Specialized Assessment for Quiet BPD
This assessment tool was developed under the supervision of Dr. Emily Reynolds, PsyD, a licensed clinical psychologist specializing in high-functioning personality disorders with over 12 years of experience in identifying and treating internalized BPD presentations.
About This Quiet BPD Assessment
Unlike classic BPD that typically presents with obvious outward symptoms, Quiet BPD (sometimes called "high-functioning BPD") is characterized by symptoms that are primarily directed inward. This specialized assessment is designed to identify these internalized symptoms that can be missed in standard BPD screenings.
What You Should Know:
- This assessment consists of 35 carefully crafted questions focused on internalized BPD symptoms.
- Questions assess nine DSM-5 criteria for BPD, with special focus on how these manifest internally.
- Answer honestly based on your experiences over the past 6-12 months.
- This assessment takes approximately 12 minutes to complete.
- Your responses are confidential and will not be stored on our servers once you close your browser.
Understanding the Results:
Your results will provide insights into potential patterns of internalized BPD symptoms. However, please note:
- This is not a diagnostic tool
- Only a qualified mental health professional can provide an official diagnosis
- Results should be discussed with a healthcare provider
- A formal assessment by a specialist is recommended if you score in the moderate to high range
Quiet BPD: How Symptoms Manifest Internally
While the core diagnostic criteria for BPD remain the same, how these symptoms manifest can differ significantly in Quiet BPD presentations:
| DSM-5 Criterion | Quiet BPD Presentation |
|---|---|
| 1. Fear of Abandonment | People-pleasing, self-sacrifice, preemptive distancing, fear of dependency |
| 2. Unstable Relationships | Internal devaluation, ghosting when overwhelmed, hidden disappointment, excessive caretaking |
| 3. Identity Disturbance | Internal confusion about identity, impostor syndrome, mirroring others, overadaptation |
| 4. Impulsivity | Secret self-destructive behaviors, restriction followed by binging, workaholism |
| 5. Suicidal Behavior | Hidden self-harm, silent suicidal ideation, maintaining composed exterior during crisis |
| 6. Affective Instability | Emotional suppression, maintaining exterior composure while experiencing internal chaos |
| 7. Chronic Emptiness | Emptiness disguised as burnout, hidden behind perfectionism or caretaking roles |
| 8. Inappropriate Anger | Anger directed inward, passive aggression, bottled-up resentment, self-criticism |
| 9. Dissociation | Functioning on "autopilot," maintaining performance while internally disconnected |
Professional Endorsement
"This specialized assessment addresses a critical gap in BPD screening by focusing on internalized symptom patterns that are often missed in standard evaluations. While it's not a diagnostic tool, it can help identify patterns that warrant professional attention and provide validation for those struggling with these hidden symptoms."
Licensed Clinical Psychologist
Specialist in High-Functioning Personality Disorders
Important Medical Disclaimer
This assessment is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
If you are experiencing severe symptoms or having thoughts of self-harm, please contact emergency services or the National Suicide Prevention Lifeline at 988 immediately.
This tool was last reviewed and updated by our medical team on .