BPD Dichotomous Thinking and Borderline Personality Disorder By Kristalyn Salters-Pedneault, PhD Kristalyn Salters-Pedneault, PhD Kristalyn Salters-Pedneault, PhD, is a clinical psychologist and associate professor of psychology at Eastern Connecticut State University. Learn about our editorial process Updated on May 17, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Jamie Grill / Getty Images Dichotomous thinking, also known as "black or white thinking," is a symptom of many psychiatric conditions and personality disorders, including borderline personality disorder (BPD). Dichotomous thinking contributes to interpersonal problems and to emotional and behavioral instability. Characteristics of Dichotomous Thinking Many people experience dichotomous thinking sometimes, but it can be a problem when extreme conclusions about yourself, other people, or circumstances, interfere with your emotional stability, relationships, and decisions. If most of your thoughts break down to black or white, good or bad, and all or nothing, then it is possible that you have a strong tendency towards dichotomous thinking. This extreme thinking can cause serious overreactions or emotional responses and may result in significant consequences if you tend to behave impulsively in response to your extreme feelings. Whether it's breaking off a relationship or poor work performance, dichotomous thinking can affect your quality of life. Dichotomous Thinking and Borderline Personality Disorder BPD is a condition that is challenging to live with. BPD is often difficult to diagnose because people who have it may experience extreme mood swings and erratic behavior, but generally cannot see themselves as having a problem, and instead view others as the problem. People with BPD are more likely to display dichotomous thinking than people who do not have BPD. Examples of Dichotomous Thinking Dichotomous thinking can cause conflicts and agitation, disrupting your own inner sense of peace and disrupting peace between yourself and others. If you have BPD, you may experience dichotomous thinking without even realizing it. For example, you might frequently flip-flop between seeing yourself as a remarkable success or a major failure based on the praise or criticism of others. A person with dichotomous thinking may meet a new coworker at work. In the beginning, the coworker is viewed as amazing, perfect, and better than any other coworker or friend ever encountered before. People with dichotomous thinking tend to have favorites and to believe that everything about a favorite person or thing is superior to others. However, as time goes on, someone with dichotomous thinking may suddenly swing to the opposite extreme. If ignored by the coworker, or if the coworker behaves in a disappointing way, a person with dichotomous thinking may lose respect for or hate this formerly favorite coworker, unable to sustain relationships that are not distinctly "love" or "hate". This can lead to being easily manipulated by those who are viewed as "good" or to abrupt breakups in friendships and romantic relationships. In some instances, dichotomous thinking can result in financial problems. Impulsive purchases and a lack of balanced judgment at work and in one's personal life can have serious consequences. Treatment of Dichotomous Thinking Dichotomous thinking and BPD can be very detrimental, holding you back from living a rich, full life. There are treatments for both conditions. If you have symptoms, it is recommended that you seek out a healthcare professional who is trained and experienced in treating borderline personality disorder. During your therapy sessions, your therapist or psychologist may ask you to discuss examples of your daily experience and talk about different perspectives. If you often think in extremes, your therapist can help you identify the middle ground, introducing you to a new, more balanced way of thought. As you progress, you will learn to consider your own assumptions by asking yourself the following questions before you allow your thoughts to upset you: Is there evidence that supports my thoughts?Am I considering all angles or am I leaving things out?Could my assumption be challenged by someone else? How?Does everyone else see it this way?Am I being fair to others in making this opinion? By taking a step back, you can build the skills necessary to learn to form a more realistic perception of your relationships and your environment. If you recognize that you have a tendency to dichotomous thinking, it is also important to avoid acting on your extreme thoughts or making sudden decisions. You might want to write things down or discuss them with a trusted friend or therapist. These steps can give you time to consider your decisions and to get feedback from a neutral source before you take action that could cause harm to your relationships or your finances. 3 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Oshio, A. An all‐or‐nothing thinking turns into darkness: Relations between dichotomous thinking and personality disorders. Japanese Psychological Research. 2012; 54(4):424–429. doi:10.1111/j.1468-5884.2012.00515.x Arntz A, ten Haaf J. Social cognition in borderline personality disorder: evidence for dichotomous thinking but no evidence for less complex attributions. Behav Res Ther. 2012; 50(11):707-18. doi:10.1016/j.brat.2012.07.002 National Institute of Mental Health. Borderline personality disorder: treatments and therapies. Additional Reading Mak AD, Lam LC. Neurocognitive profiles of people with borderline personality disorder. Curr Opin Psychiatry. 2013;26(1):90-6. doi:10.1097/YCO.0b013e32835b57a9 By Kristalyn Salters-Pedneault, PhD Kristalyn Salters-Pedneault, PhD, is a clinical psychologist and associate professor of psychology at Eastern Connecticut State University. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for BPD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.