Posted on May 29, 2021
Trigger Warning: frequent mentions of self harm, suicidal thoughts, and suicidal behaviour. If this is something that you will find triggering or upsetting, please don’t read ahead. Please always put your mental health first.
Given that it’s Borderline Personality Disorder (BPD) Awareness Month, I felt I should write at least one post about BPD, although one is all I have time for at the moment, what with my uni workload. This is one of the videos I watched pretty early on after my BPD diagnosis and it really, really helped me. It’s such a good, informative video, completely free of the stigma that is often attached to this diagnosis.
I really recommend watching the whole thing but I want to talk about some of the points Claudia makes, as well as adding some of my own thoughts.
Borderline Personality Disorder (also known as Emotionally Unstable Personality Disorder) is a type of personality disorder, a type of mental health problem where your attitudes, beliefs, and behaviours cause you longstanding problems in your life, that impact your life daily. Struggling with how you think and feel about yourself and others – and that causing problems in your life – can lead to an investigation into whether you might have BPD. Having said this, many clinicians are reluctant to diagnose it as there is such stigma attached to it, with many in the health sector seeing those diagnosed with BPD as ‘difficult’ and ‘attention seeking’ (x). Personally, I have been told on numerous occasions that I should consider abandoning the diagnosis to avoid negative assumptions from doctors, a suggestion I find deeply offensive and have ignored. It explains things about me that I can’t otherwise explain and I’m not going to give that up because of other people’s ignorance.
Considering how many misunderstandings and how much stigma there is around BPD, Claudia uses the framework of the diagnostic criteria, as detailed by the Mind website (as of 2016, although the diagnostic criteria listed has not changed), to describe the symptoms of BPD and how she experiences them.
Fear of Abandonment
I definitely relate to this. I’ve had several people abandon me, intentionally or not, and so I have serious anxiety about people leaving me.
I also relate to this, although my fear usually stems from feeling like a burden and that one day, the people in my life will feel like I’m just too much of a burden and walk away.
On Feeling Emotions Strongly
I most definitely have very strong emotions, sometimes overwhelmingly so.
This is very true for me too. My emotions tend to be at the extreme ends of the scale with very little middle ground.
It can be scary and as Claudia says, exhausting, to have such big emotions that ricochet around inside you, changing every time they collide with something. If that makes sense. When they’re so big and they change so quickly and dramatically that it’s like the ground is constantly rocking until your feet; nothing feels stable or reliable.
On Having Unstable Sense of Self
I really relate to this, to feeling empty, to feeling like I don’t truly know who I am. I know little things, that my favourite chocolate is milk chocolate and that thunderstorms make me feel alive. But the answers to the big questions about myself continue to elude me: Am I a good person or a selfish person? What do I really think about this issue or that issue? Am I actually good at the things I think I’m good at? What are my strengths? My weaknesses? It’s very confusing.
I can definitely understand taking the best of our favourite people or fictional characters and building an identity and personality using those traits. I’ve absolutely done it. When I was younger, I would accidentally take on the whole person with both the traits helpful and unhelpful to me; I’d end up making decisions that weren’t what I wanted at all but were what the person I was emulating would do, which got me into some complicated situations. But now that I’m older and I understand that this is something I do, sometimes unintentionally, I’m better able to use it to strengthen me, rather than completely change me.
On Finding It Hard to Make and Keep Stable Relationships
This definitely resonates with me. Romantic relationships scare the crap out of me. The only relationship I’d consider significant was late in my teens, before I had my diagnoses of BPD (as well as ASD, depression, anxiety, etc) and it ended very traumatically. While that will always be on the other person, I did really struggle throughout the time we knew each other, especially with the big emotions and fear of abandonment curtesy of the BPD, as well as the social difficulties of ASD. And with no explanation for why I operated that way, it was probably doomed from the start. Still, the other person didn’t need to be such a cruel, manipulative human being…
I really relate to what she says about relationships being complicated because of how much you care. I’ve been devastated by the ending of friendships, relationships, etc and that does make maintaining relationships of any type very stressful at times: the idea of saying or doing the wrong thing and that damaging the relationship irreparably (even relationships that, in theory, aren’t so fragile that one mistake would ruin them) is terrifying and that in itself can lead to making bad decisions, saying or doing things, etc that aren’t true to who you are, that could damage the relationship. If that makes any sense.
