Borderline seems like a different syndrome than Social Anxiety disorder. Some people may have both but not all

November 27th, 2009

John M asked:


Borderline seems like a different syndrome than Social Anxiety disorder. Some people may have both but not all… Can anyone else elaborate on the differences?

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2 Comments

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    do you mean borderline personality disorder?? it has nothing to do with social anxiety disorder. so im sorry, i guess i don’t understand your question.

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    They are completely different disorders although anxiety is a feature of both.

    BPD:
    * Self-harm (for example, cutting yourself) or repeated attempts or expressions of the desire to commit *******. This behaviour can only be counted as one of the criteria for diagnosis; it can’t be counted again as demonstrating any of the other symptoms. (See Mind’s booklet Understanding self-harm)
    * Frantic efforts to avoid being alone, due to an intense fear of being abandoned. Others may not see this fear as justified, but you may go to great lengths to avoid being alone. For example, you may say that you will harm someone if they leave.
    * A pattern of unstable and intense relationships. Feelings often alternating between idolising the other person and then thinking they are really awful.
    * A very uncertain, shaky self-image or sense of self. You may feel good whilst you feel loved by someone you think is wonderful. If you later see them as bad, your own sense of self could be affected. You may also have doubts about your sexual identity.
    * Two or more areas of your life where your behaviour could cause you harm and be seen as impulsive. Examples would be: spending money extravagantly and having huge debts, having unprotected sex, abusing drugs or alcohol, driving without due care, or binge-eating. (See Mind’s booklet Understanding eating distress.) You may do these things because you’re trying to deal with awful feelings of pain or emptiness.
    * You may have moods that are very difficult to come out of. For example, you may go through long periods (usually lasting a few hours) of extreme irritability, restlessness, unhappiness or anxiety.
    * Terrible feelings of emptiness.
    * Anger that’s inappropriate, intense or difficult to control. You may lose your temper a great deal, experience constant anger or be involved in physical fights. You may feel particularly angry when you think you’re being criticised. Anger is often a very difficult feeling for people to acknowledge and deal with, but may cause particular problems in the life of someone diagnosed with BPD. (See How to deal with anger.)
    *

    Periods of paranoia or feeling unreal when under stress. This might be accompanied by an almost complete lack of physical sensation. At difficult times, you may experience yourself as having more than one personality or feel you are in a trance-like state.

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