A member asked:

What is the difference between narcissitic personality disorder and borderline personality disorder i have borderline personality disorder and my girlfriend has narcissistic personality disorder and she says we are exactly alike only i never want to hurt

10 doctors weighed in across 3 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

A : A person with a borderline personality disorder and a person with a narcissistic personality disorder may have a lot in common. The major similarity is difficulty with their relationships with others. An individual with a personality disorder perceives their world and interacts with it in a way that causes them impairment and distress. A person with a borderline personality disorder can experience strong changes in their moods. They may become depressed or anxious, with dramatic anger or rage. They may engage in self injury such as cutting or burning their skin. At times of stress they might threaten to kill them self or may attempt suicide. Risky and impulsive behaviors such as promiscuity, having sex without protection, reckless driving, gambling, over-spending, drug use or abuse of alcohol may occur. Someone who is borderline is usually very fearful of losing the people that are important in their life; of being abandoned. An individual with a narcissistic personality disorder usually is egocentric. They tend to think about their own needs before the needs of others. They may believe that they are superior to others and that they are unique. They may expect special treatment as well as praise from others. Their lack of empathy can lead to problems in their relationships with others. Sometimes they take advantage of others and envy is not uncommon. As you and your girlfriend go through therapy, you should both gain progressively more knowledge about each of your conditions. I hope this information is helpful.

Answered 10/3/2016

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Dr. Lynne Weixel answered

Specializes in Clinical Psychology

Pretty similar: Either, actually any, personality type could seem hurtful, that's not the difference. Borderlines tend to be "black and white" in thinking, unstable relationships, self-image, identity. Impulsive behaviors often lead to self-harm. Narcissists tend to be vane, seeking admiration and adoration. Neither necessarily wants to hurt or be hurt but either might do either. Help any?

Answered 11/28/2017

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Dr. Dheeraj Raina answered

Specializes in Psychiatry

Keep it simple: Above answers pretty much covered the main points. I hope that you and your girlfriend have not just diagnosed each other on the basis of reading about personality disorders. Second, if you have been formally diagnosed, please get help - so that you overcome these conditions rather than falling into the trap of using them as labels or excuses to feel and perpetuate hurt. Hope this helps. Good luck.

Answered 8/27/2015

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