I also relate to what she says about not being great at continuous contact. For me at least, I think it’s about exhaustion: communication is so loaded and requires so much energy, social energy, emotional energy, etc. Sometimes it all just becomes too much and I have to retreat for a while to recover.
This is definitely a trait of mine. If you’re a friend once, you’re a friend forever (barring a serious falling out). It’s one of the things that I find very confusing in other people: when they don’t feel the same way about friendships. It just doesn’t make sense to me.
On Acting Impulsively
I don’t consider myself a particularly impulsive person. In fact, I’ve always been terrified of not being in control of myself or making thoughtless decision. That’s probably partly why I’m such an overthinker.
On Suicidal Thoughts and Self Harming Behaviour
I’ve been meaning to write a post about being passively suicidal for ages; I just haven’t had the time that I would want to dedicate to it, given how important it is. But I’ve definitely experienced this and continue to have phases of feeling this way, some that last for days and some that last for months.
The ‘no emotional skin’ leapt out at me immediately. I really relate to that. Sometimes everything is just so overwhelming and painful; it can all feel like just too much to cope with, to survive, to live a life that isn’t unbearably painful.
I’ve self harmed on and off since I was about thirteen. To be honest, I never really thought about it as self harm – not for a long time at least: I didn’t think of it as harm myself because that wasn’t the primary motivation for doing it. I did it (and sometimes still do it) when I got so overwhelmed, so full of feeling that I had to get it out of me. I didn’t know how I would survive if I didn’t do it; it was a coping mechanism, like a pressure valve that helped me regulate the intensity of my emotions. I’m obviously aware now that it is self harm but after much discussion with my therapist, we’re not worried about it on it’s own. If it’s a coping mechanism (and one that I use relatively rarely), then the best use of our time is working on helping me to regulate my emotions so I don’t need to do it rather than stop me from using the only coping mechanism I currently have.
Feeling Empty and Lonely A Lot of the Time
I can absolutely understand the feeling of emptiness; I relate to it a lot. Sometimes I wonder if the emotions in me and around me are just so big and so overwhelming that that part of my brain just shuts down to keep me from being constantly overwhelmed, to keep all the fuses in my brain from blowing. Maybe empty is safe. I don’t know. But ‘feeling empty’ is definitely something that resonates with me.
‘Everything is too much for me and yet it’s simultaneously never enough for me’ is a phrase that could sum up my relationship with my emotions. My emotions are so big that they’re overwhelming but they also don’t feel quite enough. I can’t really explain it; I don’t know if there are words for it. It’s so deeply emotional that I’m not sure it would translate. I guess it’s kind of like sucking in so much air you feel sick but none of it is actually getting to your lungs. Maybe? I think that’s the best analogy I’ve got. Right now, at least.
Getting Angry and Struggling to Control Anger
I don’t often get angry. I don’t think I ever even felt angry until I was twenty. I always just jumped straight to sad. So anger is a strange and confusing emotion for me. I only ever really let it out when in the midst of an autistic meltdown. As I’ve already talked about, I have a lot of fear around saying or doing the wrong thing and the chances of that happening, in the heat of an angry moment, make that a lot more likely to happen. Plus I really hate confrontation. I can do it but I hate it.
Paranoia, Psychotic Experiences, or Feeling Numb When Anxious
Fortunately, I’ve never experienced a psychotic episode and hopefully my mental health never reaches that point. They sound incredibly scary and I feel for anyone who has them.
I’ve definitely experienced periods of feeling like I’m not really here or like I’m really far away from everything and everyone, separated by something intangible but powerful. I’ve struggled to believe that I’m real and that the world is real. It’s confusing and difficult and lonely. I usually only experience it when I’m deeply depressed but it does appear on other occasions.
