Addiction and Borderline Personality Disorder (BPD): What’s the Connection?

Addiction and Borderline Personality Disorder
Dominic Nicosia

Written By

Dominic Nicosia

As Recovery Unplugged observes 2020 National Mental Health Month, we’re taking a look at some of the primary mental health issues that impact active alcohol and drug users, as well as those within the recovery community. This includes the relationship between addiction and borderline personality disorder (BPD).

Addiction and BPD are closely linked. One study from 2014 found that around 78 percent of BPD sufferers also developed substance use disorder at some point in their lifetime. Other data indicates that two thirds of the BPD population battles co-occurring alcohol or drug abuse.

What Is BPD?

BPD is defined as a behavioral health condition that impacts the way you think and feel about yourself and others, which leads to problems functioning in everyday life and relating to other people. It is often manifested through self-image issues, difficulty managing emotions and behavior, and a pattern of unstable relationships. It can be hard to diagnose BPD, and signifying behaviors often come off as simply “erratic”, “angry”, “rude” or “clingy” because sufferers are acting out from a fear of rejection or being alone.

Some of the more common behavioral indicators of BPD include, but are not limited to:

  • Intense fear of abandonment and going to extremes to avoid separation or rejection
  • Idealizing someone in a relationship then suddenly being cruel or pushing them away because you don’t feel like they care enough
  • Rapid changes in self-identity and self-image
  • Periods of stress-related paranoia and loss of contact with reality, lasting anywhere from a few minutes to a few hours
  • Impulsive and high-risk behavior, such as gambling, reckless driving, unsafe sex, irresponsible spending, binge eating or drug abuse
  • Sabotaging success by suddenly quitting a good job or ending a positive relationship
  • Suicidal threats or behavior or self-injury, often in response to fear of separation or rejection
  • Shifts in mood lasting from a few hours to a few days, which can include intense happiness, irritability, shame or anxiety, and an ongoing feeling of emptiness
  • Frequent loss of temper, sarcasm, bitterness and frequent physical confrontations

BPD generally starts around younger adulthood and can gradually improve as adults get older; however, each case is different. It is generally caused through genetics or neurological abnormalities. Recent data suggests that approximately 1.6 percent of the US population suffers from BPD.

The Relationship between Addiction and Borderline Personality Disorder

When you think about the behavioral patterns, causes and effects of BPD, it’s easy to see how the condition can become such a prime incubator for alcohol and drug use disorder. There are multiple ways in which these two conditions can become linked, including but not limited to:

  • Coping with Dysfunctional Relationships and Toxic Thought Patterns through Substance Use
  • Engaging in Codependent Drug or Alcohol Use to Please A Partner and Keep from Losing Them
  • Impulsively Abusing Substances during Erratic Changes in Mood

The link between addiction and borderline personality disorder is generally situational; however, it can often be attributed to the user’s relationships with either their friends, family, or romantic partners. Behavioral indicators often overlap, so it can be hard to spot co-occurring issues. The cruel irony is, however, that the longer substance abuse persists, the more of a threat it becomes to a person’s relationships, exacerbating the real and imagined abandonment fears of many BPD sufferers.

Treating Co-Occurring BPD and Addiction

Like other types of co-occurring disorders, treatment for BPD and addiction should include comprehensive interventions to address the physical and behavioral aspects of both conditions. Dialectical behavioral therapy (DBT) has proven to be an effective means of care to address both the root causes and sustaining factors of BPD. If you’re suffering from addiction and BPD, you need to address the “why” as well as the “how” of the condition. This can be done through group and individual therapy, as well as supplemental therapies, depending upon your care needs and lifestyle. Part of the process must also include learning to cultivate healthy relationships and interact better with others.

Don’t Let Addiction and Borderline Personality Disorder Ruin Your Health and Relationships

You know what addiction and BPD have cost you. At the very least, they’ve threatened your meaningful relationships. They can also easily derail your career, your quality of life, your sanity and your overall health. Stop alienating yourself and the people who are most important to you. Recovery Unplugged is ready to offer compassionate and effective treatment for BPD and addiction. Contact us today to learn more about what we can do for you and your loved one.

Dominic Nicosia

Dominic Nicosia

Dominic Nicosia, a seasoned content writer, brings a wealth of knowledge and expertise to the realm of healthcare writing, particularly in the addiction care field. Holding a Bachelor's Degree in Communications and Professional Writing from the University of the Arts Philadelphia (2009), Dominic has carved a niche for himself with over seven years of specialized writing experience in addiction care.

As the Senior Content Writer at Recovery Unplugged, Dominic is entrusted with the pivotal role of curating and overseeing the online blog, ensuring its alignment with the highest standards of accuracy, relevance, and trustworthiness. His responsibilities extend beyond the blog, encompassing all written communications within the Marketing domain. From articles and thought leadership pieces to web content, Dominic's penmanship is evident in every written facet of Recovery Unplugged.

Dominic's credibility is further enhanced by his contributions to esteemed publications like Austin Fit Magazine, where he delves into critical topics such as drug use, addiction, recovery, and mental health. His writings not only reflect his profound understanding of the subject matter but also resonate with readers, offering insights and guidance. Outside the professional sphere, Dominic's passion for music is evident. He has been writing and playing music for years, showcasing his versatility and depth as a writer and artist.

Dominic Nicosia stands as a beacon of expertise and credibility in the healthcare writing community. With a deep understanding of his subject matter and a commitment to accuracy, he consistently delivers content that is both informative and reliable, meeting the highest standards of quality and trustworthiness in the industry.


  • Proven track record in managing and enhancing online blogs, articles, and thought leadership pieces.
  • Adept at blending his passion for music with his writing, offering a unique perspective on topics.


  • Bachelor's Degree in Communications and Professional Writing from the University of the Arts Philadelphia (2009).
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