Borderline Personality (BPD) Triggers: Examples and Coping – Verywell Health

Angelica Bottaro is a writer with expertise in many facets of health including chronic disease, Lyme disease, nutrition as medicine, and supplementation. 
Steven Gans, MD, is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.
Borderline personality disorder (BPD) is a mental health disorder that is characterized by ongoing patterns of changing moods, behaviors, and self-image. When a person has BPD, they often experience periods of intense feelings of anger, anxiety, or depression that can last for a few hours or a few days. The mood swings experienced by people with BPD can lead to issues with impulsive behavior and can contribute to relationship problems.
People with BPD have various triggers that can set their symptoms in motion. Common triggers include rejection or abandonment in relationships or the resurfacing of a memory of a traumatic childhood event.
Read on to find out more about the triggers that people with BPD must cope with.
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A trigger is an event or situation that brings on symptoms. They can be internal, like a thought or a memory, or external, like an argument in a relationship or losing a job. Triggers that can lead to intense symptoms in a person with BPD include the following:
Relationships are one of the most common triggers for people with BPD. People with the disorder tend to experience a higher than usual sensitivity to being abandoned by their loved ones. This leads to feelings of intense fear and anger.
In some cases, a person with BPD may self-harm, act impulsively, or attempt suicide if the relationship they are in makes them feel rejected, criticized, or as though they may be abandoned.
For example, people with BPD may jump to negative conclusions if they reach out to a friend and don’t hear back in a short span of time. When that happens, their thoughts spin out of control and they arrive at the conclusion that they have no friends and because of that, begin to experience intense emotions that may lead to self-harm.
Romantic relationships are not the only ones that can trigger a person with BPD to experience an episode. Their relationships with friends, family, and colleagues can also spark symptoms if they experience any sort of rejection, criticism, or threat of abandonment.
Childhood trauma can play a role in both the development of BPD as well as future triggers. Research has found that people with BPD have high rates of childhood abuse, such as emotional and physical neglect and sexual abuse.
When a person with BPD is reminded of a traumatic event, either in their own mind or through physical reminders such as seeing a certain person or place, their symptoms can become exacerbated (worsened) and their emotions intensified. 
Having BPD may cause a person to be extremely sensitive to any type of criticism. When someone with BPD is criticized, they don’t see it as an isolated incident but rather an attack on their character that paints an entire picture of rejection. When a person with BPD feels rejected, their symptoms can intensify and so can impulsive or self-harming behaviors.
Losing a job is a common trigger for people with BPD because it tends to bring up feelings of rejection and criticism. Since rejection and criticism are so largely triggering, any type of situation that makes them feel that way can worsen or bring on intense symptoms. 
Each person with the disorder is unique and experiences their symptoms in different ways. Some common signs symptoms are worsening in a person with BPD are:
When a person with BPD is having a flare-up of symptoms, they may engage in reckless or impulsive behaviors like substance use. Some research has shown that close to 80% of people with BPD develop a substance use disorder at some point in their lifetimes. People with both BPD and substance use disorder are more impulsive and engage in suicidal behavior more often than those who only have BPD.
Coping with BPD triggers can be difficult. The first step in being able to do so is by identifying what triggers you.
Because you may be triggered by something that another person with BPD is not triggered by, it can be hard to determine your personal triggers until you investigate which feelings, thoughts, events, and situations set off your symptoms.
Once you have done that, you can avoid your triggers and practice other coping skills such as:
There are several specialized evidence-based therapies found to be effective for helping people with BPD manage their disorder. They include:
There are several self-care techniques that you can adopt to help you cope and manage your disorder. They include:
While it can be difficult to just force yourself to stop feeling a certain way, you can practice patience and pause to collect yourself when you do feel an overwhelming rush of negative emotions. By taking a step back from the situation and taking a few deep breaths, you may be able to calm your mind and, thus, lessen the negative emotions that are trying to take over.