She talks about the stigma similarly to the way I described it at the top of this post but says that she wanted to share her experience with it in the hopes that it will help people and lessen that stigma. She also talks about the impact that her mental illness has had on her life: she’s studying for a degree at home because that’s the path most conducive to her mental health and that’s something she’s proud of because she’s still working to achieve the things she wants to achieve, even if she has to go about it in a less than traditional way.
“I really am working on structuring my life now; like how some people structure healthy eating in their lives and they think about what they’re gonna eat in their diet, I think about myself emotionally and giving myself time and all these kind of weird emotional things that I have to think about, like that. But yeah, having my diagnosis was a huge weight off my shoulders because it feels real and you feel very validated… And like I said, some people don’t like a diagnosis and that’s fine. That’s up to them but for me, it felt validating and I’m not ashamed of it. At all.”
Many of the things I’ve talked about personally are very much inline with Quiet BPD, a less well known presentation of the disorder – sometimes people don’t initially believe me when I say I have BPD because I don’t fit neatly into the classic presentation. I read about it before my diagnosis and after investigating it with my psychiatrist, it’s always been accepted that this is the form that my BPD takes. I really want to write a longer, more personal piece on BPD and on my experience of Quiet BPD but I just haven’t got the time at the moment, being in the home stretch of my Masters. It’s also something that I feel is so important to get right and I just haven’t felt like I’ve been in the right space to do it justice. But these days I do feel more confident in my experience and, maybe when the stress of the Masters is over, I’ll feel able to write that post.
Category: about me, anxiety, bpd, depression, diagnosis, emotions, favourites, identity, mental health, quotes, response, self harm, suicide, therapy, video Tagged: actuallyborderline, actuallybpd, borderline personality disorder, borderline personality disorder awareness month, bpd, bpd awareness month, claudia boleyn, emotionally unstable personality disorder, living with bpd, quiet borderline, quiet bpd, youtube video
Posted on April 20, 2019
EDIT: Since writing this post, I’ve learned a lot about the language around mental health and I no longer think that the word ‘obsession’ is necessarily a helpful one. I think something like ‘subject of intense interest’ or ‘specialised interest,’ not dissimilar to language used when describing ‘special interests’ in Autism. Having said that, I’m reluctant to change the language in this post because it’s the language that Claudia uses and because I think it’s potentially important to leave the post in its original form. Also, the negative connotations of the word ‘obsession’ are potentially relevant in the context of BPD as it’s a condition that can have unhealthy (a word often linked to obsession) and damaging behaviours for both the person living with it and the people who surround them (and I say this as someone who struggles with BPD).
I’ve written about Claudia Boleyn’s videos before but this is another great one that I think really clearly explains something that happens with Borderline Personality Disorder (also becoming known as Emotional Intensity Disorder) and various other mental health problems. I really recommend watching it.
In this video, Claudia talks about how, when you’re struggling with your mental health, you can develop obsessions with certain things, particularly fandom related things: fictional characters, books, TV shows, etc. These special interests can overlap with autistic special interests but they can also come about as a coping mechanism; they can become an escape from the difficulties of the real world.
She talks about how she can categorise her life by her obsessions, including Emmerdale and Anne Boleyn and certain areas of art history. She talks in particular about her obsession with Anne Boleyn, how it strengthens her and gets her through the really tough times. She even uses Boleyn as a surname: “I use it to exist in the world.” She talks about how she uses this obsession and others to understand herself. All of this makes those obsessions really special and important. I can definitely relate to this. My life can be divided up by my obsessions: animals but particularly horses – I obsessively read the Animal Ark and Saddle Club book series – Harry Potter, crime dramas, Taylor Swift, certain youtubers, anything superhero related…
“My identity and my life is sort of filled up with the stories of other people rather than stories of my own.”
With BPD, there’s the extra layer of struggling with your identity and your sense of self. Claudia talks about how she would go to school dressed as her favourite characters and how a teacher once asked her, ‘When will you come to school dressed as yourself?’ But that’s really hard when you don’t know who you are. I’ve always found it very easy to lose myself in fandoms or characters because I don’t know who I am to begin with and I’ve had a couple of experiences where I’ve done things I didn’t actually want to do because I thought that’s what a character would do, i.e. what I should do to embody those good characteristics.
