Borderline Personality Disorder
TherapyRoute
Clinical Editorial
Cape Town, South Africa
❝Borderline Personality Disorder (BPD) is often misunderstood, yet it is a treatable mental health condition. Marked by intense emotions and unstable relationships, BPD can be challenging, but with evidence-based care, recovery and a fulfilling life are entirely possible.❞
Borderline Personality Disorder (BPD) is a mental health condition that affects how you think and feel about yourself and others. It involves intense emotions, unstable relationships, and difficulty managing your sense of self. While BPD can create significant challenges, effective treatments are available, and many people with BPD learn to manage their symptoms and build fulfilling lives.
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Find Your TherapistTable of Contents
- What Is Borderline Personality Disorder?
- Core Symptoms of BPD
- Causes and Risk Factors
- Diagnosis
- Treatment
- Recovery and Prognosis
- Living with BPD
- Co-occurring Conditions
- Stigma and Misconceptions
- Special Populations
- Prevention and Early Intervention
- Supporting Someone with BPD
- When to Seek Help
- Hope and Recovery Stories
- Related Terms
- References
What Is Borderline Personality Disorder?
Borderline Personality Disorder is a personality disorder that typically begins in early adulthood and affects about 1-2% of the population. The name "borderline" comes from an outdated idea that the condition was on the border between neurosis and psychosis. Today, we understand BPD as a distinct condition with specific symptoms and effective treatments.BPD primarily affects how you relate to yourself and others. You might experience intense fear of abandonment, unstable relationships, rapid mood changes, and an unclear sense of who you are. These symptoms can make daily life challenging, but they are treatable.
The condition often develops from a combination of genetic factors, brain differences, and environmental experiences, particularly trauma or invalidating environments during childhood. BPD is not your fault, and it doesn't mean you're "broken" or "too much" - it's a legitimate medical condition that responds well to proper treatment.
Many people with BPD are highly sensitive, creative, and empathetic. With the right support and treatment, you can learn skills to manage intense emotions and build stable, meaningful relationships.
Core Symptoms of BPD
The symptoms of BPD typically fall into four main areas: emotional dysregulation, interpersonal difficulties, identity disturbance, and impulsivity.
Fear of Abandonment
Real or Imagined Abandonment
- Intense fear - Overwhelming fear that people will leave you
- Hypervigilance - Constantly watching for signs that someone might leave
- Misinterpreting signals - Seeing abandonment where none exists
- Preemptive actions - Pushing people away before they can leave you
- Desperate efforts - Going to extreme lengths to avoid being left alone
How It Shows Up
- Panic when someone is late - Assuming they're not coming back
- Reading too much into tone - Thinking someone is angry when they're just tired
- Checking behaviours - Repeatedly calling or texting to make sure someone still cares
- Clinging - Becoming overly dependent on relationships
- Testing relationships - Creating conflicts to see if someone will stay
Unstable Relationships
Intense but Unstable Patterns
- Idealisation and devaluation - Seeing people as all good or all bad
- Rapid changes - Relationships that quickly go from wonderful to terrible
- Push-pull dynamics - Wanting closeness but fearing it at the same time
- Difficulty with boundaries - Not knowing where you end and others begin
- Emotional intensity - Relationships feel extremely important and consuming
Common Relationship Patterns
- Honeymoon phase - New relationships feel perfect and all-consuming
- Disillusionment - Small disappointments feel like major betrayals
- Conflict cycles - Repeated patterns of fighting and making up
- Self-sabotage - Destroying good relationships when they get too close
- Isolation - Withdrawing when relationships become difficult
Identity Disturbance
Unclear Sense of Self
- Shifting identity - Feeling like a different person in different situations
- Empty feelings - Feeling hollow or like you don't know who you are
- Values confusion - Your beliefs and values seem to change frequently
- Role confusion - Not knowing what you want to be or do with your life
- Mirror effect - Taking on the personality of whoever you're with
How It Affects Daily Life
- Career confusion - Difficulty choosing or sticking with career paths
- Relationship roles - Becoming whoever you think others want you to be
- Decision paralysis - Difficulty making choices because you don't know what you want
- Feeling fake - Feeling like you're pretending to be someone you're not
- Searching for self - Constantly trying to figure out who you really are
Emotional Dysregulation
Intense Emotions
