Amber Heard's public diagnosis of borderline personality disorder during the Heard-Depp trial has brought BPD into the spotlight. But it's important to understand what BPD is—and what it isn't.
, which can co-occur with BPD. Of the hundreds of BPD patients I have worked with, few have used dirty tactics such as harmful lies, physical violence, or threatening others.
People with BPD do, however, easily feel invalidated and hurt, and often misinterpret others’ behaviors. A primary sensitivity involves their frantic efforts to avoid abandonment and rejection. These over-reactions to this perceived threat often lead to conflict, as they alternate between avoidance, appeasement, and retaliation. They sometimes use physical aggression, threats, orDepp emphasized Heard’s aggression, fears of abandonment, and other insecurities.
The gold standard for diagnosis is to include a validated semi-structured interview rather than relying on the MMPI or other self-report questionnaires, which can contribute to overdiagnosis. Diagnoses are even less reliable when a person underreports their symptoms to avoid stigma or distorts the truth to help them in a potential court case. Depp’s expert-witness psychologist said the evidence of Heard's behavior “was consistent with" BPD, but did not say that Heard had BPD, even though many listeners understandably drew that conclusion.
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