Instead of using the real and honest reasons for using drugs or alcohol, people with substance use disorders rationalize their actions. It is employed to combat guilt feelings, safeguard oneself from criticism, and uphold one's self-respect.
People with BPD have a profound fear of abandonment and have trouble controlling their emotions, especially rage. Additionally, they regularly drive recklessly and threaten to injure themselves, among other unsafe and rash behaviors.
Confabulation may be triggered by both internal (such as cognitive impairments) and external influences (e.g., repeated questioning or negative feedback in stressful situations).
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