- Emotional storms - Feelings that come on suddenly and intensely
- Difficulty calming down - Emotions that last longer than they should
- Emotional sensitivity - Reacting strongly to things others might ignore
- Mood swings - Rapid changes from one emotion to another
- Overwhelming feelings - Emotions that feel too big to handle
Common Emotional Experiences
- Rage - Intense anger that feels out of control
- Despair - Deep sadness that feels endless
- Anxiety - Overwhelming worry and fear
- Shame - Feeling fundamentally flawed or bad
- Emptiness - Feeling numb or hollow inside
Impulsivity
Risky Behaviours
- Spending sprees - Buying things you can't afford
- Substance use - Using alcohol or drugs to cope with emotions
- Reckless driving - Taking dangerous risks while driving
- Unsafe sex - Sexual behaviours that put you at risk
- Binge eating - Eating large amounts of food in short periods
Self-Destructive Patterns
- Quitting jobs suddenly - Leaving good situations impulsively
- Ending relationships - Breaking up with people during emotional moments
- Moving frequently - Changing living situations without planning
- Academic sabotage - Dropping out of school or failing classes
- Financial problems - Making money decisions based on emotions
Self-Harm and Suicidal Behaviour
Self-Injury
- Cutting - Using sharp objects to cut skin
- Burning - Using heat or chemicals to burn skin
- Hitting - Punching walls or hitting yourself
- Other methods - Various ways of causing physical pain
- Emotional regulation - Using pain to manage overwhelming emotions
Suicidal Thoughts and Behaviours
- Suicidal ideation - Thoughts about ending your life
- Suicide attempts - Actions intended to end your life
- Suicidal gestures - Self-harm that might be dangerous but isn't intended to be fatal
- Chronic suicidality - Ongoing thoughts about suicide
- Crisis situations - Times when suicide risk is highest
Dissociation and Paranoia
Dissociative Symptoms
- Feeling unreal - Feeling like you're not really there
- Watching yourself - Feeling like you're outside your body looking in
- Memory gaps - Not remembering periods of time
- Feeling disconnected - Feeling separated from your thoughts and feelings
- Depersonalisation - Feeling like you're not yourself
Stress-Related Paranoia
- Suspicious thoughts - Thinking others are plotting against you
- Misinterpreting actions - Seeing threats where none exist
- Hypervigilance - Being constantly on guard for danger
- Trust issues - Difficulty trusting anyone completely
- Temporary episodes - Paranoid thoughts that come and go with stress
Causes and Risk Factors
Biological Factors
Genetics
- Family history - BPD is more common in families with mental health conditions
- Heritability - About 40-60% of BPD risk comes from genetics
- Multiple genes - Many genes contribute small amounts to risk
- Gene-environment interaction - Genes interact with life experiences
- Not deterministic - Having genetic risk doesn't mean you'll definitely develop BPD
Brain Differences
- Emotional centres - Differences in areas that process emotions
- Prefrontal cortex - Changes in areas responsible for decision-making and impulse control
- Neurotransmitters - Imbalances in brain chemicals like serotonin
- Stress response - Overactive stress response systems
- Brain development - Differences that may develop during childhood and adolescence
Environmental Factors
Childhood Trauma
- Physical abuse - Being physically hurt by caregivers
- Sexual abuse - Experiencing sexual trauma as a child
- Emotional abuse - Being consistently criticised, rejected, or humiliated
- Neglect - Not having basic emotional or physical needs met
- Witnessing violence - Seeing violence between parents or in the community
Invalidating Environments
- Emotional invalidation - Having your feelings dismissed or criticised
- Unpredictable caregiving - Caregivers who were sometimes loving, sometimes harsh
- High expectations - Pressure to be perfect or meet unrealistic standards
- Lack of emotional support - Not learning how to understand and manage emotions
- Chaotic family life - Unstable home environments with frequent crises
Other Environmental Factors
- Early separation - Being separated from caregivers early in life
- Chronic illness - Having serious medical conditions as a child
- Bullying - Being bullied at school or in other settings
- Cultural factors - Growing up in cultures that don't validate emotional expression
- Socioeconomic stress - Poverty and related stressors
Developmental Factors
- Sensitive temperament - Being born with high emotional sensitivity
- Attachment problems - Difficulty forming secure attachments with caregivers
- Trauma timing - Trauma during critical developmental periods
- Lack of emotional skills - Not learning healthy ways to cope with emotions
- Identity formation - Problems during normal identity development in adolescence
Diagnosis
BPD is diagnosed by qualified mental health professionals using specific criteria and comprehensive evaluation.
