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Why does rejecting someone with borderline personality disorder cause so much distress for them?
Anonymous
(25-29) 
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People with BPD see everything in extremes: you either love them or you hate them. So a rejection means you hate them. . . in their head.
I am not a psychologist, but it is my understanding that the basis of borderline personality disorder is an extreme fear of abandonment. So that would explain the distress caused by rejection.
It plays on their anxiety and triggers their fear of abandonment and lack of stability in life.