How should a Christian view borderline personality disorder (BPD)?
In general, people with personality disorders show a pattern of thinking and behavior that
conflicts with the basic expectations of their culture. Personality disorders adversely affect the
person’s life and typically begin in adolescence or early adulthood. Many people with
personality disorders also have other mental illnesses such as anxiety or depression.
Borderline Personality Disorder
Borderline personality disorder (BPD) is a significant mental health disorder that is so disruptive
it was once thought untreatable. Borderline personality disorder is a pattern of instability in
interpersonal relationships, problems with self-image, intense emotions, and impulsive behavior.
Two significant impairments characterize BPD: an inability to know oneself and an inability to
understand one’s value to others. A common description of BPD is “I hate you—don’t leave
me.”
People with borderline personality disorder have a weak sense of self-identity. This leads to a
host of reactions including low self-esteem, a belief that they are evil or bad, a sense of
emptiness, and even dissociative episodes brought on by stress. These traits can manifest in
dramatic and impulsive changes in careers, sexual identities, and/or values.
Unable to find worth in themselves and finding it difficult to maintain a stable environment,
people with borderline personality disorder seek approval from others. This search, however, is
fraught with danger as it mixes with a fear (real or imagined) of abandonment. People with BPD
have great difficulty reading others and a tendency to interpret relatively benign social situations
as rejection, disrespect, or abuse. Those with borderline personality disorder seek love and
approval from others. Their minds tend to latch onto a single person they believe will meet all
their emotional needs. But when the idealized individual is unable to provide sufficient and
consistent support, those with borderline personality disorder quickly become disillusioned. This
leads to fear of abandonment and affirmation that they are bad or unworthy of love. There may
be episodes of fierce anger, then guilt, which again feeds the belief that they are bad.
Borderline personality disorder makes stable relationships difficult. Attempts to find peace lead
to impulsive behavior such as substance abuse, gambling, or binge eating. Self-harm and suicide
rates are high among people with borderline personality disorder. The aspect of borderline
personality disorder that most adversely affects relationships is the swing between relational
idealization and disappointment that manifests in angry outbursts. The mood swings sabotage the
good and stable relationships that they so desire. Those with borderline personality disorder also
tend to be highly intelligent, which makes it difficult to change their point of view by arguing.
Causes of Borderline Personality Disorder
The mental health medical field has had problems determining what exactly causes borderline
personality disorder. There is a definite genetic link, as direct relatives are five times more
susceptible to having the condition. It is most likely caused by a traumatic event or (real or
perceived) abandonment during childhood that was not sufficiently addressed, mixed with a
physiological or psychological predilection. Some say a child who feels neglected swings
between acting out and being good in a search for attention, and, when the desired level of
attention does not come, the pendulum swings ever wider until the child can find no equilibrium.
But borderline personality disorder can certainly be found in people who had loving, supportive
parents.
Treatment of Borderline Personality Disorder
Borderline personality disorder can be a pervasive force in one’s personality, but it does tend to
mellow with age and experience. Drugs have little effect, although they may be prescribed for
secondary issues such as anxiety. Some Christians with borderline personality disorder have
learned to moderate their symptoms by focusing on the sinfulness of their reactive behavior.
When they feel angry and resentful, they release those feelings to God. When they feel empty,
they remember their identity in Christ. This requires a lot of hard work and spiritual support.
Mitigating the symptoms of BPD is not easy.
In recent years, dialectical behavior therapy (DBT) has provided significant help for some
individuals with borderline personality disorder, perhaps accelerating the lessons otherwise
learned through experience. DBT teaches how to interpret and interact with the world as it is, not
as it feels. It helps patients pause and logically consider what they are experiencing, realize
which experiences are harmful and which are normal, and remember to express needs directly,
without resorting to manipulation. It includes a form of cognitive-behavioral therapy (CBT) that
teaches the patient how to change core beliefs that cause unwanted behavior. Dialectical
behavior therapy does not have a biblical basis, per se, but it does help those with wounded
minds interpret and interact with God’s creation in more biblical ways—for example, taking
every thought captive (2 Corinthians 10:5) and being slow to anger (James 1:19).
For the Person with Borderline Personality Disorder
There are a couple of aspects of borderline personality disorder that make the Christian walk
particularly difficult. When you are filled with overwhelming feelings of failure and
worthlessness, it can be easy to think those thoughts are God’s point of view and not a trick of
the disorder. The quick shift to victimhood doesn’t help, as simple religious customs are
reinterpreted as oppressive or even abusive. It is important to realize that BPD pushes you to
react in ungodly, sinful ways. The Christian with BPD needs to remember that God’s Word is
truer than our fallen interpretations, and His commands are right, where our natural tendencies
are wrong, even if they feel justified. As 1 Corinthians 13 says, love is patient and kind, not
irritated and selfish. Love does not insist on having things its own way. It is not resentful. It
bears and endures hardships and doesn’t put the blame on others. Part of being loving means
trusting God with your needs and not demanding that others give what only Christ can
(Philippians 4:19).
Borderline personality disorder is a serious condition that adversely affects the way you interpret
yourself, other people, and the world. Remind yourself of the truth: God loves you, sometimes in
ways you don’t appreciate at the moment. Jesus died for your sins, and, if you have accepted
Him, God sees you as sinless. Feelings, especially those that are amplified or driven by
misinterpreted experiences, are not always representative of the truth.