Diagnostic Criteria (DSM-5-TR)
To be diagnosed with BPD, you must have at least 5 of the following 9 symptoms, and they must be present by early adulthood and occur in various contexts:
The Nine Criteria
- Frantic efforts to avoid abandonment - Real or imagined
- Unstable relationships - Alternating between idealisation and devaluation
- Identity disturbance - Unstable self-image or sense of self
- Impulsivity - In at least two areas that are potentially self-damaging
- Suicidal behaviour - Recurrent suicidal behaviour, gestures, or threats, or self-mutilating behaviour
- Emotional instability - Due to marked reactivity of mood
- Chronic emptiness - Feelings of emptiness
- Inappropriate anger - Intense anger or difficulty controlling anger
- Dissociation or paranoia - Transient, stress-related paranoid thoughts or severe dissociative symptoms
Assessment Process
Clinical Interview
- Detailed history - Information about symptoms, relationships, and life experiences
- Childhood experiences - Discussion of early life and family relationships
- Relationship patterns - Exploration of how relationships typically go
- Emotional experiences - Understanding how you experience and manage emotions
- Coping strategies - What you do when you're upset or stressed
Psychological Testing
- Personality assessments - Tests that evaluate personality traits and patterns
- Symptom questionnaires - Standardised questionnaires about BPD symptoms
- Emotional regulation assessments - Tests of how you handle emotions
- Trauma assessments - Evaluation of past traumatic experiences
- Cognitive testing - Assessment of thinking patterns and beliefs
Collateral Information
- Family input - Information from family members about your behaviour and relationships
- Previous records - Medical and mental health records from other providers
- Relationship history - Detailed information about past and current relationships
- Work or school functioning - How symptoms affect your daily functioning
Challenges in Diagnosis
- Symptom overlap - BPD symptoms can look like other mental health conditions
- Stigma - Some professionals may be reluctant to diagnose BPD
- Complexity - BPD often occurs with other mental health conditions
- Age factors - Personality disorders are typically not diagnosed before age 18
- Cultural considerations - Symptoms may be interpreted differently across cultures
Treatment
BPD is highly treatable, and many people see significant improvement with proper treatment. The most effective treatments are specialised psychotherapies designed specifically for BPD.
