UBC Professor Proves Genetic Link for BPD

February 23, 2011

Some of you extremists seem bothered by my lack of credentials, so here’s Kerry Jang, a professor of psychiatry (personality disorder specialist) to drop some knowledge on you. I’m pretty sure he has more credentials than both Shady Doyle and Garland Grey.

This is a long article about BPD, so I posted some highlights. Since I didn’t write it, you’ll have to leave your hate mail elsewhere. You can read the entire article here:

But she couldn’t deny that the telltale signs—including intense but stormy attachments and extreme emotional reactions—described her perfectly.

Although not as well known as schizophrenia or bipolar disorder, BPD is more common, affecting about two percent of adults, mostly young women, according to the National Institute of Mental Health, a division of the U.S. National Institutes of Health.

But local health professionals who specialize in the disorder say that BPD is grossly overlooked by the medical profession and funding bodies.

People with BPD often experience instantaneous shifts in their attitude toward people close to them, veering from idealization (love and admiration) to devaluation (anger and dislike). Although people suffering from depression typically endure the same low mood for weeks, those with BPD may experience intense bouts of anger, sadness, or anxiety that last just hours.

They often feel misunderstood or mistreated and lack a sense of identity. They might make desperate attempts to avoid being alone and act impulsively, spending excessive amounts of money or having risky sex. They can come across as manipulative, controlling, unwilling to change, and attention-seeking.

At the root of people’s volatile, unpredictable mood swings is a fear of abandonment or rejection. Consequently, those with BPD can react with hostility to short-term separations such as a business trip or even a last-minute cancellation of plans.

Their cognitive distortions can lead to frequent changes in long-term plans, career goals, jobs, friendships, and personal values. Sometimes people with BPD view themselves as fundamentally unworthy or have issues with gender identity.

They tend to have other, compounding health problems, too, like substance-use issues, eating disorders, and even other mood conditions, such as bipolar disorder (which, once referred to as manic depression, is marked by extreme highs and lows).

BPD is also marked by chronic thoughts of suicide or actual attempts.

He explains that people with BPD live in a constant state of fear.

The world seems to them a threatening and frightening place,” Livesley says. “As a result of this emotional instability, their relationships with other people tend to be chaotic too, and unstable.…They have endless fears linked to emotionality, which adds to the instability of life.”

Those with the condition can act on those fears in physically damaging ways.

“There can be self-harm: they cut; they overdose; they hit or burn themselves,” Livesley explains. “This is an attempt to control their feelings, as they haven’t learned alternative ways to handle their emotions.…When emotions are this unstable, they’re very difficult to handle.”

“The condition has taken on a lot of negative connotations, so diagnosis is usually pejorative,” Livesley says.

It can be hard for people to get help, Jang notes, because so many who have the disorder don’t recognize the symptoms.

Many people who have the illness don’t think they’re ill,” he explains. “They can be the sweetest and nicest person in the world one minute, then mad as hell the next.”

He and a team of researchers from Harvard University recently had a paper accepted for publication by the Archives of General Psychiatry, an internationally renowned medical journal. In their study, the authors conclude that heredity has a role in the development of BPD.

“This large family study confirms that BPD is passed on within families,” Jang says. However, although genetic factors likely play a part in BPD, no specific genes associated with the condition have yet been identified.

Other risk factors for BPD include sexual or physical abuse.

“People with BPD are branded as out of control, extremely angry, and manipulative. Even treatment providers turn them away because they’re deemed too difficult to work with.

“There’s a stigma attached to BPD: if you’ve got BPD, your personality must be flawed; it must be a scar on your soul that will never go away. But research shows that people do get better over time. Impulsivity and suicidality tend to decrease with age; however, fear of abandonment and rejection do not.

People have this emotional roller-coaster ride with extreme highs and lows. Some have trouble with the justice system: they might be dealing with out-of-control gambling or substance abuse,” he says.

“I’ve heard someone with BPD can be compared to someone with third-degree burns on their skin: emotionally, they’re that sensitive,” she says. “It’s so hard to realize you have a problem and then to find a way to deal with it.”

