A mental health condition called borderline personality disorder causes intense emotions and impulsive behavior. Some people call this quiet BPD when the symptoms are directed inwards.

Borderline personality disorder (BPD) is a mental health condition that’s known for fluctuations in mood and behaviors. People with BPD may also struggle with relationships as well as their own self-image.

“There are theories about the nature of the disease, but they are not proven. Quiet BPD is a type of subtype that means that you direct your struggles more inward so that others don’t notice.”

Quiet BPD is not a recognized diagnosis. A person can only be diagnosed with a disorder.

The earlier you seek help, the better the outcome. Here is what you need to know.

Experts don\’t agree on what quiet BPD is or if it is different from other types of BPD You can\’t be diagnosed with “quiet” BPD. You can only be diagnosed with a disorder.

To be diagnosed with BPD, a person must have:

  • There is an ongoing pattern of unstable relationships.
  • Emotions and self- image are unstable.
  • impulsive behavior that happens across a range of contexts is typically seen by early adulthood.

Before making a diagnosis, clinicians look at more specific symptoms and behavior patterns. You must have a number of signs and symptoms in order to be diagnosed with the condition.

The experience of living with BPD can be different for each person. People with the same symptoms may not have the same symptoms.

So what do people mean when they refer to quiet BPD? The term can be traced back to psychologist Theodore Millon, who proposed four subtypes of BPD:

  • It was discouraged (quiet) borderline.
  • Self-destructive borderline.
  • I am impulsive and borderline.
  • borderline petulant

Some clinicians used the term “quiet” to describe people with BPD who direct their moods inward rather than directing them toward others.

“Quiet BPD was thought to be about acting in, rather than acting out. This is a label used to describe people with a mental illness who don’t communicate their emotions and are close to other people.”

People with the disorder tend to have intense emotions. Quiet BPD is when significant feelings are directed toward yourself without others seeing them.

Some of the emotions associated with BPD include:

  • Anger or rage.
  • anxiety
  • “Is it possible that I’m Irrisponsible?”
  • There is no emptiness.
  • The cycles of idealizing and rejecting people.
  • Fear of being rejected or abandonment.
  • Mood swings.
  • feeling disconnected or paranoid

Quiet BPD is sometimes called high functioning. Some people with the disorder may not show their symptoms, but they are still able to cope with everyday situations.

These are theories. There is limited research on quiet BPD because there is no real way to diagnose it.

A better understanding of BPD subtypes could eventually lead to improved treatments, according to studies from 2017 and 2018.

There is not enough evidence to say if quiet BPD is real.

“Different symptoms don’t represent the same thing. The theory of quiet BPD referred to symptoms.”

  • intense Mood swings. that you manage to hide from others
  • You can deny or suppress feelings of anger.
  • withdrawing when you are upset.
  • You should avoid talking to people who have upset you.
  • Whenever there is a conflict, you blame yourself.
  • There are feelings of guilt and shame.
  • Taking things personally and having a thin skin.
  • You feel like a burden to others.
  • Even at a cost to yourself, people-pleasing.
  • Social anxiety and self-isolation are related.
  • People are pushed away at the same time because of fear.

Quiet BPD is not a separate diagnosis from the more common one.

BPD can look quite different from person to person. BPD symptoms can include:

  • intense Mood swings. that can last for as little as a few hours, or up to a few days
  • Thinking in extremes, such as seeing things in a certain way.
  • A pattern of changing your interests and values quickly.
  • Fears about abandonment.
  • It is possible to start and end relationships quickly.
  • A pattern of intense relationships with family or friends.
  • emotional distress
  • feelings of There is no emptiness.
  • There are problems with anger.
  • dissociation, or feeling disconnected from your body or real life
  • Self- image is unstable.
  • dangerous or selfdestructive.
  • Self-destructive behavior.

The causes of quiet BPD are the same as the causes of other BPDs.

Like certain other mental health conditions, an increased risk of BPD is thought to be passed down in families (inherited). Studies have found that BPD may have genetic links, but more evidence is needed to understand the connection.

Genetics probably aren’t the only cause of BPD. Several studies have found that emotional and physical abuse, as well as childhood neglect can increase an individual’s risk. Exposure to — or a personal history of — unstable relationships may also contribute.

Physical changes to the brain and alterations in the neurotransmitter serotonin may be associated with BPD. However, it’s not clear whether brain changes lead to BPD or if they occur after the fact.

There are no side effects associated with the type of BPD. The side effects are linked to the actual diagnosis of the disease.

It can be difficult to start the process of getting a mental health diagnosis. The symptoms may get worse without help.

Increased risk of other mental health conditions

Some mental health conditions may be more common than others. These include:

Hard to establish and sustain relationships

It can be difficult to establish and sustain relationships when you have a mental illness, and some of the related symptoms can cause even more difficulties.

You might find it hard to connect emotionally with others because of the constant push and pull where you are afraid of getting hurt but also afraid of being alone.

Difficult to maintain work or school schedule

It is more difficult to maintain your role at work or school.

Untreated BPD can increase your risk of acting out impulsively, and engaging in dangerous behaviors.

