Borderline Personality Disorder
Borderline personality disorder is an illness marked by an ongoing pattern of varying moods, self-image, and behavior. These symptoms often result in impulsive actions and problems in relationships. People with borderline personality disorder may experience intense episodes of anger, depression, and anxiety that can last from a few hours to days.

Signs and Symptoms
People with borderline personality disorder may experience mood swings and display uncertainty about how they see themselves and their role in the world. As a result, their interests and values can change quickly.

People with borderline personality disorder also tend to view things in extremes, such as all good or all bad. Their opinions of other people can also change quickly. An individual who is seen as a friend one day may be considered an enemy or traitor the next. These shifting feelings can lead to intense and unstable relationships.

Other signs or symptoms may include:
– Efforts to avoid real or imagined abandonment, such as rapidly initiating intimate (physical or emotional) relationships or cutting off communication with someone in anticipation of being abandoned
– A pattern of intense and unstable relationships with family, friends, and loved ones, often swinging from extreme closeness and love (idealization) to extreme dislike or anger (devaluation)
– Distorted and unstable self-image or sense of self
– Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving, and binge eating. Please note: If these behaviors occur primarily during a period of elevated mood or energy, they may be signs of a mood disorder—not borderline personality disorder
– Self-harming behavior, such as cutting
– Recurring thoughts of suicidal behaviors or threats
– Intense and highly changeable moods, with each episode lasting from a few hours to a few days
– Chronic feelings of emptiness
– Inappropriate, intense anger or problems controlling anger
– Difficulty trusting, which is sometimes accompanied by irrational fear of other people’s intentions
– Feelings of dissociation, such as feeling cut off from oneself, seeing oneself from outside one’s body, or feelings of unreality

Not everyone with borderline personality disorder experiences every symptom. Some individuals experience only a few symptoms, while others have many. Symptoms can be triggered by seemingly ordinary events. For example, people with borderline personality disorder may become angry and distressed over minor separations from people to whom they feel close, such as traveling on business trips. The severity and frequency of symptoms and how long they last will vary depending on the individual and their illness.

Risk Factors
The cause of borderline personality disorder is not yet clear, but research suggests that genetics, brain structure and function, and environmental, cultural, and social factors play a role, or may increase the risk for developing borderline personality disorder.
Family History. People who have a close family member, such as a parent or sibling with the disorder may be at higher risk of developing borderline personality disorder.
Brain Factors. Studies show that people with borderline personality disorder can have structural and functional changes in the brain especially in the areas that control impulses and emotional regulation. But is it not clear whether these changes are risk factors for the disorder, or caused by the disorder.
Environmental. Cultural, and Social Factors. Many people with borderline personality disorder report experiencing traumatic life events, such as abuse, abandonment, or adversity during childhood. Others may have been exposed to unstable, invalidating relationships, and hostile conflicts.

Although these factors may increase a person’s risk, it does not mean that the person will develop borderline personality disorder. Likewise, there may be people without these risk factors who will develop borderline personality disorder in their lifetime.

Advice
Count to 10
You’ve probably heard this one before, but it works, so it’s worth repeating. If you can pause before responding to what is making you angry, you are more likely to make healthier, more constructive choices about your behavior.
Notice Your Anger Earlier
Sometimes you may not even notice that you are becoming angry until you are enraged. But you can practice becoming more attuned to your responses so that you notice your anger earlier in the cycle. Try to pay attention to the small signs of a borderline rage beginning. For example, what does that first twinge of anger feel like? How does your body react? If you can catch these signals when you are moderately annoyed, rather than fully enraged, you can intervene earlier.
Take a Break
Once you notice that you are getting angry, it makes sense to take a break from whatever is angering you. This one works particularly well if you are getting angry in a conversation with someone. If you start acting angry, the other person will often start feeling angry, which can escalate the situation. If you notice this escalation, call a “time out” and take a break for 10 to 15 minutes (or longer, if you need to).

Distract Yourself
Some people find it helpful to engage in another, distracting activity when they are getting caught up in their anger. To do this successfully, find an activity that can really hold your attention. Don’t choose something passive, like watching television, because your thoughts will likely drift back to whatever is making you angry.
Take Deep Breaths
Practicing deep, diaphragmatic breathing can help reduce the physical arousal you feel when you become angry. Take a few minutes to breathe slowly and from deep in your belly. Put your hand on your belly, taking slow breaths, and pushing your hand out each time you inhale. Let your hand fall each time you exhale.
Ground Yourself
Grounding exercises can help you “snap out” of the anger cycle once it has begun while reminding you of the real insignificance of the issue at hand. Try out some grounding exercises to bring yourself back to the present moment when your mind keeps going back to your anger.
Listen to Calming Music
Listening to music that promotes the opposite mood can help you reset your emotional state. When you are angry, listen to music that is slow, soothing, and calm. But don’t pick something that’s depressing—the music should be uplifting.
Practice Letting Go
Anger can be difficult to manage because it is a very seductive emotion—anger entices you to hold on to it, particularly if you are righteously angry about something that is unfair. But holding on to anger often is not helpful. Pay attention to when you are intentionally holding on to your anger and instead, try to “let go.”
Engage in Light Exercise or Do Yoga
Exercise can improve your mood, reduce stress, and better your overall health—and, if you feel anger building, it can give you something else to focus on. It’s important to keep your workout light if you’re feeling upset though, as combining intense exercise and feelings of extreme anger may be harmful to your cardiovascular health.
Practice Meditation
Meditation can be a way for you to re-center yourself and get your mind off of anger. If you’re new to the practice, meditation involves focusing on something specific, often your breath, in a directed, purposeful way. Mindfulness meditation is often used to treat symptoms of BPD, since it encourages you to stay in the present moment with a neutral mindset rather than a judgmental outlook. Taking a meditation break may calm you down in an intense moment and, over time, learning these techniques could help you break the cycle of reactivity often associated with anger.
Consider Psychotherapy
There are a number of psychotherapy options that are designed to help you manage the intense emotions that are often associated with BPD. Psychologistvietnam can help you, finding a good therapist.