These were some of the comments from the readers. Once again, I didn’t write these so you’ll have to direct your anger elsewhere:

  • People with Personality Disorders aren’t responsible for their illness, but they are responsible for how they treat others.
  • I’m just tired of PDs expecting far more than they are willing to give. I’m willing to relearn behavior even though it’s not easy. I’m willing to leave the blame behind. Sadly, the PDed in my family aren’t as willing.
  • BPD is, because of it’s nature, very difficult when someone close to you has it. Physical and emotional abuse, as it may lead to (intentionally or not) is not ok. I belive that a big part of recovery includes getting the disordered people to realise how others actually feel when getting exposed to some of their behaviours.
  • people with BPD have no control over the fact that they have this illness. And as such, while they are responsible for taking action to recover and change their behaviour, this can’t happen overnight.
  • those borderlines are NUTS! ex girlfriend drove me to have my own mental breakdown. stay away!!
  • Does that mean I can treat people badly with no consequences when I get bored during a staff meeting or triggered because someone in the elevator reaches into my personal space to press a floor without saying excuse me? No, because while I didn’t ask for anxiety and ADHD and it’s not my “fault” I have them, it is my “responsibility” to manage the symptoms and behaviors that accompany them.
  • I know with my mother, she refuses to accept even the most basic of responsibility for how she treats people. Up until we ceased contact a year and a half ago, she was still emotionally abusive with rages, smearing campaigns, etc.
  • Sure, my mother didn’t ask to have a PD and I know it was abuse and trauma that made her the way she is. But as long as she refuses to acknowledge/take any responsibility for the emotional carnage she’s wrought, I want absolutely NOTHING WHATSOEVER to do with that toxic piece of work.
  • I kept trying to make things right and be the bigger person. I can’t tell you how many sleepless nights I’ve spent, how many times I’ve walked on eggshells dealing with her. I overthink everything and constantly blame myself because I was conditioned to do that as her scapegoat.
  • You claim they have no control over their behavior. Well, then, why do they behave differently in public than they do in private? My mother made a big show of being the loving mother in public. Yet in private, she’d tell me I’d probably get breast cancer too if I didn’t lose weight when I took 2 weeks off from work and spent airfare to care for her after a mastectomy.
  • I’m not saying it’s easy to control behaviors. Just that they choose not too.
  • PS if anyone with a Personality Disorder is reading this, here’s what I have to say as the daughter of someone who likely has a PD: Get help, get meds if need be. Yes, it’s great if other people can help/be supportive, but one should never use a fellow human being as a doormat or an emotional scratching post. That goes double for the ones we claim to “love”
  • As for public versus private actions, unfortunately we act out more towards people we trust, which is terrible and I, for one, feel horrible every single time. I feel badly for the family and friends who are hurt by all people with BPD and it isn’t fair but no, actually, we can’t control it, no matter how much we tell ourselves “not again” and no matter how much we despise ourselves for it. As for being a doormat, that isn’t fair either, but it is then it’s up to you to draw the line and take care of yourself; cut the tie until that person gets help or forever if need be. Just because that person can’t control themselves doesn’t mean you have to live with any abuse.
  • Hopefully with knowledge of the disorder, more will get diagnosed and get help so no one, BPD or otherwise, will get hurt by this disorder.
  • the issue here isn’t that it’s misunderstood. it’s understood.
  • it’s that our culture of entitlement promotes and rewards this behavior.
  • BPD’s make bad choices and they know the difference.
  • they just don’t care. and when you love these people, it wreaks havoc on everyone.
  • BPD’s also trust no one. they go through a cycle: they idolize it, they demean it, they destroy it. this is all in the research.
  • as soon as you get close, they demolish you. then they try and destroy your friendships with others.
  • they don’t “relearn” either. they adapt and go covert.
  • few get through this. it’s in the research thats quoted here.
  • i suggest for your own “understanding ” on the subject, you look it up. it’s all online.
  • then hit a few of the BPD support groups and see what those people have to say. this isn’t a BPD witch hunt.
  • but it is what it is. they are hardwired this way.
  • While I agree with you that more awareness and treatment is necessary, I disagree on the public vs. private thing. If the person can control behavior in public, they can do it in private. Behaving vastly different in public also contributes to the gaslighting and crazymaking. People often don’t believe the person who’s been abused by someone with a PD because the person with a PD acts so differently in public. If parents with PDs can treat the child they scapegoat differently than their golden child, they’re obviously capable of some control over their actions.
  • I have enormous respect for people like Julie who posted about her own experience. She doesn’t use her illness as an excuse and makes an active and concerted effort to address the effects of it.

