What are the Types of Borderline Personality Disorder?



This video describes potential subtypes of borderline personality disorder. The research on borderline personality disorder has inconsistent results in terms of the attempts identify subtypes. In the Diagnostic and Statistical Manual (DSM), there are no subtypes reported for borderline personality disorder. In one study from 2013, three subtypes were identified: core borderline personality, extrovert/externalizing, and schizotypal/paranoid. There were five times as many people in the core borderline personality than in the extrovert/externalizing category and there were ten times as many in the extrovert/externalizing category as in the schizotypal/paranoid category. With core borderline personality, we see that this particular presentation is really what we think of when we think of borderline personality. This particular presentation was absent a lot of other personality disorder dimensions and individuals in this group had lower levels of childhood trauma, which was a bit of a surprising finding. It’s important to keep in mind though that with these participants, trauma was high in general, so there were only lower levels of trauma in this first potential subtype relative to the other subtypes. With the extrovert/externalizing subtype, men were over-represented. There were more men in this category proportionally than we saw in the other categories. There was a higher quality of life. Also, there were features from other personality disorders including narcissistic, antisocial, and histrionic. This group had a higher level of childhood trauma relative to the other two groups. The last potential subtype was schizotypal/paranoid. There were also personality disorder features, and as is indicated by the name, they were schizotypal and paranoid personality disorder features. The participants in this category also had higher levels of social isolation, higher levels of attachment anxiety, lower levels of self-confidence, and lower levels of assertiveness.

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Comments (11)

These videos are very informative but don't you ever smile you look so sad all the time?

Is BPD/NPD a borderline with narcissistic tendencies or a narcissist with borderline expression? I have noticed with BPDs that any narcissistic tendencies centre purely around the abandonment/engulfment trauma. The empathy is in tact in phases etc. A wide spectrum and abuse vs trauma and any other variables can create several outcomes.
I think the NPD/BPDs who are setting up relationships for intentional abuse with a BPD expression are narcissists. Just my opinion…… I would suggest that the reason they are being labelled as BPD is because psychologists often diagnose up a scale from ADHD-Bipolar1,2, BPD,NPD,ASPD. Shouldn't this be changed to diagnose from the top first? I found it interesting that comorbid NPD/BPD was more prevalent in males but I would also have to take a step back and wonder if the DSM is based on a male NPD diagnosis. Always interesting and I have no answers!

Hi, I have a question. Im a male with bpd. I have been on lamotrigine for a few weeks now, I can't say I notice a difference. I have an incredible rage that just happens for no reason or I get progressively overwhelmed over small things. Are there any medications that are for "emergencies" that I wouldn't have to take every day?

BPD and NPD are totally different the only way could be seen as looking like one another is if you have both I have a diagnose ov BPD inulsive type every one has a level ov narsasism both manipulate for different reasons I believe I can take responsibility for my action NPD cannot also I have empathy and sometimes none so I believe the empathy is compromised with BPD but not void

I've been diagnosed with BPD and its difficult to deal with because my family disowned me and no one ever believes that I have issues. I have no support at all

uh oh, schizo typal bpd sounds like me

i appreciate this channel a lot

What is the difference between paranoia in BPD and paranoia in psychotic conditions?

this is very accurate, im borderline personality myself, and i found my friend is more like paranoid subtype cuz i was always considered as oversharing, but he told me he couldnt trust anyone, he couldnt tell his full stories to his therapist. I was a bit confused till i saw this video. he is extremely hard to work with, i self taught psychology, and gave myself insight about my rage and emotion dysregulation, im eager to learn more, but he couldnt trust anyone even I told him if you dont trust your therapist, learn psychology yourself, he was like too believe himself but the only one unhappy about himself. everything mentioned in this video is pretty match with him, rich family, nice degree, no drama, no trauma, but I mean if someone has unrealistic expectations, doesnt know appreciation, gratitude, lack of empathy, superficial, look down on other people, how can he be happy seriously.

I really like that you refer to articles in the literature so they can be traced down and read by your viewers for themselves, so thanks for taking the effort to do this as part of your videos. It isn't that I doubt your synopsis; well, only just enough as a matter of principle to go and read also for myself. It does seem to me that sub-categorisation is difficult because manifestation of these conditions occurs in a kind of multidimensional cloud, with fuzzy edges, and the categorisation is dependent on a particular purpose, which is here to help the person with the disorder.

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