The general consensus on borderline personality disorder (BPD) is that it is a complex and challenging mental health condition characterized by difficulties in emotion regulation, unstable self-image, and problematic interpersonal relationships. It is essential to note that mental health professionals and researchers recognize that individuals with BPD are not solely defined by their diagnosis. They are unique individuals with a range of strengths, talents, and struggles.
It is common for people with BPD to experience intense and overwhelming emotions that can lead to impulsive behaviors, self-destructive actions, and turbulent relationships. They might struggle with feelings of emptiness, fear of abandonment, and have a pattern of unstable interpersonal relationships.
Regarding your question about awareness, individuals with BPD might be aware of the problems they face in managing their emotions and behaviors. They may recognize that their actions have hurt others and caused difficulties in their relationships. However, in the moment, their intense emotions can overpower their ability to control impulsive reactions and make constructive choices.
Afterward, some individuals with BPD may experience remorse and guilt for their actions. They might feel deeply ashamed of how their behavior has affected others and themselves. However, this remorse can also be mixed with other complex emotions, such as self-blame, self-hatred, and fear of abandonment, which can further contribute to emotional turmoil.
It is essential to understand that people with BPD often face significant internal struggles and emotional pain. Their behaviors and reactions are often a manifestation of their attempts to cope with overwhelming emotions and past traumas. While they may cause harm to others, it's crucial to approach this understanding with empathy and without excusing any harmful behaviors.
Therapy, particularly dialectical behavior therapy (DBT), is considered an effective treatment for BPD. DBT helps individuals learn skills to manage their emotions, improve interpersonal relationships, and cope with distressing situations in healthier ways.
If you are in a relationship with someone who has BPD or know someone struggling with this condition, having patience, understanding, and encouraging them to seek professional help can make a significant difference in their journey towards healing and recovery.