Expert explains: Women are twice as likely to be affected by boundaries – knowledge

Women are more likely to have borderline personality disorder than men. Photo: Creativa Images /

A life of constant emotional chaos? It is not uncommon to hear about the clinical picture of borderline disorder. Medical Doctor Tobias Freyer has the most important facts ready in the interview.

Highly impulsive and emotional behavior can have many causes. Borderline disorder is one of them. Dr. says. Medical Doctor Tobias Freyer, Senior Physician and Medical Director of the Oberberg Parkklinik Wiesbaden Schlangenbad, who specializes in psychiatry and psychotherapy. In an interview with the news agency Spot on the News, the expert explains mental illness and also reveals how the dividing line in marital relationships is expressed and how those affected must deal with it.

What is the limit?

Medical Dr. Tobias Freyer: Borderline disorder is a form of personality disorder in contrast to normal/undisturbed personality and other personality disorders such as narcissistic, narcissistic, or schizotypal. The technically correct term is: emotionally unstable personality disorder of the borderline type. Sufferers have problems regulating emotions. They experience positive and negative emotions more intensely and it takes longer for these people’s feelings to subside. This can cause the boundaries to get overwhelmed with their feelings and become very tense.

What are the typical symptoms of borderline disorder?

Fryer: Emotionally unstable personality disorder of the borderline type (BPD) is characterized by the difficulties in emotion regulation described above. In addition, people with borderline disorder often experience significant instability in their self-image. Their personal relationships are also characterized by very positive and negative emotions. They tend to either idealize or undervalue other people and their partners, and they experience obvious fears of abandonment. They tend to be more impulsive than healthy people, have tantrums such as smashing things, or show impulsivity in other areas such as spending money, using drugs, binge eating, or reckless driving. High stress levels are very disturbing to those affected. Many people with BPD learn to end these states through self-harm, which helps in the short term but can be very harmful in the long term. Usually scrapes or cuts. It is important here that self-injury is typical, but does not have to be a prerequisite for a diagnosis of borderline disorder.

How many people suffer from it most often?

Fire: The lifetime prevalence, that is, the probability of meeting the diagnostic criteria for emotionally unstable personality disorder of the borderline type over a lifetime, is about three to five percent for the entire population. Women are affected at least twice more than men. Symptoms usually peak in young adulthood (between the ages of 20 and 30), but they often appear in adolescence or even childhood. Fortunately, the disorder clears up in about 80 percent of sufferers over the course of their lives. Victims of childhood sexual abuse are often particularly affected by this disorder. Many of those affected reported that they cut themselves while they were still in primary school. People with BPD are naturally quick to respond to strong emotions and do not or have not learned how to appropriately manage their strong emotions. The environment is important here, too. In particular, dealing with children and adolescents who do not consider or suppress children’s feelings is an important developmental factor.

How does the dividing line appear in the marital relationship?

Fryer: Those affected usually have very intense marital relationships that are often characterized by arguments. Due to the feeling of inner emptiness and their own lack of identity as well as fear / excessive sensitivity to rejection and rejection, patients often seek very close contact with their partners, behave clingy and, in order to connect the partner more closely, utter suicidal threats in conflicts between partners. The partner is perfect for a long time, but then the relationship can suddenly break off.

What are the effects that boundaries can have in the marital relationship?

Fryer: Because of the above symptoms and problems, marital relationships are often overburdened, depending on the personality of the partner, this can result in unhealthy and absolutely dependent couple relationships or severe/unpleasant separation, broken relationships, etc.

How does the partner deal with it?

Fryer: It certainly helps if your partner reacts very calmly, with reflection and empathy. However, this cannot replace treatment.

How are borders handled?

Fryer: Psychotherapy mostly, only in serious cases or in cases associated with so-called comorbidity (i.e. concurrent presence of depressive illness, ADHD or similar) psychiatric drugs such as antidepressants, atypical antipsychotics or sedatives are used. Psychotherapy aims to give affected people a better understanding of their problems, learn a more effective way to deal with strong emotions and mood swings, and reduce or eliminate self-harm and impulsive behavior.

Can you block the limits?

Fryer: Anything that affects the development of emotionally unstable personality disorder should be avoided, but it largely occurs in childhood and does not naturally fall within the scope of influence of sufferers. These include hostile parental behaviors, unstable parenting relationships, sexual abuse, early substance abuse, and eating disorders. Getting medical help at an early stage is certainly the most important clue.

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