Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a developmental disorder that can be associated with intense emotional dysregulation, impulsivity, and unstable interpersonal relationships. Unfortunately, BPD can often be misdiagnosed, and some people with BPD may be given a diagnosis of bipolar disorder. However, the mood changes associated with BPD tend to be much more rapid and can change significantly within the same day. In order to be diagnosed with BPD, the person must experience at least five of the following symptoms: fear of abandonment, unstable or changing relationships, unstable self-image, impulsive self-destructive behaviors, suicidal behavior or self-injury, mood instability with varied mood swings, feelings of emptiness, difficulties with anger, stress-related paranoia or dissociation.

If you are concerned that you may have Borderline Personality Disorder (BPD), it is important to get a specialist assessment to verify or exclude the diagnosis. People who have BPD often have co-occurring conditions such as depression, anxiety, substance abuse or eating disorders. Getting the right support is essential for treating BPD, as people with the condition are at a higher risk of attempting suicide. Fortunately, with the right therapy and medical support, the outlook for BPD can be positive in the long term. Dialectical Behaviour Therapy (DBT), Schema Therapy, Mentalisation Based Treatment and Cognitive Analytic Therapy (CAT) are the most effective therapeutic approaches for the condition. Although medication is not recommended by the National Institute for Health and Care Excellence (NICE) guidelines, it can be helpful in managing the symptoms of depression and anxiety associated with BPD.

If you find that your relationships are suffering, you’re having difficulties with anger, self-harm, or engaging in other kind of self-destructive behaviour, it is important to seek help. With evidence-based therapy, it is possible to recover from BPD and no longer meet the diagnostic criteria.