When someone you care about has BPD, it can be hard to know how to help them. That being said, there are things that you can do to support them with the ups and downs of their condition. They include:
If your loved one threatens suicide, call 911 immediately. It can also be helpful to recognize signs that your loved one is thinking about self-harming behaviors because they may not always voice them aloud. Suicidal actions or threats always warrant professional evaluation even if you may believe that there’s no real risk. 
People who cope with BPD often go through times of normalcy that are broken up by episodes. Everyone has unique triggers because each person is different, but one common theme among many people with BPD is the fear of rejection or abandonment.
To cope with the illness, it’s important to recognize triggers so that you can avoid them when possible. When symptoms do arise, seeking help or practicing self-care techniques may help you manage the symptoms and avoid overindulging in unhealthy behaviors.
Living with BPD is not easy. That being said, there are several effective treatment strategies that can help you cope with the disorder so that your symptoms aren't as damaging.
The best thing you can do for yourself is to seek out support from a professional so that treatment can begin. Although treatment isn’t linear, when you do begin addressing your disorder, you become closer to living a happy and healthy life.
Anger is one of the main emotions experienced in response to triggering events. These feelings of anger are intense in nature and can be hard to overcome.
Although people with BPD are often prescribed antidepressants, antipsychotics, and mood-stabilizing anticonvulsant medications, there is no medication formally approved for the treatment of BPD. Research has found that the most effective treatment is different therapies designed to help people with BPD recognize their emotions and react differently to negative thoughts and feelings.
Many people with BPD have a family history of childhood abuse or neglect. When memories of the events resurface, it can be quite triggering. Research has found that a family history of childhood abuse may also contribute to the development of BPD.
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Bungert M, Liebke L, Thome J, Haeussler K, Bohus M, Lis S. Rejection sensitivity and symptom severity in patients with borderline personality disorder: effects of childhood maltreatment and self-esteem. Borderline Personal Disord Emot Dysregul. 2015 Mar 20;2:4. doi:10.1186/s40479-015-0025-x
Miskewicz K, Fleeson W, Arnold EM, Law MK, Mneimne M, Furr RM. A Contingency-Oriented Approach to Understanding Borderline Personality Disorder: Situational Triggers and Symptoms. J Pers Disord. 2015 Aug;29(4):486-502. doi:10.1521/pedi.2015.29.4.486
Kulacaoglu F, Kose S. Borderline Personality Disorder (BPD): In the Midst of Vulnerability, Chaos, and Awe. Brain Sci. 2018 Nov 18;8(11):201. doi:10.3390/brainsci8110201
Biskin RS, Paris J. Diagnosing borderline personality disorder. CMAJ. 2012 Nov 6;184(16):1789-1794. doi:10.1503/cmaj.090618
Kienast T, Stoffers J, Bermpohl F, Lieb K. Borderline personality disorder and comorbid addiction: epidemiology and treatment. Dtsch Arztebl Int. 2014 Apr 18;111(16):280-286. doi:10.3238/arztebl.2014.0280
Choi-Kain LW, Finch EF, Masland SR, Jenkins JA, Unruh BT. What Works in the Treatment of Borderline Personality Disorder. Curr Behav Neurosci Rep. 2017;4(1):21-30. doi:10.1007/s40473-017-0103-z
Biskin RS. The Lifetime Course of Borderline Personality Disorder. Can J Psychiatry. 2015 Jul;60(7):303-308. doi:10.1177/070674371506000702
Ng FY, Bourke ME, Grenyer BF. Recovery from Borderline Personality Disorder: A Systematic Review of the Perspectives of Consumers, Clinicians, Family and Carers. PLoS One. 2016 Aug 9;11(8):e0160515. doi:10.1371/journal.pone.0160515
Goodman M, Tomas IA, Temes CM, Fitzmaurice GM, Aguirre BA, Zanarini MC. Suicide attempts and self-injurious behaviours in adolescent and adult patients with borderline personality disorder. Personal Ment Health. 2017 Aug;11(3):157-163. doi:10.1002/pmh.1375

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