27 Responses to “UBC Professor Proves Genetic Link for BPD”

  1. savorydish said

    I find it odd that people with a strong history of alcoholism and personality disorders in their family, would deny that they themselves have a personality disorder. Especially,those who display obvious and unmistakable signs of a PD. My ex use to admit she was crazy when I confronted her with her abusive behavior. And now she denies it. This flip flop is yet another sign of her PD.

    • Evan said

      There’s a theme throughout this post about the self-awareness of someone with BPD. If Skye or others reading this who have BPD, I’d be appreciative and interested in hearing what they could share on this topic looking back.

      • Sunny said

        Hi Evan. I’ll take a shot at answering your question. It’s been a while for me since I was diagnosed/treated, whatever, so take this with a grain of salt.

        My thoughts on the self-awareness of someone with BPD are complex. I assume that you are talking about the degree to which a person with BPD understands the negative effects that their behavior may have on others.

        Based only on my own experience, I would say that the degree of awareness is minimal at best. One of the things that you should keep in mind when thinking about the issue is that people who have BPD have little to no self-esteem. Consequently, at least for me, it was pretty much impossible for me to understand that anything that I did had an effect on anyone, because I certainly couldn’t imagine that they would care what I did. I certainly didn’t care about myself, and to me, there was no reason to believe that anyone else did either.

        Argh. I don’t know if I’m making this clear, or further muddying the waters. I will try for a one sentence summary: I had no idea that my behavior may have hurt anyone who cared about me, because my self-image did not permit me to believe/understand/feel that they cared about me.

      • savorydish said

        Thanks for your insights Sunny. I know this blog must seem like a hostile environment for you, but I’m always glad that we have BPs like you to help the rest of us understand.

        What you say does make sense. Low self-esteem is a common theme in all the women I’ve dated. When I first meet them, they seem so independent and strong. This is the side of them that attracts me to them. But that’s an act. The more you get to know them, you realize how fragile they really are. It’s the Marilyn Monroe effect- To the world, they seem like the perfect woman. But behind closed doors they are an absolute mess. When someone is this “messy” on the inside, I think it’s hard for them to think about anyone else. They are dealing with so much inner turmoil and turmoil from their past, they just don’t have the energy to worry about how their behavior affects others. And yes maybe they don’t think they have an effect on people. I had to constantly point out my ex’s misdeeds to her. And when she finally grasped what she had done to me, she sunk into a fit of depression and self-loathing. But that only made things worse. Does that sound right?

        I hope this doesn’t sound condescending-but after reading your comments, you seem very lucid and very self-aware.

      • savorydish said

        I don’t know if this is the case with you Evan.

        But all I ever wanted from my ex was a little self-awareness. The break up was hard, but it was the denial that hurt infinitely more. I was always willing (maybe too willing) to forgive her as long as she was willing to own up to her transgressions. I stayed with her for 8 months, because she did appear to have a good deal of self-awareness about how her trauma has affected her. But all that changed when she split me black. It’s almost as if she regressed. Or maybe the self-awareness was all an act. Maybe she was telling me what I wanted to hear.

        But I’m also interested in hearing what BPs have to say on this matter. In particular, how did they finally turn the corner. What happened that made them say, “wow, I need to get some help.” I think the nature of their trauma has something to do with it. Those who have been sexually assaulted seem to have a much harder time dealing with the further blow of having BPD.

  2. Evan said

    Hi Sunny, thanks for the reply. Id suspected that there was very little self awareness when someone was gaslighting or like. To the partner its hard to grasp that because it *looks* like someone just behaving badly. I think this is why a lot of ex partners of ppl with BPD get trapped in feeling anger towards their ex. They think its personal. Its not surprising for the anger but still. I hadn’t considered how self-esteem would play a role. Is that related to the issue of identity? Maybe Ive had that aspect confused. My question was relating to self awareness on a whole, with others yes, but also at other times.

    Thank you for your answer. For a disorder as complex as BPD it must be very difficult to summarise it all for me in a few sentences. I do appreciate any further input you might give, because the best explanations always come from the ppl who experience it.