“I’ve never felt like I have a proper identity in myself so I’ve sort of constructed one in a way based on what I admire and what I want to be and what will make me as good a person as I can be and what will make me contribute to the world but it’s really tough.”
It can be a good, helpful strategy – until it starts to dictate your emotional state.
“I think this isn’t spoken about enough with BPD, especially because we can struggle with identity and who we are and what sort of people we are. I think we often construct ourselves based around fiction and around those characters we admire and I think it matters a lot to us. It feels like it becomes a part of our identity in a way, so when it goes wrong, it feels like we’re falling apart. Yeah, it’s difficult.”
Another problem in BPD is that of regulating your emotions. Small things – day to day things – can have massive impacts on your mood. It can be exhausting and stressful to go through such ups and downs and it’s constant; there’s a lot of fear and uncertainty involved. So escaping into an obsession or fandom can be helpful and soothing but then, when something goes wrong in or around that fandom, for example, it can cause really negative emotions because your escape, your safe place, has been threatened. It might seem extreme from the outside but it’s very real and personal if you’re going through it.
I really relate to this video and I’m really grateful to Claudia for putting it out into the world. We need to talk about all parts of living with mental health, not just the relatively straightforward ones.
Category: emotions, favourites, identity, mental health, quotes, video Tagged: actuallybpd, borderline, borderline personality disorder, bpd, claudia boleyn, coping mechanism, eid, emotional intensity disorder, emotional regulation disorder, emotionally unstable personality disorder, obsessions, special interests, youtube, youtube video, youtuber
Posted on March 16, 2019
I haven’t written much about my diagnosis of Borderline Personality Disorder, even though it’s a diagnosis that means a lot to me. It was hard fought: when my psychiatrist didn’t believe me, I presented him with all the research I could find to prove to him that it was at least worth considering. He both apologised and admitted that he was wrong, and it wasn’t long before he bestowed the diagnosis upon me. It was confirmed later that year when I got my Autism diagnosis.
The name Borderline Personality Disorder is not a clear one. People assume that there’s something wrong with your personality or that you only just have a personality disorder. Both of these assumptions are incorrect. The word ‘personality’ in personality disorder refers to the patterns of thoughts, feelings, and behaviours that are individual to each of us and the word ‘borderline’ relates back to early uses of the label, when it was thought to be a condition ‘on the borderline’ between neurosis and psychosis. Even though that has since been disproven, the name hasn’t changed although that is a popular idea. Suggestions include ‘Emotional Intensity Disorder’ and ‘Emotional Regulation Disorder.’
The symptoms include:
I related to a lot of this: the intense emotions, the fear of abandonment, the shifting sense of self. But on the other hand I’m too anxious to be impulsive or get angry with someone. There were enough connections to keep investigating though and that’s when I discovered the quiet presentation of BPD. Where the classic presentation lashes outward, quiet borderlines internalise, blaming or harming themselves. Their fear of abandonment can make them people pleasers and they struggle with feelings of isolation and loneliness, at a higher risk of depression than the classic borderlines. This discovery changed everything; I related to almost every experience I read and that gave me the confidence to pursue it as a diagnosis.
Despite the considerable stigma around BPD, I’ve had a really good relationship with my diagnosis. After so much anxiety and uncertainty, it was empowering to have a name for my struggles and it allowed me to get the support I needed. I’m aware of how lucky I am to have found the right people but that wouldn’t have been possible without the diagnosis.
Having said all of this, my diagnosis has been causing me a lot of anxiety of late. At the end of a session, my psychiatrist made what was probably, to him, an offhand comment about my collective diagnoses, that I might not need the BPD label anymore. I was too overwhelmed by a torrent of emotion to respond before the session was over – even a short session can take me days to process – but then the anxiety began to sink in. The idea of losing it – this necessary, hard fought piece of my identity – was terrifying. Is terrifying. This label explains a big part of my daily struggles and revoking it would be so invalidating, like saying that it isn’t happening, like my difficulties aren’t significant enough to even earn themselves a name. That thought of that happening is devastating.
