What Are the Types of Borderline Personality Disorder? (2024)

There are four widely accepted types of borderline personality disorder (BPD):

  • Impulsive
  • Discouraged
  • Self-destructive
  • Petulant

It is possible to have more than one type of BPD at the same time or at different times. It's also possible to not fit any one of these borderline personality categories.

What Are the Types of Borderline Personality Disorder? (1)

People with this mental health condition have issues with:

  • Emotion regulation
  • Impulsive behavior
  • Relationships

Overlap in symptoms exists between the types. Aggressiveness and anger may vary considerably between them.

This article looks at the four types of borderline personality disorder. It explains what defines them, their causes, and how BPD is diagnosed.

Not all healthcare providers agree on how many BPD types there are or which symptoms are common to each one. This article reports on the four main types as established by the late Theodore Millon, PhD, DSc, a leading expert in the field of personality disorders.

Living with Borderline Personality Disorder (BPD)

Impulsive BPD

Impulsive behavior is a primary symptom of BPD. A person with BPD can act in impulsive and often dangerous ways. They may do this without regard for others or possible consequences.

People with this type of BPD may appear:

  • Charismatic
  • Energetic
  • Elusive or detached
  • Flirtatious
  • Engaging or motivating

Some example behaviors include:

  • Bingeing behaviors: Binge eating, overspending
  • Risky and self-destructive behaviors: Unprotected sex, sex with multiple partners, driving under the influence, drinking alcohol to excess, doing illicit drugs, gambling
  • Aggressive behaviors: Outbursts, physical fights, breaking things, hitting things, yelling fits

Discouraged BPD

This is also known as quiet borderline personality disorder. People with this type are afraid of being abandoned. They may take extreme actions to prevent real or imagined abandonment.

Compared to people with other types of BPD, people with this type may keep their emotions inside. They also tend to blame themselves rather than others.

Discouraged types may:

  • Be perfectionists
  • Be very successful
  • Be high functioning
  • Feel alienated and detached in groups
  • Feel like they don’t have real or strong bonds with others
  • Seek approval but also self-isolate
  • Engage in self-harm or suicidal behavior
  • Feel lonely and empty a lot of the time

Signs of discouraged BPD include:

  • Clinginess
  • Codependency
  • Neediness
  • Anger and emotional mood swings if abandonment issues get triggered

Self-Destructive BPD

People with this type of BPD struggle with self-hatred and often feel bitter.

Example behaviors of people with this type of BPD include:

  • Substance abuse: This includes recreational drugs and prescription medications.
  • Risky adrenaline-seeking activities: People may engage in these activities without preparing for them first.
  • Self-harm behaviors: These may include cutting, burning, scratching, or hitting.
  • Threats of suicide

Symptoms of self-destructive BPD are similar to those of other conditions. These additional symptoms can help set it apart:

  • An increase in energy
  • A decrease in the desire to sleep
  • Feelings of euphoria

That said, these may be signs of a manic episode or bipolar disorder rather than self-destructive BPD. Talk to your doctor so you can be sure to get the right treatment.

Petulant BPD

People with this type of BPD may be angry one moment and sad or sulky the next. They may swing unpredictably between one emotion and another. They may also feel unworthy and unloved. This can lead to relationship challenges and an unhealthy desire for control.

People with this type of BPD can be manipulative. They often feel very dissatisfied in their relationships. Substance abuse and other dangerous behaviors often follow.

Example behaviors of people with this type of BPD include:

  • Irritability and impatience
  • Stubbornness and defiance
  • Passive-aggressiveness
  • Severe mood swings

Help Is Available

If you or someone you know is in crisis and threatening self-harm or suicide, contact the Suicide & Crisis Lifelineat 988. This is a national toll-free number that is available 24/7 and will provide confidential support and connect you to local crisis centers. Never discount suicide threats from people with BPD.

How Do I Know What Type of BPD I Have?

There is no one "BPD test" that can diagnose the disorder or tell you what type of BPD you have.

To diagnose BPD, your healthcare provider may:

  • Ask you about your symptoms and medical history
  • Ask you about your family medical history, including mental health conditions
  • Have you complete a detailed questionnaire
  • Conduct a complete medical examination to rule out other conditions that may be causing your symptoms

Their evaluation may lead to the diagnosis of one or more types of BPD. However, some people have only the core symptoms of BPD and may not necessarily fit into any of the four types discussed here.

Your healthcare provider will monitor your symptoms over time. Most people with BPD improve with treatment, though it is possible to experience relapses. Thus, it's important to follow up with your healthcare provider even if you feel that you are improving.

How BPD Is Diagnosed

Summary

The four types of BPD include impulsive, discouraged, self-destructive, and petulant. Each highlights a different aspect of BPD.

For example, people with impulsive BPD tend to act without thinking about the consequences. People with self-destructive BPD struggle with self-hatred and suicidal thoughts.

