The Underdiagnosed (and Misunderstood) Type of Borderline Personality Disorder

                Borderline Personality Disorder is a frequently overgeneralized condition.  Stereotypically, individuals with BPD are seen as impulsive and moody with outbursts of anger; however, while impulsivity and intense emotions are possible symptoms of BPD, they are not applicable to all.  There are 256 possible representations of BPD, and stereotyping individuals with the disorder marginalizes those who exhibit these “stereotypical” symptoms.  It also further silences those who do not present in a way that is seen as “typical” of BPD. 

                There are four types of Borderline Personality Disorder: Discouraged, Impulsive, Petulant, and Self-Destructive.  I am a survivor of the underdiagnosed and often misunderstood Discouraged (or quiet) Borderline Personality Disorder.  My struggle with this disorder has been deeply internal and invisible to those around me, including medical professionals.  Due to the invisible way that this disorder presents itself, I have been misdiagnosed and underdiagnosed for numerous years.  It has only been within the last few months of treatment that I have been able to fully explore and understand myself and how this disorder affects me. 

                My experience with Discouraged Borderline Personality Disorder is that I often have extreme emotions, but they are an internal experience.  On the outside, I present as though I am calm and collected.  Ever since I was a child, I have been criticized for being too sensitive when showing any emotion, and I learned to internalize my feelings.  It is because of this that instead of lashing out or expressing my intense emotions, I turn my attention towards myself, which leads to self-harm, self-punishment, and extreme self-criticism.  My self-punishment has contributed to my struggle with multiple eating disorders, as well as my unstable self-image and poor self-esteem.  Most days it feels like I am at war with myself because I am constantly fighting my emotions, my sensitivity to criticism, and my self-hating thoughts.  But on the outside, I present as a high achiever, I appear calm and confident, and when I experience strong emotions, I turn them towards myself so that I won’t be criticized for expressing them, which is something that I have learned throughout my childhood.  I also experience instability and intensity in my relationships with others because I struggle with idolizing and villainizing individuals on a moment to moment basis, particularly in romantic relationships. 

Upon being diagnosed with Discouraged (Quiet) Borderline Personality Disorder and undergoing Dialectical Behavior Therapy, I find that I am better able to identify when I am experiencing strong mood swings as well as villainizing and idolizing others, but I have also found that I will beat myself up when I experience these symptoms because I am afraid of hurting others and being criticized or rejected.  Living with Discouraged (Quiet) Borderline Personality Disorder is a daily, silent battle that I face, and it makes it harder knowing that those around me don’t see my struggle and that explaining it to them is near impossible.  As a social worker, I have experienced the stigma that surrounds BPD in the mental health field, and how often those who are seeking help for BPD are overlooked, misunderstood, and/or criticized.  My personal experience has informed my practice with individuals who struggle with BPD, but there is still so much that is misunderstood about this disorder, and the individuals it affects. 

Now, I’d like to play a game with you.  Imagine you have been diagnosed with Diabetes and are seeking treatment; however, when you seek out different doctors to try and find one who will treat you, you are met with professionals who either refuse to work with you based on the fact that you have Diabetes, or they assume that you have Type One Diabetes when you actually have Type Two Diabetes and overgeneralize your symptoms without considering your personal story or case.   

Now, let’s translate this story to someone who is seeking treatment for BPD in a field that often overgeneralizes and stigmatizes the disorder.  Imagine how triggering this criticism of BPD is for sufferers when a fear of rejection and criticism is one of the symptoms of BPD and amplifies this emotion of fear.  Finding help and understanding is so difficult when many professionals are not educated on the causes or types of BPD, and many adhere to the stereotypical, manipulative image that is present of individuals who struggle with the disorder.

If you struggle with BPD, I implore you to share your story and to educate others on your experience so that we can increase understanding and empathy.  If you don’t struggle with BPD, but also don’t know very much about it and/or work in the mental health field, then please do listen to the stories of those who struggle with BPD and increase your understanding.  It only takes one person to make a meaningful change…and the change of further understanding can save a life

Published by Ashley Nestler, MSW

Ashley Nestler, MSW is a survivor of Major Depressive Disorder, Quiet Borderline Personality, Bulimia Nervosa, and Complex Post Traumatic Stress Disorder. Ashley has dedicated her life to educating others on mental health and illness, as well as providing online resources for those who may experience barriers when seeking help for mental illness. She is also the author of "Beautiful Nightmare", "Into The Fog", and "Behind Broken Glass Walls". Her short stories and horror poems have been published in various anthologies. She is an educator on writing and loves to help authors through her book critiques and reviews.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

Create your website at WordPress.com
Get started
%d bloggers like this: