BPD Diaries: Stories and Science25 Jul 2025

Losing Touch | Paranoia and Dissociation in BPD

In this episode we explore the disorienting symptoms of transient paranoia and dissociation in Borderline Personality Disorder*.

You'll hear personal stories, learn what the latest research says, and most importantly, we dive into real strategies for grounding yourself, challenging paranoid thoughts, and reconnecting with reality.

🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com⁠⁠⁠⁠⁠ and let’s keep the conversation going.

🎧 Looking for guided meditations made for emotional regulation, BPD, and more? Check out our YouTube channel Empowered Heroes for free meditations created with love and care:⁠⁠⁠⁠⁠⁠https://www.youtube.com/@Empoweredheroes⁠⁠⁠⁠⁠⁠ Also available on ⁠⁠⁠⁠Spotify at Empowered Heroes Meditations⁠⁠⁠⁠.

📩 For support on your BPD recovery journey with DBT-based skills and Mindfulness practices, email me for a free 30-Minute Consultation: ⁠steff@bpdsupport.org⁠ or check out the website: www.bpdsupport.org

*If you or someone you care about is struggling with symptoms of BPD, know that you’re not alone. Support is out there, and healing is absolutely possible.

📚 Referenced Research Includes:

Fertuck, E. A., Jekal, A., Song, I., Wyman, B., Morris, M. C., Wilson, S. T., ... & Stanley, B. (2009). Enhanced ‘Reading the Mind in the Eyes’ in borderline personality disorder compared to healthy controls. Psychological medicine, 39(12), 1979-1988. Doi:10.1017/S003329170900600X

Lyssenko, L., Schmahl, C., Bockhacker, L., Vonderlin, R., Bohus, M., & Kleindienst, N. (2018). Dissociation in psychiatric disorders: A meta-analysis of studies using the dissociative experiences scale. American Journal of Psychiatry, 175(1), 37-46. https://doi.org/10.1176/appi.ajp.2017.17010025

Fonagy, P., & Luyten, P. (2009). A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Development and psychopathology, 21(4), 1355-1381. https://doi.org/10.1017/S0954579409990198

Schore, A. N. (2001). The effects of early relational trauma on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal: Official Publication of The World Association for Infant Mental Health, 22(1‐2), 201-269. https://doi.org/10.1002/1097-0355(200101/04)22:1<201::AID-IMHJ8>3.0.CO;2-9

Sieswerda, S., Arntz, A., Mertens, I., & Vertommen, S. (2007). Hypervigilance in patients with borderline personality disorder: specificity, automaticity, and predictors. Behaviour research and therapy, 45(5), 1011-1024. https://doi.org/10.1016/j.brat.2006.07.012

Zanarini, M. C., Frankenburg, F. R., Reich, D. B., Silk, K. R., Hudson, J. I., & McSweeney, L. B. (2007). The subsyndromal phenomenology of borderline personality disorder: a 10-year follow-up study. American Journal of Psychiatry, 164(6), 929-935.
https://doi.org/10.1176/ajp.2007.164.6.929

Zanarini, M. C., Frankenburg, F. R., Wedig, M. M., & Fitzmaurice, G. M. (2013). Cognitive experiences reported by borderline patients and Axis II comparison subjects: A 16-year prospective follow-up study. The American journal of psychiatry, 170(6), 671.

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