The 9 Criteria for Borderline Personality Disorder explained as experienced by me in an “internal” sense. A lot of these do not apply to me anymore due to my hard work with recovery but I sometimes struggle with a couple of them.
- Frantic efforts to avoid real or imagined abandonment. (Note: Do not include suicidal or self-injuring behavior covered in Criterion 5)
Sometimes I would have frantic thoughts about how I’m going to handle, manipulate and control certain situations that have not happened yet. During an episode, I can but not very often get myself very worked up with facts and detailed research about situations in reaction to something that has not happened, causing myself to get extremely upset.
- A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
The love-hate relationships, oh yes! I can feel the intensity inside me just thinking about it; feeling so loved, extremely happy and cared about to suddenly feeling forgotten, neglected, or disappointed. I’m feeling that way right now and I’m not even in a relationship. This can happen for me with coworkers or friends, even family members. Usually I don’t say anything because I’m aware that it’s not necessarily something that others are doing, it’s just how I’m feeling or it’s just a part of the disorder. In my past relationships before I was diagnosed, the intensity was bad. The break downs over nothing, really. Just because they wouldn’t return a text message or they were dealing with something and I felt neglected, it all turned into… “I hate you” I never want to see you again to – Wait, don’t leave me, I need you, desperately. That happened far more than I care to admit.
- Identity disturbance: markedly and persistently unstable self-image or sense of self.
I was always chameleon like. I adapted and identified myself with whoever I was around or associating with. I never had a personality or a sense of who KAYLA was. If I was asked what I liked, I would tell them something they would want to hear or something someone else I was hanging out with, liked. If I liked what my friends liked then I wouldn’t feel alone or different and we would all get along better. I was easily convinced that others ideas and thoughts were always right and I was always wrong. The idea of thinking for myself or working on my own personality was terrifying. I was a follower, I needed decisions and ideas and thoughts to be made up for me. I was scared of being me, scared of being different. I had no sense of self, or what I liked. NOW, I can’t tell you how much I love being different. At 27 years old, I finally came into my own. I finally figuring out what I like and don’t like. I discovered a huge sense of self and it is the most liberating feeling. BE YOU!
- Impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sex, eating disorders, binge eating, substance abuse, reckless driving). Note: Do not include suicidal or self-injuring behavior covered in Criterion 5
Promiscuous sex, alcohol and spending money. If I didn’t feel loved by someone, I cheated or slept with someone just to feel something, anything. There wasn’t even any real connection with the person, I just wanted to feel wanted during times that I was feeling so empty and alone. I truly thought that my worth was defined by someone loving or not loving me. I would drink often, almost every night just to not have to deal with my problems. I would spend money that I didn’t have like nobody’s business, put myself in extreme amount of debt and lost a lot of valuable things around me just because shopping was what I thought, therapeutic. NOW – I will never put myself in these situations ever again. Maybe its maturity or recovery but I’m entirely grossed out by the thought of informal sex or drinking myself to sleep to not deal with my problems. If I feel empty or alone, I embrace it and sleep it off or I will surround myself with friends. If I’m dealing with an issue or problem in life, I will face it head on and not drink at all until things are resolved. I still struggle with spending, but I’ve come a long way.
- Recurrent suicidal behavior, gestures, threats or self-injuring behavior such as cutting, interfering with the healing of scars (excoriation) or picking at oneself.
I have never self-harmed or tried to commit suicide. I have had thoughts of not wanting to live anymore because life became too painful. Yes, I’ve thought about ways I could end my life but never attempted them. If I didn’t have my two beautiful children, things probably would have been different. They are my life and I can’t and won’t walk away from them. They are the reason I get out of bed every day.
- Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days).
I’m not sure if people can accurately see how intense my mood is and how quick it changes. Some say they can but often times I try to keep it to myself unless I see it affecting somebody else. I get irritable and depressed a lot. I used to have intense anger but I’ve come a long way with it. My mood swings or episodes can last from a couple hours to a couple days depending on the trigger. Self-awareness and realization is most important, once I realize I’m having an episode it is so much easier for me to control my actions. Sometimes it takes a stupid reaction to something to realize I’m not doing okay but luckily with a lot of work I can catch it before I react. My episodes happened more often a couple years ago than they do now, In part due to medication and better understanding of the illness. If I miss one day of my meds, I will be in a dark place within 24 hours and it’s tough to get out of because I blame myself for causing it, albeit unintentionally.
- Chronic feelings of emptiness.
YUP! Sometimes I feel so empty I can’t feel emotions. I can’t cry, I can’t feel anger, or sadness, I can’t feel sympathetic towards others, I’m not happy or unhappy, I just simply don’t feel a damn thing. I walk around like a robot. This one rarely ever happens for me but when it does, it can be bad. I have nothing inside me to give or care. I have no filter or motivation to care about anyone including myself. I feel useless and helpless. Empty.
- Inappropriate anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
Oh boy. I can’t explain how many things I’ve thrown and broken because my anger was so out of control. The name calling, and berating. I had and sometimes still do have a short fuse. I grew up watching it and living with it so I became it. I didn’t know how to control it or work on it. Now with therapy, I can’t remember the last time I reacted on anger, maybe 2 years ago? I still get angry, that’s an emotion we can get rid of, but I can control it much better than ever before. My kids used to see me get so angry and yell. Yelling solves nothing. Now if my kids are around, I will explain to them that for whatever reason, mommy is feeling angry so she is going to put her headphones in for a few minutes to calm down. They see me reacting to anger in a positive way rather than by me yelling, screaming and throwing things. I don’t want my kids to turn out that way, I don’t want them to see what I saw growing up and because of recovery – they won’t anymore.
- Transient, stress-related paranoid ideation, delusions or severe dissociative symptoms.
I dissociate in my nightmares at night over traumatic experiences in my childhood but nothing severe or in the middle of the day. I’ve never been paranoid or had delusions.