The symptoms still feel very present to me. I feel things so intensely; they’re like physical forces acting on me. If I’m happy, sunlight is bursting out of me; if I’m sad, my ribcage is collapsing and I can barely breathe for the pain; if I’m angry, I feel like it’s strong enough to bring down buildings. They crash over me like waves and I’m overwhelmed by this panic to get back to the surface. It’s very stressful. I read somewhere that people with BPD are constantly in crisis and I definitely relate to that. Every emotion flares with life or death situation strength and it happens over and over again. They can swing so violently that it makes me physically sick and it can feel like there’s no solid ground to stand on. It’s exhausting. I also feel the emotions of other people, particularly sadness or pain, and it can take hours or days to recover from them.
“Borderline individuals are the psychological equivalent of third-degree-burn patients. They simply have, so to speak, no emotional skin. Even the slightest touch or movement can create immense suffering.” – Marsha Linehan
“One of the biggest things about self harm is the release you get from doing it. My emotions get so strong sometimes that I feel like there isn’t space for anything else in my body, in my brain. There isn’t the space for my lungs to expand; I can’t breathe. It almost feels like the emotion is crushing me and the only way to survive is to open up my skin so that it can escape. It’s like a pressure valve. Once I’ve done it, I feel like everything stabilises and I can think more clearly. If there’s a problem, I can deal with it and if there isn’t and it’s just an overload of emotion, I can take care of myself a little better than I could if I hadn’t.” (x)
Another example of overwhelming emotions…
The fear of abandonment is ever-present, willing or unwilling. The thought of it causes me to spiral into panic so intense that I’m unable to function. Indefinitely. I’m always running, running away from this black hole that’s trying to pull me in. Past abandonments have left me unable to talk or eat or do anything for weeks and it’s taken years to recover from them fully.
I struggle with a deep feeling of emptiness and I sometimes feel like my soul is empty, which feeds into the feeling of having no idea who I am. I feel like I have no real sense of self that’s mine: who I am seems to change according to who I’m with. I take on the traits of others, becoming loud and joke-y with one person and quiet and introspective with another. I don’t know what is actually me. I know small things, like ‘I like flowers with symmetrical petals’ and ‘comedies make me strangely sad’ but I don’t know the big things, like whether I’m a good person or a reliable person or an extraordinary person. If anything, I feel like a child, like I’m stuck as a child while all my friends turn into adults. I can’t cope on my own or look after myself reliably. I feel so intensely sensitive, like I’m too vulnerable for the world I live in and I get too overwhelmed to function properly.
To take this diagnosis away would be to say that this is normal, that I have to just live with it, regardless of the pain it causes me. To take this diagnosis away is to say that I don’t need support and that I should just ‘get on with it.’ That is so invalidating and so upsetting that just writing it brings tears to my eyes. That is why this diagnosis is so important to me and why taking it away would be so traumatic.
All of this is very scary to put out into the world but I feel like the only way to make progress and move forward is to put it all out there and be honest. It’s almost painful, like removing armour that I’ve been wearing so long that it’s fused to my skin and I’m peeling it off with my fingernails. But it feels like the right move. Maybe, in doing this, I’ll start to see change.
“People with BPD are doing the best they can, and they still have to change.” – Marsha Linehan
Category: about me, anxiety, depression, emotions, identity, mental health, quotes, self harm Tagged: actuallyborderline, actuallybpd, borderline, borderline personality disorder, bpd, emotional intensity disorder, emotional regulation disorder, emotionally unstable personality disorder, eupd
Hi! I’m Lauren Alex Hooper. Welcome to my little blog! I write about living with Autism Spectrum Disorder, as well as several mental health issues. I’m a singersongwriter (and currently studying for a Masters in songwriting) so I’ll probably write a bit about that too.
My first single, ‘Invisible,’ is now available on iTunes and Spotify, with all proceeds going to Young Minds.
I’m currently releasing my first EP, Honest, track by track and all five songs are now available on all major music platforms. However, there’s still more content to come…