Borderline Personality Disorder (BPD)


What is Borderline Personality Disorder?

Borderline Personality Disorder is an emotional dysregulation disorder. It’s a condition characterized by impulsive actions, rapidly shifting moods, and impaired interpersonal relationships.  Individuals living with BPD have problems regulating their emotions and thoughts. I want to stress that BPD is RECOVERABLE. With proper treatment and recovery, you can beat this.

Specific Symptoms of Borderline Personality Disorder

To be diagnosed with BPD, a person must have at least 5 of these 9 BPD symptoms listed below:

  • Frantic efforts to avoid real or imagined abandonment
  • A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
  • Identity disturbance, such as a significant and persistent unstable self-image or sense of self
  • Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating)
  • Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
  • Emotional instability due to significant reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)
  • Chronic feelings of emptiness
  • Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
  • Transient, stress-related paranoid thoughts or severe dissociative symptoms

 What does the name “borderline personality disorder” mean?

Historically, the term “borderline” has been the subject of much debate. BPD used to be considered on the “borderline” between psychosis and neurosis. The name stuck even though it doesn’t describe the condition very well and, in fact, may be more harmful than helpful. The term “borderline” also has a history of misuse and prejudice – BPD is a clinical diagnosis, not a judgement.

How is it treated?

Steps can and should be taken to help control this condition. Long-term treatment can reduce symptoms and harmful  behaviors and help you better manage your emotions. Treatment can include:

Counseling and Therapy – Find a counselor you can build a stable relationship with. Finding a counselor that specializes in Dialectical Behavioral Therapy (DBT) to treat this disorder.

Medicines – Mood stabilizers and anti-psychotics. In combination with counseling or therapy, they be helpful in treating symptoms or BPD.

Healthy Habits – Sleep, healthy eating, regular exercise and avoiding drugs and alcohol is key to help make your symptoms less severe and less frequent.

Many people find relief from harmful symptoms within the first year of treatment, and about half of those treated find that they no longer have most of the behaviors after about 10 years of treatment. Unfortunately, many people don’t seek treatment for mental health problems. They may think that their symptoms aren’t bad enough or they can work things out on their own. But getting treatment is key to improving your symptoms and quality of life.

You can find more psychotherapy treatments on my treatments page, here.


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