    Anyway Sunny, hope you’re feeling good, take it easy

    • Evan said

      No SD, I never got trapped by anger. I had my days after it was over when I felt very frustrated by the whole situation, but I always knew that my exbpd was simply unwell, and I was seeing the disorder manifest itself. Anger is almost unavoidable for the ex partner. If someone doesn’t feel angry that someone lied to them, tried to gaslight them, discredit them when it was over, or lord knows what else, then I think that person has issues dealing with their emotions. If Im angry, or frustrated, or bitter, I have to start with basics. Why *exactly* am I angry etc? If you’re really honest with yourself you’d be surprised at the answer. Not everyone is the same of course. Then of course there’s the understanding of what happened. Then somewhere down the line some kind of acceptance of what happened. And the many things you learnt, good and bad, about yourself.

      But Im hijacking, most ppl simply believe, to start with at least, that people with BPD are just behaving badly or that they’re ‘evil’. I have to say that some of the abuse suffered sounds horrific. So Im not judging why someone would say ‘evil’. But as someone wrote somewhere, evil is how we define something bad happening we don’t understand. And when you’re angry, to some a personality disorder sounds like an excuse for bad behaviour. There is very little information or knowledge of mental health in society. And Im rambling

      • savorydish said

        Yeah I just don’t buy the whole “separate the disease from the person” argument or the “don’t take it personally” argument. This is where I separate myself from the advice given out by most BPD sites. The disease is a big part of who they are. A BP relationship is very personal, because of the attachment and the intense emotions that BPs are able to elicit. I use the word “evil” only to describe how horrible this type of behavior is. Whether they can control their behavior or not doesn’t really matter to most exes. Either way, it hurts.

        Exes who are stuck in anger are stuck for a reason. Because the nature of a BP break up leaves one with unresolved emotions. It’s hard to forgive someone who betrays you and then acts like it never happened. The pain of a break up is nothing compared to a BP who acts like it’s no big deal/

        I think most exes just want acknowledgment and a sense that the BP feels terrible about hurting someone who once loved them.

  3. Evan said

    There’s certainly an element of nature and nuture with BPD. I think if we could walk a mile in a BPD’s shoes, we would be shocked how differently someone can view the world. But we only have our own experience. What we see is just the surface most of the time.

    • savorydish said

      I agree that it’s a little bit of both. I also have a theory that people who get into relationships with BPs DO have the ability to view the world through their eyes. These partners (myself included) seem to have a foot in both worlds. Most of the ex-partners I’ve encountered seem to be very empathetic and compassionate. Some might have mild conditions of bipolar, hypersensitivity and abandonment issues, but nothing near what BPs experience. I also think these partners have more in common with BPs than the rest of the population. Think about it. There must be some connection or else we would have never gotten involved.

      BPs too are very selective about who they settle down with. Usually they cycle through people. But for them to slow down and TRY their hand at intimacy, there needs to be a great deal of trust on their part. That partner has to be someone who GETS them. Some scientists have speculated we all have a little BPD in us (limbic part of the brain), remnants of our prehistoric ancestors. BPs and their partners are not so much polar opposites, but at different points on the continuum.

      • savorydish said

        From an evolutionary standpoint, BPD can be seen as an advantage. BPs have shallow attachments, that’s why it’s so easy for them to move on from break ups. They can’t understand why their partners dwell. They see that as a drag. While you are waxing nostalgic, they’re already onto the next one.

        They can go from one mate to another with little emotional setback. BPs were probably necessary to populate the planet back in the prehistoric era.

  4. savorydish said

    The one statement that nailed it for me was buried in the comment section of this article:

    If the person can control behavior in public, they can do it in private. Behaving vastly different in public also contributes to the gaslighting and crazymaking. People often don’t believe the person who’s been abused by someone with a PD because the person with a PD acts so differently in public.

    • Evan said

      I think it all makes for hypothesis but I won’t ever know how a person with BPD thinks and feels. That comes from the dreadful experience of it all. Thats why I asked for some input from ppl with BPD. As for the chemistry of how ppl with BPD get together with their partners, looking for someone who is compassionate, kind and empathetic, well, that’s what nearly everyone looks for. It is more complex then that of course but very little research has been done. What someone with BPD wants in a partner, and what happens during the rship, are different dynamics but on the same continuom. Lol my first question when I saw a therapist afterwards was ‘what attracted this person to me and how can I change so this never happens again?’ lol

      • savorydish said

        well, what did the therapist say?