Psychotherapy
Dialectical Behaviour Therapy (DBT)
DBT is the most researched and effective treatment for BPD. It teaches specific skills for managing emotions and relationships.Four Core Skills Modules:
Mindfulness:
- Present moment awareness - Learning to stay focused on the here and now
- Observing without judgement - Noticing thoughts and feelings without criticising them
- One thing at a time - Focusing on one activity at a time
- Effectiveness - Doing what works rather than what feels right
Distress Tolerance:
- Crisis survival - Getting through intense emotions without making them worse
- Accepting reality - Learning to accept situations you can't change
- Distraction techniques - Healthy ways to take your mind off problems
- Self-soothing - Comforting yourself during difficult times
Emotion Regulation:
- Understanding emotions - Learning how emotions work and what triggers them
- Reducing vulnerability - Taking care of yourself to be less emotionally reactive
- Increasing positive emotions - Building pleasant experiences into your life
- Changing emotions - Techniques for shifting emotional states
Interpersonal Effectiveness:
- Asking for what you need - Learning to make requests clearly and effectively
- Setting boundaries - Saying no when necessary
- Maintaining relationships - Keeping relationships healthy while getting your needs met
- Self-respect - Maintaining your values and self-respect in relationships
Mentalisation-Based Therapy (MBT)
- Understanding mental states - Learning to understand your own and others' thoughts and feelings
- Improving relationships - Better understanding leads to better relationships
- Emotional awareness - Becoming more aware of what you're feeling and why
- Perspective-taking - Learning to see situations from different viewpoints
Schema Therapy
- Core beliefs - Identifying and changing deep-seated beliefs about yourself and the world
- Early experiences - Understanding how childhood experiences shaped your beliefs
- Coping modes - Learning healthier ways to cope with difficult situations
- Reparenting - Learning to give yourself what you needed but didn't get as a child
Transference-Focused Psychotherapy (TFP)
- Relationship patterns - Understanding patterns in how you relate to others
- Therapeutic relationship - Using the relationship with your therapist to learn about relationships
- Integration - Learning to see yourself and others as complex, not all good or all bad
- Emotional processing - Working through intense emotions in a safe relationship
Medications
While there's no specific medication for BPD, medications can help with specific symptoms:
Mood Stabilisers
- Lithium - Can help with mood swings and impulsivity
- Anticonvulsants - Medications like lamotrigine or valproate for mood stability
- Benefits - Reducing extreme mood swings
- Monitoring - Regular blood tests needed for some medications
Antidepressants
- SSRIs - Can help with depression, anxiety, and impulsivity
- Common medications - Fluoxetine, sertraline, paroxetine
- Benefits - Improving mood and reducing anxiety
- Time to work - May take 4-6 weeks to see full effects
Antipsychotics (Low Dose)
- Atypical antipsychotics - Low doses can help with emotional dysregulation
- Common medications - Olanzapine, quetiapine, aripiprazole
- Benefits - Reducing emotional intensity and improving thinking
- Side effects - Weight gain and metabolic effects possible
Anti-Anxiety Medications
- Short-term use - For severe anxiety or panic attacks
- Caution needed - Risk of dependence, especially with BPD
- Alternatives preferred - Other treatments usually better for long-term management
Hospitalisation and Crisis Care
When Hospitalisation May Be Needed
- Suicide risk - When you're at immediate risk of harming yourself
- Severe self-harm - When self-injury is dangerous or out of control
- Psychotic symptoms - If you're experiencing severe dissociation or paranoia
- Inability to function - When symptoms prevent you from taking care of yourself
- Substance abuse crisis - When substance use creates immediate danger
Types of Hospital Care
- Inpatient psychiatric units - 24-hour care for stabilisation
- Partial hospitalisation - Day treatment programs
- Intensive outpatient programs - Several hours of treatment per day
- Crisis stabilisation - Short-term intensive treatment
- Residential treatment - Longer-term residential care
Crisis Planning
- Safety plan - Written plan for what to do during a crisis
- Warning signs - Identifying early signs that you're struggling
- Coping strategies - Healthy ways to deal with intense emotions
- Support contacts - People to call when you need help
- Professional contacts - Therapist, psychiatrist, and crisis line numbers
Recovery and Prognosis
Understanding Recovery
Recovery from BPD is absolutely possible. Many people with BPD see significant improvement in their symptoms and quality of life with proper treatment. Recovery doesn't mean being perfect - it means learning to manage your emotions and relationships more effectively.