God will never leave you or abandon you (Hebrews 13:5). If you seek God, you will find Him
(Jeremiah 29:13). If you seek first God’s perspective and His reality, you will subsequently find
what you need (Matthew 6:33).
For Friends and Family of Those with Borderline Personality Disorder
The highly personalized, rigid worldview and great emotional needs of someone with borderline
personality disorder adversely affects loved ones. When God doesn’t come through in the exact
way the person wants (which is inevitable when childhood abuse or abandonment is involved),
anger flares, and God is rejected. It can be extremely difficult to speak of God’s love and grace
to someone who is convinced he is worthless unless he sees you loving him in the way he wants.
Prayer is always the first step for any friend or family member of someone with BPD
The next step is to get educated. People with borderline personality disorder need friends with
strong hearts and stronger boundaries. Boundaries define what behaviors the friend will tolerate
(such as the hours they will pick up the phone) and should reflect the boundaries given in the
Bible. Consistently but lovingly pointing out the natural consequences of sinful behavior will
help the person with BPD remember the Bible has a truth that is not always accessible to the
over-emotional mind. These limits are essential to protect the mental health of the friends so they
can continue to be supportive.
Family and friends also need to be able to speak truth repeatedly, offering alternatives for
perceived malicious motives or giving reminders that others have the right to have different
points of view and different needs. They need to recognize when a discussion is spiraling out of
control and the conversation needs to be redirected. If the person is going through DBT or CBT,
friends should learn the basics so they can reinforce the therapy tools.
Self-care for friends and family includes occasional reminders of their own reality when their
loved one with BPD lashes out in anger and blame. It can be helpful to consider that some with
BPD may employ chronic lying as a coping mechanism to prevent abandonment. Also remember
that, in situations of heightened emotion, people, both with and without BPD, might convey an
inaccurate picture of the reality of the situation. Taking a moment to breathe and to focus your
own heart on God can help keep you stable in the midst of seeming turmoil. And friends and
family should consider enlisting outside support for themselves, even a counselor if need be, so
the caretakers are also cared for.
Borderline Personality Disorder and Salvation
The Bible’s promise is clear: “For I am sure that neither death nor life, nor angels nor rulers, nor
things present nor things to come, nor powers, nor height nor depth, nor anything else in all
creation, will be able to separate us from the love of God in Christ Jesus our Lord” (Romans
8:38–39).
Emotional wounds, cognitive inabilities, past abuse, and feelings—none of these are powerful
enough to prevent God’s love from shining on those who trust in Christ. Our salvation is based
on Christ’s work on the cross, not our broken feelings. All believers need reminders of God’s
goodness and Jesus’ sacrifice and love; people with BPD just need those reminders more often.
All believers need a community for encouragement and exhortation; people with BPD need a
community that is exceptionally stable.
The offer of God’s salvation brings up one more truth for both the person with BPD and his or
her loved ones: forgiveness. If you suffer from BPD, you must learn to forgive those who do not
meet your expectations, whether those expectations are legitimate or unrealistic. If you know
someone with BPD, you must learn to forgive the neediness, lies, and volatile emotional
outbursts. For either person, you may need to spend some time apart, but do so as an opportunity
to seek guidance and support from God, not out of anger. “Love covers all offenses” (Proverbs
10:12, ESV). As Jesus said, we are to forgive our brother seventy-seven times (Matthew 18:21–
22). Our Lord is exceptionally experienced in forgiveness and can equip us to follow His lead.
Borderline Personality Disorder and Feelings of Abandonment
After a failed exorcism, a seven-step confess and renounce your sins to be healed protocol
and a reprimand for my lack of faith‚ the last happening while I was already in the psych
ward‚ I was forced to leave the church. As a result, people I once trusted with my life
would no longer talk to me. What was doubly devastating about this abandonment is that
my faith was the center of my life‚ and suddenly I was alone.
Meaning of Religion and Spirituality
There is a difference between religion and spirituality. Religion is a set of rules.
Spirituality is the way you orient yourself toward the divine. Religion is a way you identify
yourself before humanity. Spirituality is the way you identify yourself toward the beliefs in
your heart of hearts.
Religion can hurt. In straightforward terms, religion is here are the rules. Follow them and
there are blessings; break them and there are consequences. When people focus on the rules
of religion instead of the relationship of spirituality, corruption is at the door.
How Spirituality May Benefit A Person with Borderline Personality Disorder
Spirituality can only help. Because spirituality is a relationship between the divine and the
individual, it can not be forced onto another person in the way religion can. It can not be
taken away; how do you excommunicate yourself? While religion is based on discipline,
spirituality is grounded in love.
It took me nearly four years to understand this, and once I understood, I began to heal.
Spirituality can be of great benefit to a person with Borderline Personality Disorder,
offering a sense of acceptance, of companionship, of meaning and understanding.
Religion is for people afraid of going to hell, observes a bumper sticker. Spirituality is for
those who have been there. A person with BPD can understand this. Life in general and
especially with BPD can be hell. Spirituality can offer comfort and the ability to survive.
Because spirituality is a personal relationship toward the divine, it is always available.
While religion can leave you abandoned, spirituality will assure you that you're not alone.
