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What Does a BPD Episode Look Like?

Written by Dr. Zach Miller, Medically Reviewed by Jocelyn Riden June 18, 2025

Borderline Personality Disorder (BPD ) is a complicated mental disorder that influences how people think and feel about themselves and other people. It may lead to some challenges in daily functioning, such as weak self-image, problems with emotions and behavior, and a pattern of uncontrolled relationships.

BPD sufferers and the people who love them need to appreciate, empathize, and communicate effectively, as well as get proper treatment by learning what a BPD episode is like.

Within this blog post, we will look at what exactly a BPD is and what the common symptoms are, and what usually happens when someone has a BPD. Through treatment and care, individuals with BPD can live normal lives. Education and awareness are the beginning of it all.

Living with Borderline Personality Disorder

There is a constant feeling of being on an emotional rollercoaster when living with Borderline Personality Disorder. Emotional triggers such as sadness, anger, and joy may be so severe, erratic, and sometimes out of keeping with the inciting event.

The age of developing BPD is usually during the years of early adulthood, and more often than not, this has been diagnosed amongst women; however, men are also affected and are sometimes diagnosed with other illnesses such as depression or PTSD instead.

Common borderline personality disorder symptoms include:

  • A fear of abandonment, whether real or perceived
  • Intense, unstable relationships that swing between idealization and devaluation
  • Rapid changes in self-identity and self-image
  • Impulsive behaviors such as binge eating, reckless driving, or substance abuse

  • Emotional instability, including intense periods of depression, irritability, or anxiety

  • Chronic feelings of emptiness
  • Intense or inappropriate anger and difficulty controlling it
  • Dissociation or feeling disconnected from oneself or reality

Life becomes chaotic and confusing to those having such symptoms. Interpersonal relations can be noted with a lot of quarrels, and daily activities can be overwhelming. However, when patients obtain the proper borderline personality disorder treatment, a lot of them can take back their lives and emotions.

What Does a BPD Episode Look Like?

A BPD episode is when a person experiences emotional or behavioral instability as a result of internal or external stress. Such episodes are case-specific yet commonly entail an excessive amount of emotions, irrational thoughts, and actions. This is what usually happens:

1. Emotional Intensity and Sudden Mood Swings

Emotional dysregulation is one of the characteristics of BPD. In an episode, an individual may experience greater and longer emotions than others may feel. A small misunderstanding or a casual remark may result in feelings of worthlessness, rage, or panic.

In another instance, an individual might end up in a state of elation after receiving a reply text message, and later on, the person might be devastated after a few minutes when that friend fails to reply to another text. These swings of emotions could be quite fast, almost within hours or minutes and the person involved feels exhausted.

2. Fear of Abandonment and Panic Reactions

A sense of being abandoned or a slight sense of a loved one being late or wanting space, can be followed by ciphering amounts of out-of-control panic. This is a sometimes irrational fear, that is painful.

At times of these episodes, one may beg, scream, or strike out in desperation. They can also do the so-called testing behaviors, whereby they push others away to test whether they come back. The habit of self-sabotage is out of sheer fear of abandonment.

3. Impulsive and Self-Destructive Behavior

Due to emotional pain, a person can indulge in destructive activities during an episode. These may comprise

  • Substance abuse
  • Eating in binges or purges
  • Overspending
  • Self-injury (e.g. heroin, cutting or burning)
  • Suicidal speech or behavior

It is not about the need for attention, but these acts are frequently the desperate strategies to experience something, to escape the numbness of emotions or to get rid of the inner tension. It is important to be able to recognize them as such because this is part of a BPD episode in order to show compassion and give the person support on time.

4. Distorted Thinking and Dissociation

Also, one can experience distorted and paranoid thoughts in the episode. One can think that other people intend to harm them, or that they are not lovable or bad.

At times, there is dissociation, making them feel they are out of their body or environment. Some can talk of this experience as the experience of looking at themselves as outsiders or as being in a dream. Such a lack of connection can aggravate the desire to feel nothing and hopelessness.

5. Volatile Relationships

An increase or decrease in the perception of relationships often occurs during the episodes. It is possible to consider a loved one as such a perfect person in one instance and so pitiful in another. Such a black-and-white form of thinking, sometimes called splitting, makes long-term relationships especially difficult.

An insignificant argument is enough to cause an emotional outburst or a withdrawal as the individual with BPD feels abandoned or not loved.

Caregivers and people who love them need to understand these changes. Emotional turbulence may be severe, but when one understands that it is a behavioral aspect of the disorder, it opens room for support and relation as opposed to conflict.

Get Help Today at Palm Coast Treatment Solutions

Learning about the appearance of a BPD episode also decreases stigmatization and provides a way out for a person and their relatives. Though BPD and its emotional storm may be scary and draining, hope exists.

Palm Coast Treatment Solutions offers all-inclusive and caring services to individuals struggling with borderline personality disorder. Our experienced staff develops individualized treatment programs that integrate evidence-based treatments and holistic support, which addresses the needs of the particular person.

Borderline Personality Disorder Treatment in Palm Coast

Whether you are trying to seek treatment for yourself or a loved one you can find help at us. A person can achieve emotional stability, recovery, and significant relationships with the help of adequate tools and orientation.

📞 Call us today at (386) 284-4151 to speak with a caring professional and begin the journey toward recovery and well-being.

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