Paranoia

One of the big things that come with BPD is paranoia. It can be incredibly difficult to deal with, especially when it’s not addressed. Something I realised after I was diagnosed, something that really popped out is I realised I was incredibly paranoid, starting from when I was young. Even now I still have times when I’m triggered I will become paranoid.

Paranoia affects nearly 87% of individuals with BPD.

Unlike schizophrenia, paranoia in BPD is usually non-delusional meaning that you usually still have some tether to what’s real and you are aware of why it’s happening, and usually occurs during periods of high stress, I’ve also personally experienced it when I haven’t had sleep.

Some symptoms of paranoia in BPD

. interpersonal suspicion: So this could be misinterpreting how a partner reacts or what they say. If they say they want some time alone, during paranoia that might lead a person to believe they’re going to be abandoned.

. Perceived hostile intent: this is where you would believe that a person has a plan to harm or betray you.

Some ways to help cope with it.

. DBT (dialectical behavioural therapy) - this type of therapy will help with emotional regulation.

. Reality testing - if you’re able to, try and pause, so you can ask for factual clarification.

. Self-soothing - techniques like deep breathing, and sensory grounding to try and lower any immediate stress.

Opening up to someone you can trust like your partner or a family member about how you’re feeling. While I know it may be scary and daunting, if your able to go to a doctor, then you should, if could be a case of either of going on medication or upping your dosage for a short time

Personally paranoia is something I do struggle with, because I also suffer from other chronic illnesses, so when they flair up, it will worsen my symptoms of my bpd as well. I try to take time to slow myself down, some of my favourite things are watching some tv and having some tea, so I’m doing something that distracts me, while also taking time to help regulate myself.

For the people who have someone in their lives with bpd, like with most things having patience is a good thing, and willingness to give them reassurance will go a long way. I think it’s also important to look out for self destructive behaviours and if they do go into those behaviours it is important that you keep your own boundaries, if you have one, go through a safety plan.

I will always advocate for therapy. Although in the current climate it’s easier said than done.

Having self-soothing techniques helps.

Also having a good support system.

If you have a routine, it can help to keep to it to give yourself a sense of stability.