To diagnose, there are no lab tests or imagining tests but more of a series of questions like an interview. However when diagnosing BPD the biggest flags can be…
By Angelica S.

- Frantic efforts to avoid real or imagined abandonment.
- A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
- Identity disturbance: markedly and persistently unstable self-image or sense of self.
- Impulsivity in at least 2 areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating).
- Recurrent suicidal behaviour, gestures or threats, or self-mutilating behaviour.
- 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).
- Chronic feelings of emptiness.
- Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
- Transient, stress-related paranoid ideation or severe dissociative symptoms.

Feeling Angry, frustrated, or restless?
Things to try:
- rip up a newspaper,
- hit a pillow,
- throw ice cubes into the bath so they smash,
- do some vigorous exercise,
- listen to loud music,
- do a practical activity like gardening or woodwork.

Maybe sad, lonely, or depressed?
- wrap up in a blanket and watch your favorite TV show
- write all your negative feelings on a piece of paper and tear it up
- listen to a song or piece of music you find uplifting
- write a comforting letter to the part of yourself that is feeling sad or alone
- cuddle a pet or a soft toy.

Or… anxious, panicked or tense?
- make yourself a hot drink and drink it slowly, noticing the taste and smell, the shape of the mug and its weight in your hand
- take ten deep breaths, counting each one out loud— Checking out yoga is also a great idea!!!
- write down everything you can think of about where you are right now, such as the time, date, colour of the walls and the furniture in the room
- take a warm bath or shower – this can help change your mood by creating a soothing atmosphere and a distracting physical sensation.

There is also disassociating or spacing out
- chew a piece of ginger or chili (as long as you’re not allergic)
- Clap your hands and notice the stinging sensation
- Drink a glass of ice-cold water

And even wanting to self harm
- rub ice over where you want to hurt yourself
- stick sellotape or a plaster on your skin and peel it off
- take a cold bath.
- Drawing on yourself is another idea. Trying to get creative and taking out that sadness or desperation to feel something into something cute or beautiful might work.

- Fear of abandonment. Unstable relationships. Unclear or shifting self-image. Impulsive, self-destructive behaviors. Self-harm. Extreme emotional swings. Chronic feelings of emptiness. Explosive anger. Feeling suspicious or out of touch with reality.
- Minimizing stress and the amount of work one has to do is also another way of taking care of yourself when it comes to BPD
- A lot of recommendations have been involved with sound and relaxation techniques.
- Trying a sound machine might be helpful (one can get it on amazon or target)
- YOGA!

Try to understand it’s not easy
Being there for others who have BPD
- Relationships can affect a person with BPD’s self-image, behavior and ability to function to a whole new level
- The possibility of facing separation or rejection can lead to self-destructive behaviors, self-harm or suicidal thinking.
- A person with BPD going into a new relationship may demand for constant attention, love and care but that’s because they need it
- People with BPD are at the highest risk for suicide along with anorexia nervosa, depression and bipolar disorder
- There is no “cure” however psychotherapy, peer/ family support and medications can help.
- One who has BPD needs to take self care very seriously such as eating healthy, exercising as much as one is able to and avoid anything that can be addictive
- Drugs, alcohol and other temptations must be taken seriously and one should stay away
