4 Types of Borderline Personality Disorder

In this video, MedCircle host, Kyle Kittleson, and Clinical Psychologist & BPD expert Dr. Ramani Durvasula discuss how to spot the four types of Borderline Personality Disorder, also known as, BPD. Not every BPD diagnosis looks the same. They also discuss whether the types of treatment differ for each type of BPD.

#BorderlinePersonalityDisorder #MentalHealth #MedCircle #mentalhealthawareness #mentalhealthmatters #mentalhealthsupport #bpd

[Rinne_is_real]

What sucks about the high functioning type is when you're no longer performing well at the job, you feel like you're worth nothing and useless.

[sarahjane]

Being labeled isn’t always a good thing, but for me ? I felt so validated when I was diagnosed with BPD. I struggled as a kid and I was told by my parents that it’s ‘all in my head’. Watching this video once again made me feel validated

[greysonlevi]

I dated a woman who was diagnosed with BPD and it was hard for me definitely but watching these videos helped me TRULY understand how tough and constantly uncomfortable it was for her. She was the angry subtype. Violent as well as depressive. She tried to kill herself in my apartment and would have succeeded if I hadn’t forgotten my wallet when she sent me to the store. I’m glad she’s still alive and glad she is getting the help that she needs and that videos like this exist so that she can get a sense of not being alone.

[mousseknuckle]

I was diagnosed with quiet BPD a number of years ago and my psychiatrist described me as an orchid that needs a specific environment in which to bloom. So validating after years of being diagnosed with a bunch of stuff but still felt like there was more going on. Luckily I was able to have ongoing access to a great therapist and DBT therapy and am pretty much a whole new and more evolved person even though I still have daily struggles.

[nettle]

Speaking from personal experience, I think every individual with BPD will be able to see themselves as more than one type (perhaps all four) in different situations and circumstances.

[Wednesday]

I love how he let's her actually TALK and finish her thoughts fully. He waits for her to finish speaking, then poses another question. An amazing interviewer.

[KnightsGloryy]

I was diagnosed with BPD when I was 27. Im currently 33. Although I've dealt with it since I was 16-17. Im definitely the Quiet BPD minus having a high functioning job. I've always worked "Dead end" jobs that are very hard to mess up from how simple they are because failure etc give me mental breakdowns. Higher functioning jobs cause me too much stress as well. It also makes it hard to date, maintain friendships, as you all well know. BPD literally takes your life away from you. Its going to be a life long battle. Keep holding your ground.

[steceymorgan]

Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.

[mafiawaffle]

What exhausting for me, is when my favorite person seems like they're drifting away. It makes me feel isolated, and I can't see anyone else's affection no matter what.

[rannivvitch]

1) quiet bpd
2) petulant 7:40
3) angry/impulsive 12:24
4) depressive/internalized 16:11

[sevenMOons]

Growing up I thought I was cursed. I believed that I could only ever make friends for 3 or 4 months before they’d abandon me. I didn’t realize I feared abandonment until I was diagnosed with this disorder. It was a huge relief that it wasn’t some curse, but something that can be managed!! Thank you Dr. Ramani for your most valuable information. You’re one of my greatest heroes!

[rebeccadumontel]

My mom was diagnosed bipolar 20 years ago, has been in therapy since then and none of the medications have worked. I was reading more about BPD and realized she checked every. Single. Box. She was misdiagnosed and now she can finally get the right treatment. I’m so excited to see her progress, because I know she’s a wonderful person. She just needs some help.

[christyschellenberger]

Until i lash out I feel like it's all trapped in my head. I'm so scared to talk about my mental space because of my fear of rejection and I literally will lie to therapists because I'm so ashamed of it. I just feel like I'll forever be in this constant cycle of needing to vent and wanting help but it all being trapped in my head.

[valpurgija]

Everytime I mention to therapist that I think I have BPD they almost laugh and tell me I don't because they expect somebody loud and childish rather than the quiet type that I am

[s]

I resonate completely with the quiet/ discouraged BPD. Emptiness, lack of identity, inherent distrust of people, emotional disregulation, shame, guilt, rare moments of visceral rage, rapid devaluation upon perceived rejection or disregard, total dread of abandonment &/ rejection. Paranoia that people don’t care &/ don’t truly know me.

Mine presents as isolating rather than as extroverted and promiscuous. I fear relationships and often self-sabotage before anything even progresses. I’m an obsessive, cyclical over-thinker and not at all impulsive; if anything I really struggle to act on desires because I’m so extremely ambivalent in self-perception, perceiving my relationship to others, and wary of others perceptions of me, which I almost always feel negatively.

Whereas most BPD act out and explode, I’m at war within myself and often feel like imploding, and/or cut adrift from the world. But the thought processes are extremely resonant: BPD needs to formally be recognised in its varying presentations.

[missyyy-]

I’m curious if you’ve ever seen one BPD patient present with multiple subtypes at various stages of life. That seems to be what I’ve experienced. I struggled with rage for many years in my teens and 20’s. I suffered with suicidal ideation during the same times. I now present more like type 1 or 4 (quiet, internalizing, high functioning) but feel I could easily be triggered back to either of the other two depending on the circumstances. And I’ve avoided psychotherapy like the plague for years now because every time I’ve attempted treatment again, I receive a new diagnosis & a new recommended medication (my most recent attempt at this last year resulted in a bipolar diagnosis and an attempt to put me on SSRI’s after a single 45 min session). How is this not irresponsible to diagnose someone and put them on meds with barely scratching the surface and not considering any diagnostic testing? It baffles me.

[christinaoneill]

I was diagnosed borderline today.. this is the first video I’m watching about it and I’m sitting here sobbing 4 minutes in. I’ve felt so crazy for so long and to know that I’m not alone and this is a really thing.. very very relieving.

[promhall]

I cried when she started talking about quiet borderline...then she started talking about the 4th type, and i had to catch my breathe.
Im gonna go get a therapist tomorrow. gotta end the cycle

[moriahgilbert]

When I was first diagnosed at 15, I was experiencing all 4 of these "subtypes" at the same time. Through DBT and a lot of work on myself, I seem to have split them into 4 separate moods. I was type 3 from age 17 to 20, while I was in active addiction as well. Then when I got sober, I think I was more type 1 from 20 to 23. I then developed a chronic illness that has landed me in type 4. I'm still there at 28. I can occasionally fall into a type 2 every now and then. It's pretty rare, but it does happen. Just had a minor outburst for the first time in 4 years. It kinda bothers me how she broke it up into different types, and then didn't even address the possibility of experiencing 2 or more at once.

But I also feel like my case is very mild now. I consider it to be mostly in remission with some lingering traits. I look back at what I felt when I was diagnosed and I know that I am so much happier now, and my life goes much smoother. I don't react anymore, I am able to thoughtfully respond. I can regulate my emotions for the most part. Romantic relationships can still make me feel crazy sometimes, but I've made a lot of improvements. I've been single for 4 years by choice, which is a big deal. My BPD comes with a fear of being alone and codependency. So I am choosing to be alone so that I can work on those issues. I don't self harm anymore, I don't want to die every day anymore, and I work on improving my other self destructive/impulsive behaviors daily. I can still get suicidal ideation rarely, in times of great pain. But I know I don't want that and I'm able to snap myself back out of it relatively quickly. I guess I am sharing all of this to provide hope to those who will read this. Recovery is possible. I am living proof. When I was diagnosed, my mom literally thought I was possessed by a demon and had someone from our church come bless me. Now, that has become a joke in my family. Keep up the hope. Keep fighting for yourself. Keep trying. DBT and therapy saved my life. You can do this. Much love.

[a.k.]

I wish I could see her professionally.