        And I have to strongly disagree about everybody looking for compassionate, kind and empathetic. This goes back to the Rihanna’s of the world ending up with the Chris Browns. People like my ex look for people who will use her for sex. She only stumbles upon nice people by accident. When she makes the decision to stay with that person, it’s a rational decision. But her gut instinct is always to pursue the douchebags. Such is the mind of a person who grew up in an abusive environment.

      • Evan said

        I guess what I’m trying to say is that the issue of self awareness is not, as they say, black and white. Im not saying that ppl with BPD are like robots who have no idea of what they’re doing. And Im not saying they’re in full control and know all too well. It’s somewhere in the middle, moves around, depending on what’s happening, like when you’ve packed your bags and you’re out the door and leaving them. Their disorder is going to be like a firestorm at that moment. Other times prob different.

        Take OCD, another PD. You feel a very strong compulsion to do something repitively. You know its not right but you feel powerless to stop yourself. You feel compelled to do it. You have a measure of self awareness, you know it’s not right, but the measure of self control is dependant on how severe the case is. With treatment ppl can overcome this PD. Strong compulsion to do something. Some self awareness but overwhelmed by compulsion. Self control low. Impulsive acts probable. Inhibition low. Then the rainbow of other PD traits, comorbid illnesses like depression, anxiety. Emotions are not always processed like an adult, like you or me. But there is some measure of bad behaviour, depending on the case. How do we sort out which bits were bad behaviour while we were with them? And which bits were the disorder? How can we tell the difference? Im not using OCD as a direct comparison. Just to highlight some of the factors that can be involved in someone’s mind.

        Don’t get me wrong. I want nothing to do with my exbpd. She is hurting a lot of ppl around her. She’ll hurt more before it’s over. But I do have empathy for her because I wouldn’t wish this disorder on my worst enemy.

  5. Evan said

    No, I said nearly everybody is looking for someone with those traits. Why ppl search for other bad traits is a blog in itself.

    My therapist said they want what we want, they just can’t do healthy rships while untreated.

    • savorydish said

      “Why ppl search for other bad traits is a blog in itself.”

      I’ve actually covered that extensively in this blog. As you implied there are a lot of reasons. But when you are dealing with people who grew up in abusive environment, the primary reason is habit. When a child is abused by his/her parents and witnesses those parents abuse each other, this behavior becomes ingrained in their system. Their rational mind tells them to stick with the nice guy. But their primitive libido tells them to chase the asshole. That’s why most BP relationships end when the honeymoon period ends. Once the euphoria dissipates, the BP reverts back to primitive instinct. A person who has been abused is use to a certain degree of adrenaline. Looking for a cheap thrill is when infidelity enters the picture.

      • Evan said

        Yep it’s your blog but I’m hijacking it lmao just kidding

        We’re not actually disagreeing. Well not much. I don’t know too much about my exbpd’s rship history other then she said it was nearly all bad. I agree with my T. They want what we want. Once a rship is going, when some kind of bond is made, that raises the possibility you’ll leave them. Fear of being abandonded rises up. Bad things ensue. But if the person with BPD is with someone who is giving little or nothing, or are just plain being abusive, the BPD will chase them. Old story of push and pull. And also to me Catch 22. They’ll hope for something better, get it occassionally, but be so scared of losing it they’ll throw it away before it can hurt them. Geez, different psychology but Ive known friends without BPD who did similar things in rships. But that’s just my view, how it looks and reads.

      • savorydish said

        “Geez, different psychology but Ive known friends without BPD who did similar things in rships”

        Yeah, we’re pretty much in agreement. Just fine-tuning what we know. The last statement you made is very true. But I would add that while “nons” sabotage relationships and fear abandonment, it is nowhere near as intense as a BP’s reaction. And when it comes down to it, it’s not necessarily abnormal behavior as it is hypernormal. As a guy, I’m freaked out by commitment. But not to the point where I would cut someone out of my life or treat my partner like my worst enemy.

    • savorydish said

      Is that all your therapist said?

      From my own experience (having dated many women with troubled pasts) these women are initially attracted to me because they trust me. In some cases, I am the polar of opposite of the guy who assaulted or abused them. I say initially, because the need for safety is always overwhelmed by the fear of losing that safety aka the fear of abandonment.

  6. Sunny said

    Wow, you guys went to town on this. Really interesting discussion!

    I’ll add a few more cents (probably more than two).