Anyone with BPD may have one type or more than one, though some people don't squarely fit into any of these categories.

Borderline Personality Disorder (BPD) in Men

4 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. National Alliance on Mental Health. Borderline personality disorder.

  2. Smits ML, Feenstra DJ, Bales DL, et al. Subtypes of borderline personality disorder patients: a cluster-analytic approach. Bord personal disord emot dysregul. 2017;4(1):16. doi:10.1186/s40479-017-0066-4

  3. Millon T. Disorders of Personality: DSM-IV and Beyond. 2nd edition. Wiley; 1995.

  4. Biskin RS. The lifetime course of borderline personality disorder. Can J Psychiatry. 2015;60(7):303-8. doi:10.1177/070674371506000702

What Are the Types of Borderline Personality Disorder? (2)

By Michelle Pugle
Pulge is a freelance health writer focused on mental health content. She is certified in mental health first aid.

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What Are the Types of Borderline Personality Disorder? (2024)

FAQs

What are the 4 types of borderline personality disorder? ›

There are four widely accepted types of borderline personality disorder (BPD): discouraged, impulsive, petulant, and self-destructive BPD. You can suffer more than one kind of BPD simultaneously or at different stages in your life. Similarly, it is also possible for your condition not to fit any of these types of BPD.

What are the 9 traits of BPD? ›

The 9 symptoms of BPD
  • Fear of abandonment. People with BPD are often terrified of being abandoned or left alone. ...
  • Unstable relationships. ...
  • Unclear or shifting self-image. ...
  • Impulsive, self-destructive behaviors. ...
  • Self-harm. ...
  • Extreme emotional swings. ...
  • Chronic feelings of emptiness. ...
  • Explosive anger.

What are the four types of personality disorders? ›

Antisocial personality disorder (ASPD) Borderline personality disorder (BPD) Histrionic personality disorder. Narcissistic personality disorder.

How many combinations of BPD are there? ›

A diagnosis requires the presence of any five symptoms, which allows for 256 combinations by which an individual could receive a BPD diagnosis.

What are the five subtypes of BPD? ›

In response to this problem, Oldham proposed five types of BPD: affective, impulsive, aggressive, dependent and empty.

What type of BPD is quiet? ›

Quiet borderline personality disorder, or quiet BPD, is a classification some psychologists use to describe a subtype of borderline personality disorder (BPD). While many symptoms of BPD can manifest outward (such as aggression toward others), individuals with quiet BPD may direct symptoms like aggression inward.

What are the 3 C's of BPD? ›

However, it is important that you do not make ultimatums that you cannot carry out and it is vital that you are not tolerant of ongoing abusive behaviour. Remember the 3 C's: I didn't cause it, I can't control it, I can't cure it. If you are experiencing abuse it is important that you seek extra support.

What are the strange behaviors of BPD? ›

A pattern of intense and unstable relationships with family, friends, and loved ones. A 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.

What are BPD eyes? ›

Dissociation and Emotional Dysregulation in BPD

This might manifest as a "glazed-over" or "empty" look in their eyes, hence the term "empty eyes." This phenomenon is also associated with depersonalization or derealization, where individuals feel detached from themselves or their surroundings.

What is type C personality disorder? ›

“Cluster C” refers to a group of personality disorders that cause long-term feelings of anxiety and insecurity. They include: avoidant personality disorder (AvPD) dependent personality disorder (DPD) obsessive-compulsive personality disorder (OCPD)

What is the hardest personality disorder to treat? ›

Cluster B personality disorders include antisocial personality disorder, borderline personality disorder, narcissistic personality disorder, and histrionic personality disorder. These tend to be the least common disorders but are often the most challenging to treat.

What is the hardest mental illness to live with? ›

Borderline personality disorder is one of the most painful mental illnesses since individuals struggling with this disorder are constantly trying to cope with volatile and overwhelming emotions.

What does high functioning BPD look like? ›

People with high-functioning BPD experience frequent negative thoughts, fear of rejection, and regret about expressing their feelings. Individuals with quiet BPD may oscillate between clinging to people around them in need of validation and them pushing them away to avoid criticism.

Does BPD have a pattern? ›

A pattern of intense and unstable relationships with family, friends, and loved ones. A distorted and unstable self-image or sense of self.

Is BPD on a spectrum? ›

The reality is that like every disorder, borderline personality disorder is a spectrum.

What is the biggest trait of borderline personality disorder? ›

Borderline personality disorder usually begins by early adulthood. The condition is most serious in young adulthood. Mood swings, anger and impulsiveness often get better with age. But the main issues of self-image and fear of being abandoned, as well as relationship issues, go on.

What is the biggest symptom of borderline personality disorder? ›

People with borderline personality disorder may experience intense mood swings and feel uncertainty about how they see themselves. Their feelings for others can change quickly, and swing from extreme closeness to extreme dislike. These changing feelings can lead to unstable relationships and emotional pain.

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