Borderline Personality Disorder
Borderline Personality Disorder (BPD) is a condition characterized by difficulties regulating emotion. This means that people who experience BPD feel emotions intensely and for extended periods of time, and it is harder for them to return to a stable baseline after an emotionally triggering event. Show This difficulty can lead to impulsivity, poor self-image, stormy relationships and intense emotional responses to stressors. Struggling with self-regulation can also result in dangerous behaviors such as self-harm (e.g. cutting). It’s estimated that 1.4% of the adult U.S. population experiences BPD. Nearly 75% of people diagnosed with BPD are women. Recent research suggests that men may be equally affected by BPD, but are commonly misdiagnosed with PTSD or depression. SymptomsPeople with BPD experience wide mood swings and can feel a great sense of instability and insecurity. According to the Diagnostic and Statistical Manual diagnostic framework, some key signs and symptoms may include:
CausesThe causes of BPD are not fully understood, but scientists agree that it is the result of a combination of factors, including:
DiagnosisThere is no definitive medical test to diagnose BPD, and a diagnosis is not based on one specific sign or symptom. BPD is best diagnosed by a mental health professional following a comprehensive clinical interview that may include talking with previous clinicians, reviewing previous medical evaluations and, when appropriate, interviews with friends and family. TreatmentAn effective treatment plan should include your preferences while also addressing any other co-existing conditions you may have. Examples of treatment options include psychotherapy; medications; and group, peer and family support. The overarching goal of treatment is for a person with BPD to increasingly self-direct their own treatment plan as they learn what works and what doesn’t.
Related ConditionsBPD can be difficult to diagnose and treat, and successful treatment includes addressing any other conditions a person might have. Many with BPD also experience additional conditions like: What is the goal of treatment for borderline personality disorder?Goals of treatment
to overcome emotional problems (such as depression, anxiety and anger) to find more purpose in life (e.g. by making a positive contribution to their community) to build better relationships. to learn how to understand and live with yourself.
What is the first line treatment for borderline personality disorder?First-line treatment for BPD is psychotherapy [5-7]. Psychotropic medications are used as adjuncts to psychotherapy, targeting specific BPD symptom clusters. Adjunctive use of symptom targeted medications has been found to be useful [8].
How to help borderline personality disorder?To help someone with BPD, first take care of yourself. Avoid the temptation to isolate. ... . You're allowed (and encouraged) to have a life! ... . Join a support group for BPD family members. ... . Don't neglect your physical health. ... . Learn to manage stress. ... . Listen actively and be sympathetic. ... . Focus on the emotions, not the words.. Which treatment for borderline personality disorder is most supported by research?DBT is the most studied treatment for BPD and the one shown to be most effective. Mentalization-based therapy (MBT) is a talk therapy that helps people identify and understand what others might be thinking and feeling.
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