    First, SD, don’t worry at all about me perceiving this as a hostile environment. I don’t see it that way. As best as I can tell, the criticisms aren’t directed at me, so I don’t take them personally. Weirdly enough, I consider my tumultuous youth to be a benefit in some ways. I’m a pretty tough cookie, and I honestly try take people as they are, and tend to avoid judging.

    Evan, I completely agree with you above where you discuss the issue of self-awareness not being black and white. BPD is a spectrum disorder, and sufferers also exhibit symptoms on a spectrum that can vary from day to day, week to week, or even minute to minute. I also don’t think that most people who have BPD, and who inform partners or friends of their condition are “using it as an excuse” for their behavior. It’s a _reason_, not an excuse, and I think that’s an important distinction to make. I also don’t think that it’s a matter of a person with BPD not having the energy to care about the effect they have on others, it’s more a matter of being completely disassociated with it. In my case, the only people who were really affected by my disorder were my parents and sibling. When they would get angry at me, it was like watching someone on the television. The only emotion I really felt in response was irritation that they were wasting my time.

    From my own perspective, and in response to SD’s comment above regarding “what changed” for former sufferers, I would have to say that the most important factors were time and age. That is, I grew up. At the point where I got tired of my own up-and-down cycles of depression and suicidal ideation, I went to a psychiatrist and received about a year of treatment and medication. After that, it was pretty much over. I still occasionally suffer from the effects of depression, but in my own mind I can separate myself from depression as an illness, and minimize its effect on my life and how I behave.

    On a related note, I have to say this is one of the reasons that I completely disagree that there is a genetic factor to BPD. I think that it is simply a mental illness that is exacerbated by hormones. I also have to quibble with the title of this post a bit there, SD. When I read the article, it did not seem to me that the researchers had definitively identified a genetic factor, they just felt it might exist. I don’t think the study confirmed it at all.

    One other quibble I have with one of the comments on the article (the one re: behaving in public vs. behaving in private), is that there is a distinction, in EVERYONE, not just people with PDs, between our public and private persona. We ALL behave differently in public versus how we behave among our friends, partners, and family. Also, specifically with respect to people with BPD, because public interactions tend to be conducted on a more surface, purely social, or superficial level, there don’t tend to be the kind of triggering relationships or emotions that might set off more dysfunctional behavior.

    • savorydish said

      Hey Sunny,
      Just for the record, the article was written by a journalist who interviewed the professor. To get the actual results, you’d have to read the study itself. Personally, I believe BPD behavior is a little bit of both (nature and nurture). I believe BPD resides in the limbic (primitive) part of the brain. BPs are more influenced by the limbic system. Most of this stuff lies dormant until the BP experiences early trauma. This trauma awakens the primitive instincts we see in BPs. In my ex’s case, her earliest trauma may have been the loss of her twin at birth. I have a couple of posts dealing with that specific trauma.

      But I also agree there is a strong case for the nurture argument. As those who display BP symptoms usually come from chaotic environments. My ex use to tell me all sorts of dreadful stories about her family.

      But when all is done, even psychology is nothing more than an educated guess. Even the results of a Harvard test are not 100%. Just like meteorologists have trouble predicting the weather with 100% accuracy, I’m sure you’d agree the human mind is infinitely more complex and less predictable. And when BPD gets thrown in the mix, it makes it even more challenging to encapsulate it all. There will always be anomalies when you’re dealing with something as puzzling as BPD. Science is filled with generalities. Each BP is an individual with their own unique experiences. And even the greatest minds like Freud and Einstein have been “proved” wrong. There are no absolutes.

      So I guess what I’m saying is this- this blog is just an ATTEMPT to understand that which is incomprehensible.

      • savorydish said

        I also have a theory that when behavior is linked with trauma, it is permanently etched into our genes. I have yet to read anything that confirms this. But it might explain why BPD spans generations.

      • savorydish said

        People have recently asked why I’m so obsessed with my ex. And I have to say it’s less about my ex and more of a fascination with this disorder. Her behavior was so strange I feel compelled to find answers.

  7. Evan said

    Hi Sunny, thanks for your post. I feel like Im making educated guesses on here most of the time so it’s clarifying to hear your personal experience. Just one thing, when I said that some ppl accused ppl with BPD as using it as an excuse I wasn’t saying that I believed that myself. That context maybe wasn’t clear enough, I tend not to edit, but it was there.

    Anyway, hope you’re well. Take care

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