(This is the fifth in the series on the relationship between bisexuality and Borderline Personality Disorder [BPD]. In previous blogs, we have established a link between BPD and bisexuality, and we have looked at three symptoms for BPD on the DSM4: symptom 1 – fear of abandonment, symptom 2 – unstable relationships, and symptom 3 – identity disturbance or poor self-concept.)
Today we want to look at symptom 4, which is “impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, Substance Abuse, reckless driving, binge eating”). The DSM5 places impulsivity under pathological personality traits and under the subcategory of disinhibition. Some of the words used to define impulsivity are: “Acting on the spur of the moment; difficulty establishing or following plans; and self-harming behavior under emotional distress”.
When we look at the literature, stress seems to be the primary factor leading to impulsive behavior[1], especially among women with BPD[2]. A review of the literature by Gagnon[3] identified two neuropsychological diagnostic criterions: a preference for immediate gratification and discounting for delayed rewards, and a failure to properly process feedback information and to monitor action in decision making.
So what does this mean? In my case, stress was a huge factor in my life. Whenever I felt overwhelmed by circumstances, I would seek out excitement and pleasure, and preferably a combination of both. My outlet was gay sex. It was the only stimulus that could bring my anxiety to a climax and allow by body to get into the parasympathetic system again. This was the only way I could relax for a few moments and build up enough courage to go on living. During this time, I would shut down all my evaluation processes. I even preferred unsafe sex in unsafe places. It was like I needed the extra excitement provided by the dangerous behavior and perhaps I was unconsciously seeking death to end my anxieties once and for all. There was no thought of consequences. I just needed my fix.
Neurologically what was happening was that my brain was not necessarily making bad choices; it was making the only choice available at that time. It was either crash and die or take action to activate the pleasure center of my brain and restore the chemical balance needed to survive. So my impulsive behavior was very specific. It was the only area in my life that I took chances. For most people with BPD, impulse might be in other areas of risk but the process is probably the same. For us bisexuals with BPD, I would wager that most of our impulsive behavior is related to sex.
Here are my five suggestions for bisexuals:
- We need a life strategy for dealing with stress. What works for me is usually a quiet time in my gardens, or a nature walk through the forest, or some time on my bench by the sea. The key is to find our special place and plan to use it as needed.
- If we have difficulties with non-stress related impulsivity, we can try to build in a buffer between thought and action. We can learn to develop a warning sign system and employ it on a regular basis. We can practice asking these questions: Is this something I really want to do? Is it safe? Can I live with the consequences?
- We can try to take our partner into consideration. The second level of questioning should be to ask if our actions will harm or emotionally hurt someone else, especially someone we love and share our life with.
- We may wish to spend time with our partner or with a bisexual friend, trusting them with our desires, asking them for help in evaluating our impulses, and building our thought and behavior control mechanisms.
- Impulses are not necessarily bad. We have been given a spirit of adventure. If is safe, does not cause harm to anyone, and we can live with the consequences, we are free to enjoy.
[1] Cackowski, S.; Reitz, AC; Kliendienst, N.; Schmahl, C.; and Krause-Utz, A.; Impact of stress on different components of impulsivity in borderline personality disorder. Psychol Med. 2014 Nov;44(15):3329-40. doi: 10.1017/S0033291714000427. Epub 2014 Mar 6.
[2] Aquglia, A; Mineo, L.;Rodolico, A.; Signorelli MS; and Aquglia E. Asenapine in the management of impulsivity and aggressiveness in bipolar disorder and comorbid borderline personality disorder: an open-label uncontrolled study. Int Clin Psychopharmacol. 2018 May;33(3):121-130. doi: 10.1097/YIC.0000000000000206.
[3] Gagnon, Jean. Review Article Defining Borderline Personality Disorder Impulsivity: Review of Neuropsychological Data and Challenges that Face Researchers. Department of Psychology, Journal of Psychiatry and Psychological Disorders. Volume 1, Issue 3. June 2017,
Are you tired of statistics on bisexuality? I am. Yet another survey has shown that bisexuality is on the rise, especially among women
So how do we know? How do we sort through all the data coming in and all the thoughts and judgments going out? How do we discern what is real and what is just what we want to believe? How do we answer the big questions that can help us break through to a life of peace and joy? Is there a God? Is there any meaning and purpose to life? Am I gay or bisexual or just a lost soul searching for intimacy?
Is your bisexual sex drive a passion or an addiction? It depends on whether you control the drive or the drive controls you. In his book Scattered Minds
What we all desire, in spite of our orientation, is not just sex, but passion. Sex is fine as long as we are enjoying it at the conscious level, and as long as the goal is not just orgasm for the sake of orgasm. If that is all we want, why not masturbate; it’s a lot less complicated. So what is passion? Sexual passion involves an exchange of sexual energy between two consenting adults for the purpose of mutual pleasure.
Now that our relationship hurts and pains are under control, we can get back to gender and sexual orientation issues. In the past, those hurts and pains may have led to compulsive or even addictive sexual behaviors. All forms of compulsion and addiction are destructive and filled with negative energy. We have to turn that energy to the positive side; we have to go from destructive compulsions and behaviors to instructive mental and heart-based patterns. That means turning addiction into passion.
Like most men my age, I am a die hard Star Wars fan. Kind of hurts to see Leia and Han looking older. Apparently, the force does not keep us young. According to Dr. Max Planck, one of the founding fathers of Quantum Physics, “All matter originates and exists only by virtue of a force…. We must assume that behind this force a conscious and intelligent mind exists. This mind is the matrix of all matter.” One of the main themes in the movie series is “The Force”, which presents us with a bunch of questions. Is it a reality? I think so, and if so, what is it? How can this apply to our daily lives? What does this have to do with sexuality? And in particular what does it have to do with Bisexuality?