What Recovery Looks Like
- Emotional stability - Less intense and shorter-lasting emotional episodes
- Stable relationships - Healthier, more consistent relationships
- Clear identity - Better sense of who you are and what you want
- Reduced impulsivity - Making decisions based on values rather than emotions
- Less self-harm - Healthier ways of coping with distress
- Improved functioning - Better performance at work, school, or in daily life
Factors That Help Recovery
- Early treatment - Getting help as soon as possible
- Specialised therapy - Working with therapists trained in BPD treatment
- Consistent treatment - Staying in therapy even when it's difficult
- Support system - Having supportive family and friends
- Self-care - Taking care of your physical and mental health
- Avoiding substances - Not using alcohol or drugs to cope
Timeline of Recovery
Recovery from BPD typically happens gradually over time:
Early Treatment (0-6 months)
- Crisis stabilisation - Learning to manage crises without self-harm
- Basic skills - Learning fundamental coping skills
- Safety - Reducing immediate risk of harm
- Engagement - Building a relationship with your treatment team
- Hope - Beginning to believe that change is possible
Skill Building (6 months - 2 years)
- Emotional skills - Learning to understand and manage emotions
- Relationship skills - Improving how you interact with others
- Identity work - Beginning to develop a clearer sense of self
- Reducing symptoms - Gradual decrease in BPD symptoms
- Functional improvement - Better performance in daily activities
Integration (2-5 years)
- Applying skills - Using skills consistently in daily life
- Relationship stability - Developing more stable, healthy relationships
- Identity consolidation - Clearer sense of who you are and what you want
- Reduced therapy - Needing less intensive treatment
- Life goals - Working toward personal and professional goals
Long-term Recovery (5+ years)
- Sustained improvement - Maintaining gains over time
- Meaningful life - Building a life that feels worthwhile and fulfilling
- Helping others - Many people find meaning in helping others with BPD
- Continued growth - Ongoing personal development and growth
- Resilience - Better ability to handle life's challenges
Research on Outcomes
- Significant improvement - Studies show 85-90% of people with BPD improve significantly
- Symptom reduction - Most people see major reduction in BPD symptoms
- Functional improvement - Better work, school, and relationship functioning
- Quality of life - Substantial improvements in overall life satisfaction
- Long-term stability - Improvements tend to be maintained over time
Living with BPD
Daily Management Strategies
Emotional Regulation
- Identify triggers - Learn what situations or thoughts trigger intense emotions
- Use coping skills - Practice DBT skills or other techniques you've learned
- Create routines - Consistent daily routines can provide stability
- Self-care - Regular sleep, exercise, and healthy eating
- Mindfulness practice - Regular meditation or mindfulness exercises
Relationship Management
- Communicate clearly - Be direct about your needs and feelings
- Set boundaries - Know your limits and communicate them to others
- Take breaks - Step away from conflicts to cool down
- Apologise when needed - Take responsibility for your actions
- Practice gratitude - Focus on positive aspects of relationships
Crisis Prevention
- Know your warning signs - Recognise when you're starting to struggle
- Have a plan - Know what to do when you feel a crisis coming
- Use your support system - Reach out to people who can help
- Remove temptations - Keep harmful objects away when you're struggling
- Professional help - Contact your therapist or crisis services when needed
Work and School
- Accommodations - You may be entitled to accommodations under disability laws
- Stress management - Use skills to manage work or school stress
- Communication - Decide whether and how to discuss your condition with supervisors or teachers
- Realistic goals - Set achievable goals and celebrate progress
- Support services - Use employee assistance programs or student counselling services
Relationships and Family
- Education - Help loved ones understand BPD
- Family therapy - Include family members in treatment when appropriate
- Patience - Recovery takes time, and relationships may need time to heal
- Boundaries - Both you and your loved ones need healthy boundaries
- Support groups - Family members can benefit from their own support groups
Parenting with BPD
- Treatment first - Getting your own treatment is the best thing you can do for your children
- Parenting skills - Learn specific parenting techniques that work with BPD
- Emotional regulation - Model healthy emotional regulation for your children
- Support - Get help with parenting when you need it
- Professional guidance - Work with professionals who understand both BPD and parenting
Co-occurring Conditions
BPD often occurs alongside other mental health conditions:
Common Co-occurring Conditions
- Depression - About 75% of people with BPD also have depression