Self-harm and suicidal thoughts may occur

Thoughts of suicide and Self-destructive behavior. are possible with BPD. Always take any talk or feelings of suicide seriously.

Suicide prevention

You are not alone if you are considering suicide. There is help available right now.

  • Get help from a crisis or suicide prevention hotline. Try the 988 Suicide & Crisis Lifeline at 800-273-8255. Or text HOME to the Crisis Textline at 741741.
  • “If you can’t reach someone you trust, dial the emergency number. A member of your health care team or emergency room is a trusted option.”
  • If you decide to call an emergency number, you should ask the operator to send someone who is trained in mental health, like Crisis Intervention Training (CIT) officers.
  • Stay with someone else until help arrives.
  • Guns, knives, medications, and other things should be removed.
  • “Don’t judge, argue, threaten, or yell.”

Due to misconceptions and the inward nature of this condition, it’s possible for quiet BPD to be misdiagnosed as another condition, such as Depression. or social anxiety disorder.

Only a mental health professional can make a diagnosis of BPD, which is a separate condition.

If you interview a mental health professional, they can diagnose the disease.

They may want you to fill out surveys based on your symptoms.

There is no medical test for BPD, but a medical exam may help rule out other conditions that may be contributing to your symptoms.

It’s also important to let your clinician know if you have any personal or The family history of the disease. or other common co-occurring conditions such as anxiety, Depression., or Eating disorders can be related to Eating disorders can be related to eating disorders…

An at-home BPD online survey may also help guide your way to obtaining a diagnosis.

Online screenings are not official tests and are not the same as speaking with a mental health professional. It can be difficult to diagnose a mental health condition.

Quiet BPD is not an accepted diagnosis and there are no specific risk factors. The risk factors apply to other things.

There are certain risk factors that have been shown to influence the development of BPD. These may include:

  • The family history of the disease.
  • traumatic experiences
  • Childhood neglect or maltreatment can be experiences.

Other mental health conditions can also happen with BPD.

  • Depression.
  • anxiety
  • Eating disorders can be related to Eating disorders can be related to eating disorders..
  • Substance use disorders.

Having another mental health condition does not mean you will have a case of BPD.

The treatment options are the same for both quiet and active BPD.

People with BPD can be helped by working with a psychologist, psychiatrist, or licensed therapist. Therapy provides a place to unlearn old habits and develop healthy strategies.

It can be difficult to acknowledge when it is time to talk to someone about your struggles, but you will likely find a sense of freedom and validation once you do so.

Schema therapy

Schema therapy has been shown to be effective for treating BPD. Typically, this type of therapy:

  • Targets beliefs about yourself and the world.
  • Role-play and other experience-based therapies are included.
  • You are taught how to meet your emotional needs.

Mentalization based therapy (MBT)

MBT is another treatment option that’s shown promising results in research. During MBT, your therapist guides you to think through your emotions and reactions. This therapy focuses on improving your ability to:

  • Take a moment to reflect on your actions, thoughts, and emotions.
  • Understand the feelings of other people.
  • A strong sense of self is important.

Dialectical behavior therapy (DBT)

DBT is another type of therapy to consider for BPD. DBT may be helpful because it teaches:

  • Staying in the moment is a type of meditation.
  • regulating your emotions
  • Dealing with distress.
  • Interpersonal relationships are managed.

This can help reduce self-destructive thoughts.


Some mental health medications can help ease some of your symptoms.

“You shouldn’t rely on medications alone, as they don’t address the underlying causes of your BPD. The best way to use such medications is with psychotherapy.”

Living with BPD

Keeping up with your treatment plan is the best way to live well with BPD.

Mental health treatment can be difficult. You might not be ready to start therapy. You might find it hard to stick with therapy over time.

But remember that you deserve to feel better. Getting help can lead you toward healthier habits, and stronger relationships with yourself and others.

You may be wondering how to help someone who is dealing with a mental illness.

Here are some tips for supporting someone during a mental health struggle:

  • “Even if you don’t understand your loved one’s behavior, try not to judge or shame.”
  • If you need to contact care providers during an emergency, you should ask your loved one to give you their contact information.
  • Do your best to be reliable in a crisis, but know your limits.
  • You should have a support network that includes a therapist.

Your loved one may experience anger or thoughts of Self-destructive behavior.

There is a chance that BPD could cause episodes of anger or suicidal thoughts. It is important to talk with your loved one about how to handle these episodes.

Find out what kinds of mental health resources are available in your area. Discuss crisis intervention and emergency treatment with your loved one. If an emergency happens, you should learn what their preferences are.

It is not always easy to support a loved one in a health struggle. It is normal to feel different emotions along the way. You should care for yourself so that you can be with your loved one.

Some people with BPD have the same symptoms. Some people have more visible symptoms, while others have less. Quiet BPD is a theory, not a diagnosis.

It can take time to identify and understand the symptoms of BPD, but you can take action sooner.

It’s important to recognize that your feelings do matter, and that it’s perfectly acceptable to share them with others.

You deserve a happy and fulfilling life, even if you struggle with guilt and poor self-esteem.

You can get started with a licensed mental health professional.