. In addition, people who struggle with Borderline Personality Disorder often have a negative view of themselves. Many people who receive this diagnosis have experienced one or more traumas in the past.

What Are Symptoms of Borderline Personality Disorder?

Looking at symptoms on the internet can be alarming. Please keep in mind that symptoms are viewed as one part of a broad picture involving many factors - the presence or absence of the listed symptoms does not mean you do or do not suffer from Borderline Personality Disorder.

Cognitive Symptoms

Dissociation/paranoia
Unstable self-image
Fear of abandonment
Taking actions to avoid being abandoned

Emotional Symptoms

Feelings of emptiness and extremely low moods
Emotions are experienced as intense and overwhelming
Intense anger that is difficult to control

Somatic Symptoms

Self-harm/suicidal ideation or attempts

Behavioural Symptoms

Intense mood swings that can last from a few hours to a few days
Impulsive behaviour that can be harmful
Pattern of unstable and intense interpersonal relationships

A Simple Explanation of Borderline Personality Disorder

Your emotions feel like they are out of your control, and you feel unable to bring them back down to a bearable level.

You may use unhealthy coping strategies like compulsion or self-harm to manage your emotions.

You may have received misdiagnoses in the past.

You may have other co-occurring disorders.

You may experience feelings of abandonment/rejection.

You are easily hurt in relationships.

You have had negative experiences with medical professionals or mental health providers.

Your impulses feel like urgent needs that need to be addressed immediately.

Treating BPD

Dialectical Behavioural Therapy (DBT)

Borderline Personality Disorder is usually treated with a type of therapy called Dialectical Behavioural Therapy (DBT) which helps individuals by teaching them skills in four categories: emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness.

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CAMH BPD Information

Read more about borderline personality disorder from the CAMH in Toronto.

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DBT Hamilton

Discover the benefits of DBT and how it can help those diagnosed with borderline personality disorder.

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The Dialectical Behaviour Therapy Skills Workbook

Download this workbook for practical DBT exercises for mindfulness, emotional regulation, and more.

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Avoidant Personality Disorder

Avoidant Personality Disorder (AVPD) is the term for a specific set of changes in the way a person experiences feelings and processes information.

Emotionally, someone with AVPD may experience social anxiety, difficulty being aware of and communicating their feelings, an amplified sense of shame, and feelings of low self-worth.

This can result in issues like emotional distance in romantic relationships, the avoidance of social situations due to fears of painful emotional experiences like rejection or embarrassment, and the co-existence of other mental health issues like social anxiety disorder or depression.

What Are the Symptoms of Avoidant Personality Disorder?

Looking at symptoms on the internet can be alarming. Please keep in mind that symptoms are viewed as one part of a broad picture involving many factors - the presence or absence of the listed symptoms does not mean you do or do not have avoidant personality disorder.

Cognitive Symptoms

Black & White Thinking
Minimization & Dismissal
Solving vs Exploring
Highly Independent

Emotional Symptoms

Appearing Emotionless
Feeling Shamed
Feeling Blamed or Attacked
Discomfort with Emotions
Defensiveness / Anger

Somatic Symptoms

Sensing Nothing
Absence of Body Awareness
Minimizing Physical Symptoms

Behavioural Symptoms

Avoiding Social Situations
Dismissing Others Feelings
May Avoid Doctors
May Avoid Therapists

A Simple Explanation of Avoidant Personality Disorder

The way your family responds to your emotional needs causes you to change the way you deal with your emotions. There are only two ways you can do this – turn your emotions down (avoidance) or turn your emotions up (preoccupation).

If you’re rejected by your parents when you have emotions like sadness (e.g “suck it up”), you learn to suppress those feelings in order to be accepted. Turning feelings down like this is called “avoidant attachment” because avoiding your feelings helps you attach to your parents.

Sometimes turning your feelings down isn’t enough to have a smooth relationship with your parents. If you grew up with neglect and/or abuse, you might be guarded, withdrawn, self-sufficient, and anxious around people in addition to turning your feelings down.

We don’t view Avoidant Personality Disorder as “something wrong”. We view AVPD as a specific collection of changes a person made to adapt to their environment. This set of changes leads to the symptoms of AVPD.

In your original family environment, maybe those changes made sense and were helpful.  That’s a good thing! It means you’re resilient and adaptable.

In a new environment, around new people who may not behave in the same way, those changes might not be helpful anymore. Even within your existing family, you may recognize some downsides to the way you cope that you’d like to change.

Luckily, humans don’t ever stop being adaptable. If you’re ready for change, check out our team in the section below and find the right therapist for you.

Treatment for Avoidant Personality Disorder

Attachment Based Therapy

Attachment Based Therapy (ABT) will help you understand the changes in the way you think and feel as a result of your family relationships. 

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Cognitive Behavioural Therapy

Cognitive Behavioural Therapy (CBT) will help you recognize the links between your life experiences, thoughts, emotions, and behaviours. 

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Social Skills Training

Social Skills Training will help you feel more comfortable navigating social situations, like how to better recognize and respond to the emotions or social cues of others. 

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Social Skills Training

Find 14 incredible guides for building and improving social skills as an adult.

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Thought Record Worksheet

Work through nervousness and intrusive thoughts using our thought record worksheet.

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Is Avoidant Personality Treatable?

Learn more about treatment for avoidant personality disorder and how to work through symptoms.

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