- Anxiety disorders - Panic disorder, social anxiety, and generalised anxiety are common
- PTSD - Many people with BPD have trauma histories and PTSD
- Substance use disorders - About 50% of people with BPD struggle with substance use
- Eating disorders - Bulimia and binge eating disorder are more common with BPD
- ADHD - Attention problems often co-occur with BPD
- Other personality disorders - Sometimes BPD occurs with other personality disorders
Treatment Considerations
- Integrated treatment - Treating all conditions simultaneously is usually most effective
- Prioritising - Sometimes one condition needs to be addressed first
- Medication interactions - Careful consideration of how medications for different conditions interact
- Specialised programs - Some programs specialise in treating multiple conditions together
Stigma and Misconceptions
Common Misconceptions
- "Attention-seeking" - BPD behaviours are attempts to cope with real pain, not attention-seeking
- "Manipulative" - People with BPD aren't trying to manipulate; they're trying to get their needs met
- "Untreatable" - BPD is highly treatable with specialised therapy
- "Hopeless" - Many people with BPD recover and live fulfilling lives
- "Dangerous" - People with BPD are more likely to harm themselves than others
Impact of Stigma
- Delayed treatment - Stigma can prevent people from seeking help
- Poor treatment - Some professionals may provide inadequate care due to stigma
- Self-stigma - People with BPD may internalise negative beliefs about themselves
- Relationship problems - Stigma can affect how others treat people with BPD
- Discrimination - People with BPD may face discrimination in various settings
Reducing Stigma
- Education - Learning accurate information about BPD
- Personal stories - Hearing from people who have BPD and recovered
- Professional training - Training mental health professionals about BPD
- Media representation - Accurate portrayal of BPD in media
- Advocacy - Speaking up against discrimination and misinformation
Special Populations
BPD in Adolescents
- Early identification - Recognising BPD symptoms in teenagers
- Developmental considerations - Understanding normal adolescent development vs. BPD
- Family involvement - Including families in treatment
- School support - Working with schools to provide appropriate support
- Specialised treatment - Treatments adapted for adolescents
BPD in Men
- Underdiagnosis - BPD is often underdiagnosed in men
- Different presentation - May show more anger and substance use
- Stigma - Additional stigma for men with emotional difficulties
- Treatment needs - May need treatment approaches adapted for men
BPD in Older Adults
- Late diagnosis - Some people aren't diagnosed until later in life
- Life transitions - How major life changes affect BPD symptoms
- Medical considerations - Interactions with other health conditions
- Treatment modifications - Adapting treatment for older adults
Cultural Considerations
- Cultural expressions - How BPD symptoms may be expressed differently across cultures
- Family dynamics - Understanding different cultural approaches to family and relationships
- Treatment adaptation - Modifying treatment to fit cultural values and beliefs
- Language barriers - Providing treatment in appropriate languages
Prevention and Early Intervention
Risk Reduction
- Trauma prevention - Protecting children from abuse and neglect
- Early intervention - Identifying and treating mental health problems early
- Parenting support - Teaching parents healthy emotional regulation and validation
- School programs - Teaching emotional regulation skills in schools
- Community support - Creating supportive communities for families
Early Warning Signs
- Emotional intensity - Emotions that seem too big for the situation
- Relationship problems - Difficulty maintaining friendships
- Identity confusion - Uncertainty about goals, values, or identity
- Self-harm - Any form of self-injury or self-destructive behaviour
- Impulsivity - Making decisions without thinking about consequences
Early Intervention Programs
- Family therapy - Working with families to improve communication and support
- Skills training - Teaching emotional regulation and interpersonal skills
- Individual therapy - Providing support and coping strategies
- School-based programs - Interventions delivered in school settings
- Community programs - Support groups and educational programs
Supporting Someone with BPD
How to Help
- Learn about BPD - Understand the condition and its symptoms
- Validate emotions - Acknowledge their feelings even if you don't understand them
- Set boundaries - Be clear about what you will and won't do
- Encourage treatment - Support them in getting and staying in treatment
- Take care of yourself - You can't help others if you're not taking care of yourself
What to Avoid
- Don't take it personally - Their behaviour is about their pain, not about you
- Don't try to fix them - You can't cure their BPD, but you can support their treatment
- Don't enable - Don't do things that make it easier for them to avoid responsibility
- Don't give ultimatums - Unless you're prepared to follow through
