BPD Emotional Invalidation During Childhood May Cause BPD 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 February 20, 2021 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 KidStock / Blend Images / Getty Images Table of Contents View All Table of Contents Definition Borderline Personality Disorder Does Emotional Invalidation Cause BPD? Emotional Validation Many people with borderline personality disorder (BPD) have had experiences of emotional invalidation. In fact, some experts believe that emotional invalidation may be one factor that increases a child’s risk of developing BPD in adolescence or adulthood. What Is Emotional Invalidation? Emotional invalidation is when someone communicates to you that your emotions are not valid, are unreasonable or irrational, or should be hidden or concealed. For example, when a child is fearful, the parent might say, “Stop being such a baby, there’s nothing to be afraid of.” This is an emotionally invalidating response: It not only communicates to the child that his emotions are invalid but also that he is weak for having emotions. Alternatively, a parent might respond with, “I understand you’re feeling afraid. Tell me what’s happening to make you scared.” This is a validating response: It tells the child that his emotions are respected (even if the parent may not agree that there is an objective reason to be scared). Borderline Personality Disorder Many experts believe that emotional invalidation, particularly in childhood and adolescence, may be one factor that leads to the development of BPD. Marsha Linehan, PhD, the clinical psychologist who developed dialectical behavior therapy (DBT), has proposed that an “emotionally invalidating environment,” or an environment in which one’s emotional responses are consistently invalidated or punished, may interact with other factors to cause BPD. In Dr. Linehan’s model, children at risk of developing BPD later in life are born with a biological predisposition toward strong emotional responses. Unfortunately, these strong emotional responses can be met with invalidation (which may, but does not necessarily, take the form of abuse or neglect). It is important to note that in this model, there is an interaction between the child's emotions and the environment. Because the child has such strong emotional responses to situations that others might not react to, their emotions are more likely to be invalidated. If a parent or caregiver interprets the child's responses as overreactions, they are likely to respond with behaviors that discourage the emotional response. Discouraging a child’s emotional responses, particularly if that child is temperamentally predisposed to have strong emotions, probably does not work to calm the child. Instead, it likely has the opposite effect—the child’s emotional response is heightened, leading to an intensification of the emotion. Further, the child who feels invalidated may miss the opportunity to learn how to manage her emotions effectively, which may lead to more emotion dysregulation down the road. Does Emotional Invalidation Cause BPD? Dr. Linehan’s model of BPD includes emotional invalidation as one risk factor, and there is some strong evidence of a connection between childhood maltreatment and BPD (various forms of maltreatment, such as emotional neglect and physical abuse, are inherently invalidating of emotions). Further, research has demonstrated that BPD symptoms are associated with reports of perceived childhood emotional invalidation. But there is no way to know conclusively whether emotional invalidation is, in fact, a cause of BPD. This is because most of the research on this topic is retrospective (meaning that the researcher asks the person to report about experiences that happened earlier in their life; these reports can be subject to bias) and correlational (meaning the research and results demonstrate a relationship between emotional invalidation and BPD but cannot conclude that emotional invalidation is a cause of BPD). How to Provide Emotional Validation If you love someone with BPD and are reading this, you may have noticed that some of your own reactions to their emotions have been invalidating. Because a person with BPD has such intense reactions to seemingly minor events, it can be very hard to remain validating. However, working with a mental health professional in-person or online can help you learn skills to increase emotionally validating responses and help reduce your loved one’s reactivity. 6 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. Elzy M, Karver M. Behaviour vs. perception: An investigation into the components of emotional invalidation. Personal Ment Health. 2018;12(1):59-72. doi:10.1002/pmh.1403 Sauer SE, Baer RA. Validation of measures of biosocial precursors to borderline personality disorder: childhood emotional vulnerability and environmental invalidation. Assessment. 2010;17(4):454-66. doi:10.1177/1073191110373226 Deshong HL, Grant DM, Mullins-sweatt SN. Precursors of the emotional cascade model of borderline personality disorder: The role of neuroticism, childhood emotional vulnerability, and parental invalidation. Personal Disord. 2019;10(4):317-329. doi:10.1037/per0000330 Musser N, Zalewski M, Stepp S, Lewis J. A systematic review of negative parenting practices predicting borderline personality disorder: Are we measuring biosocial theory's 'invalidating environment'?. Clin Psychol Rev. 2018;65:1-16. doi:10.1016/j.cpr.2018.06.003 Sturrock B, Mellor D. Perceived emotional invalidation and borderline personality disorder features: a test of theory. Personal Ment Health. 2014;8(2):128-142. doi:10.1002/pmh.1249 Reeves M, James LM, Pizzarello SM, Taylor JE. Support for Linehan's biosocial theory from a nonclinical sample. J Pers Disord. 2010;24(3):312-326. doi:10.1521/pedi.2010.24.3.312 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.