See Inside July / August 2010

When Passion Is the Enemy

People with borderline personality disorder endure emotional extremes that can rip apart their lives

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.

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