- Don't abandon them - Consistency is important, even when it's difficult
Communication Strategies
- Stay calm - Don't escalate emotional situations
- Listen actively - Really hear what they're trying to tell you
- Validate feelings - "I can see you're really upset" rather than "You shouldn't feel that way"
- Be consistent - Follow through on what you say you'll do
- Use "I" statements - Talk about your own feelings rather than blaming them
Family Support
- Family therapy - Participate in therapy sessions when invited
- Support groups - Join support groups for families of people with BPD
- Education - Learn about BPD and its treatment
- Self-care - Take care of your own mental health
- Professional help - Get your own therapy if needed
When to Seek Help
Warning Signs
- Thoughts of suicide - Any thoughts about ending your life
- Self-harm - Cutting, burning, or other ways of hurting yourself
- Substance abuse - Using alcohol or drugs to cope with emotions
- Relationship chaos - Repeated patterns of unstable relationships
- Emotional overwhelm - Feeling like your emotions are out of control
- Identity confusion - Not knowing who you are or what you want
- Impulsive behaviours - Making decisions that put you at risk
Getting Help
- Primary care doctor - Start with your family doctor for referrals
- Mental health professionals - Therapists who specialise in personality disorders
- DBT programs - Look for therapists trained in Dialectical Behaviour Therapy
- Community mental health centres - Local centres that provide mental health services
- Crisis services - If you're in immediate danger
Crisis Resources
- National Suicide Prevention Lifeline: 988
- Crisis Text Line: Text HOME to 741741
- National Alliance on Mental Illness (NAMI): 1-800-950-6264
- Emergency services: 911
- Local crisis hotlines: Check for local crisis services in your area
Questions to Ask Potential Therapists
- Do you have experience treating BPD?
- What type of therapy do you use for BPD?
- Are you trained in DBT or other specialised treatments?
- How do you handle crisis situations?
- What is your approach to working with people with BPD?
Hope and Recovery Stories
Messages of Hope
- Recovery is possible - Many people with BPD recover and live fulfilling lives
- You are not your diagnosis - BPD is something you have, not who you are
- Treatment works - Specialised treatments for BPD are highly effective
- You can learn skills - The skills you need to manage BPD can be learned
- You deserve help - Everyone deserves to feel better and have support
- Your sensitivity is a strength - The same sensitivity that causes pain can also bring joy and creativity
What Recovery Can Look Like
- Stable relationships - Building and maintaining healthy, lasting relationships
- Emotional balance - Feeling emotions without being overwhelmed by them
- Clear identity - Knowing who you are and what you value
- Meaningful work - Finding purpose and satisfaction in work or other activities
- Self-compassion - Treating yourself with kindness and understanding
- Helping others - Many people find meaning in helping others who struggle
Building a Support Network
- Treatment team - Therapist, psychiatrist, and other professionals
- Family and friends - People who care about you and support your recovery
- Support groups - Others who understand what you're going through
- Peer support - People with BPD who are further along in recovery
- Community resources - Organizations and programs that provide support
- Online communities - Supportive online groups and forums
Related Terms
- Dialectical Behaviour Therapy - The most effective therapy for BPD
- Emotional Dysregulation - Difficulty managing emotions effectively
- Self-Harm - Deliberately hurting yourself to cope with emotional pain
- Personality Disorders - Mental health conditions affecting personality patterns
- Trauma - Experiences that can contribute to BPD development
References
American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787
National Institute of Mental Health. (2023). Borderline Personality Disorder. https://www.nimh.nih.gov/health/topics/borderline-personality-disorder
NHS. (2024). Treatment - Borderline personality disorder. https://www.nhs.uk/mental-health/conditions/borderline-personality-disorder/treatment/
Linehan, M. M. (2015). DBT Skills Training Manual (2nd ed.). Guilford Press.
Mayo Clinic. (2023). Borderline personality disorder. https://www.mayoclinic.org/diseases-conditions/borderline-personality-disorder/symptoms-causes/syc-20370237
Gunderson, J. G., & Links, P. S. (2014). Handbook of good psychiatric management for borderline personality disorder. American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9781615378432
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions about mental health concerns.
Important: TherapyRoute does not provide medical advice. All content is for informational purposes and cannot replace consulting a healthcare professional. If you face an emergency, please contact a local emergency service. For immediate emotional support, consider contacting a local helpline.
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