- Borderline personality disorder (BPD), a disorder characterized by pervasive instability in mood, relationships and behavior, is more common among Americans than either bipolar disorder or schizophrenia.
- BPD patients are not deliberate attention seekers. Instead recent studies reveal that their behavior stems from an unusual sensitivity to subtle facial expressions and extreme difficulty controlling their emotions.
- Psychotherapy for BPD is now enabling patients to overcome an illness that has long been viewed as a life sentence.
Four years ago Amanda Wang, then 27 years old, was at a rehearsal dinner for a close friend. At the start of the evening, she felt content, eager to enjoy the wedding festivities. But shortly after she sat down to dinner, she was struck by “a tidal wave” of negative emotions. Her mind began to race with disturbing thoughts about her own marriage, which was unstable, and feelings of self-loathing. Suddenly, Wang says, it was as if someone had draped a heavy cloth over her, suffocating her and cutting her off from the conversation. Overcome by anxiety and dread, she excused herself from the dinner table and escaped to the bathroom. Desperate to dull her feelings, she removed her belt, tied it around her neck and pulled it tight to stop herself from breathing. She performed this act several times, until the pain offered her some relief from her emotions. After about 10 minutes, she returned to the table, feeling much better.
At the time, Wang felt she was the only person in the world who battled such extreme mood swings—being content one moment and nearly suicidal the next—and who harmed herself to cope with them. “Self-harm was one of the things that I did to myself to stop feeling crazy, to stop all the arguments in my head, the edginess and anxiety,” she says.
This article was originally published with the title When Passion Is the Enemy.