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Based on overlapping symptoms, Borderline Personality Disorder (BPD) and Narcissistic Personality Disorder (NPD) are often mistaken for one another.

The two personality disorders even have a rate of co-occurrence of about 25 percent, according to the National Alliance on Mental Illness (NAMI).

Some conventional [borderlines] do not get angry at all, but hold it in or express it inwardly through self-harm,” says Kreger.

“The anger of narcissists, on the other hand, can be more demeaning,” she continues.

These moods may secondarily affect cognition and interpersonal relationships.

Other symptoms of BPD include impulsive behaviour, intense and unstable interpersonal relationships, unstable self-image, feelings of abandonment and an unstable sense of self.

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If autism is hyper-masculinization of the brain, it may help to think of BPD as characterizing hyper-feminization of the brain.

It’s the expression of the anger that results from the conflict that is different.

In her article “Blame-Storms and Rage Attacks,” Randi Kreger, co-author of , points out the difference in how those with BPD and NPD express anger.

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Instructions: Enter the number next to each statement that is closest to your condition for both the Current and the Past with: 0 (not present); 1 (mild); 2 (moderate); or 3 (severe).

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People with BPD often engage in idealization and devaluation of themselves and of others, alternating between high positive regard and heavy disappointment or dislike.

Self-harm and suicidal behavior are common and may require inpatient psychiatric care.

While those with Borderline Personality Disorder may fly into a rage and push people away, they will often calm down, feel shame for their reaction, and promise never to do it again.

“Unless they’re in treatment, the underlying issues don’t go away.

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