Borderline Personality Disorder

Interpersonal Issues rank number one in #BPD Triggers

Look for the Trigger
Look for the Trigger

In 2008, Dr. Paul Links published a study that ranked the interpersonal “triggers” of emotional dysregulation in people with BPD. In descending order of importance the triggers are:

Most Important

  • Interpersonal Issues
  • Daily Life
  • Internal Psychological States
  • Physical States
  • Media Stimuli
  • Therapy
  • Memories
  • Impulsivity
  • Major Life Change/Stress

Least Important

This study contains both good and bad news for a loved one of someone with BPD. The bad news first: since “Interpersonal Issues” are at the top of the list, each interaction will be interpreted through a filter of “threat-awareness” based on emotional reactions. That is what causes the “walking on eggshells” behavior of the loved ones. Meaning, if you fear a major blow-up every time you say something, you’re “walking on eggshells.” The good news is that childhood events (memories) are not that triggering, so working with a person in the “here and now” can be effective.

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