Borderline and silent borderline?

Hi guys, I'm 17 and have the following diagnoses:

  • Moderate depression
  • PTSD

In the meantime, many other abnormalities have arisen that have existed for years and are currently causing me extreme stress because I have been consciously thinking about them.

These include:

  • Fear of loss/fear of commitment
  • Impulsivity or extreme uncontrolled outbursts of anger
  • self-harming behavior/suicidal thoughts
  • Threats of suicide/self-harm during arguments
  • Negative self-image of myself, which is also fluctuating
  • Thinking in black and white
  • Empty feeling
  • I often change my view of my goals and my future
  • I have an incredible fear of being alone (which manifests itself in extreme panic attacks), but I still can't be with people for long periods of time.
  • You can tell that I want help because I'm literally screaming for it (suicidal thoughts, etc.), but as soon as I get it, I push the help away, but I don't understand why.
  • I often have dissociations for no reason.

Yesterday I went to see my therapist and we talked through all of this and she said that a lot of it definitely falls under borderline, but if I did have it, she thinks I'm not the typical borderliner.

She then also had a book in her hand in which she said that there are two types of borderline personality disorder, the impulsive one and the other I can't remember now, and then she asked me questions that I had to answer with "true or false".
Everything was right with the impulsive guy, and I think everything was right with the other guy too, except for one thing.

She is of the opinion that despite the experiences I have had to go through in my life so far, I seem relatively “healthy” and that these symptoms could have other causes and it could simply be this PTSD or borderline personality disorder or both.

She said that I wasn't the typical borderline personality disorder because they tend not to engage in therapy, and I am actually engaging in therapy, and her reason for that was that I am very reflective.

My problem is: I'm willing to go to therapy, get help, etc., but as soon as it comes to help with my suicidal thoughts, I tend to refuse, even though I kind of want the help.

Now someone told me that there is also the silent borderline and that I could fall into that category, but how does silent borderline manifest itself and would my situation really be the case?

Does anyone have any knowledge of this and could help me? I'm already in therapy and also seeing a psychologist who diagnoses, and I plan to talk to her about it soon so she can give me a diagnosis if there really is something wrong.

Thanks for your answers 🙂

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JoeMamaGF
9 months ago

Hey,

So you mean there is Emotionally Unstable Personality Disorder, and this is divided into two types, the Impulsive Type and the Borderline Type.

So there are not two types of borderline personality disorder but of emotionally unstable personality disorder, borderline personality disorder is one type of it.

So there are several subtypes of borderline:

  • Discouraged: Fears of abandonment, neediness, emotional mood swings
  • Impulsive borderline personality disorder: binge eating, risky and aggressive behavior
  • Petulant Borderliner: unpredictable mood swings, passive aggressiveness and the need to be in control
  • Self-destructive borderliner: Participation in self-harming and abusive behavior

And the discouraged person is often seen as the silent borderliner. A distinction is often made between the silent borderliner and the person who often turns everything inward.

  • You don't notice their mood swings
  • You don't see if they split (switch between love and hate)
  • They direct their anger at themselves rather than at others

Borderliners are certainly more likely to engage in therapy, but the therapy is certainly disrupted due to the symptoms; people with a narcissistic personality disorder often do not engage in therapy.

Diagnosing a personality disorder often requires a very long diagnostic process; there are tests that are very long and contain many questions.

And since you're only 17, the diagnosis is even more difficult, since personality disorders aren't diagnosed until after 18 anyway. More and more psychiatrists and others are also increasingly of the opinion that personality disorders like borderline personality disorder shouldn't be diagnosed before the age of 25. That's why I'm cautious at 17.

And yes, the symptoms you described above could sound like borderline personality disorder, but as she says, thorough diagnostics are important.

For example, your symptoms may also be due to the following:

  • self-harming behavior/suicidal thoughts: depression/PTSD
  • Black and white thinking: depression
  • Empty feeling: depression
  • I often have dissociations for no reason: PTSD, with PTSD dissociations occur
  • Self-harm during arguments: Depression/PTSD

But of course, as your therapist says, symptoms also point to BPD:

  1. Fear of loss/fear of commitment: can also be caused by PTSD or depression
  2. Impulsivity or extreme uncontrolled outbursts of anger: here too but also depression and PTSD
  3. Self-harming behavior/suicidal thoughts: also in the other
  4. Threats of suicide/self-harm during arguments: The threats of suicide indicate this. However, they can also be found in people without BPD.
  5. Negative self-image of myself, which is also fluctuating
  6. Empty feeling: can be three in all
  7. I often change my perspective on my goals and my future: with BPS, this also falls under point 5.
  8. I have an incredible fear of being alone (which manifests itself in extreme panic attacks), but I cannot be with people for long periods of time: this could also be caused by the others, but also by the BPS
  9. I often have dissociations without reason: in BPD, the severe dissociative symptoms occur under stress, in addition, in BPD there is also a mini-psychosis

But I would first listen to your therapist, she has studied it and has the knowledge.

But you can also have all three, which is called "comorbidity" diseases that often occur together, in BPD it is usually:

  • PTSD
  • depression
  • Anxiety disorders
  • Bipolar disorder
  • ADHD

Feel free to ask me more so I can add more.

I have my knowledge because I have diagnoses and have spent a lot of time researching them. My diagnoses: Combined Personality Disorder with Accentuation (I have several: Borderline Personality Disorder, Anxious-Avoidant Personality Disorder, Dependent Personality Disorder, Subclinical Narcissistic Personality Disorder). I also have severe depression, CPTSD, ADHD, and generalized anxiety disorder.

But it was a long road to get there, misdiagnosis of schizophrenia is something else.

LG