Borderline personality disorder (BPD) is characterized by affective and cognitive dysregulation and a high prevalence of traumatic stress.
1 Patients with BPD frequently experience stress-induced aversive states of reduced pain perception and dissociation, which are often relieved by self-injurious behavior.
1 Experimental studies
2-4 confirm reduced pain sensitivity in patients with BPD under nonstress and stress conditions. In general, reduced pain sensitivity under conditions of high stress can be central for adaptation and survival.
5,6 In patients with BPD, however, this mechanism may become part of the disorder.