Signs of Borderline Personality Disorders

7. Extremely heightened stress response. Any event leads to a flood of emotions, a sense of unreality of self/world, increased suspiciousness up to paranoia for several hours, or brings about a period of mood altered in that direction. Someone said something wrong, a mistake at work, an unlikable message from a friend, someone got an object of envy, a client was rude on the phone, a negative comment was written - anything that causes just a negative emotion in an ordinary person triggers a storm of negative emotions in a person with BPD. This may lead to impulsivity, self-harm, or a feeling of "I'm worthless," or all of the above.