While there is no definitive cure for BPD, it is absolutely treatable. 1 In fact, with the right treatment approach, you can be well on the road to recovery and remission. While remission and recovery are not necessarily a "cure," both constitute the successful treatment of BPD.
Recovery in borderline personality disorder (BPD) has predominantly been viewed in the context of symptom improvement and no longer meeting diagnostic criteria. Longitudinal studies have demonstrated that symptom remission is a common occurrence, with remission rates ranging between 33 and 99% [1].
Borderline personality disorder (BPD) has historically been seen as a lifelong, highly disabling disorder.
Most people improve considerably, but you may always struggle with some symptoms of borderline personality disorder. You may experience times when your symptoms are better or worse. But treatment can improve your ability to function and help you feel better about yourself.
It is commonly believed that some features of borderline personality disorder improve as individuals reach their late 30s and 40s.
Borderline personality disorder usually begins by early adulthood. The condition seems to be worse in young adulthood and may gradually get better with age.
Researchers have used MRI to study the brains of people with BPD. MRI scans use strong magnetic fields and radio waves to produce a detailed image of the inside of the body. The scans revealed that in many people with BPD, 3 parts of the brain were either smaller than expected or had unusual levels of activity.
Borderline personality disorder (BPD) is a serious, long-lasting and complex mental health problem. People with BPD have difficulty regulating or handling their emotions or controlling their impulses.
If you get a BPD diagnosis you're more likely than most people to have had difficult or traumatic experiences growing up, such as: Often having felt afraid, upset, unsupported or invalidated. Family difficulties or instability, such as living with a parent or carer who experienced an addiction.
Often, the borderline person is unaware of how they feel when their feelings surface, so they displace their feelings onto others as causing them. They may not realise that their feelings belong within them, so they think that their partner is responsible for hurting them and causing them to feel this way.
Patients with BPD showed significantly reduced volumes of both brain structures (left hemisphere hippocampus reduced 15.7%, right hemisphere hippocampus reduced 15.8%, left hemisphere amygdala reduced 7.9% and right hemisphere amygdala reduced 7.5%).
It is the most common personality disorder in Australia, affecting about 1 to 4 in every 100 people at some time in their lives. It's more common in women, and usually the symptoms appear in the teenage years or early adulthood.
BPD is a very different diagnosis than schizophrenia, though the two can co-exist. While BPD is characterized by a pattern of instability in interpersonal relationships; schizophrenia is characterized by a range of cognitive, behavioral, and emotional dysfunctions.
Know that you can live a normal life with BPD.
People with BPD often have risk-taking behaviors, such as overspending, drug use, reckless driving, or self-harm due to a lack of inhibition. Although these behaviors can be dangerous, and potentially life-threatening, many people with BPD are high-functioning individuals.
In particular, there is evidence that BPD is commonly misdiagnosed as Bipolar Disorder, Type 2. One study showed that 40% of people who met criteria for BPD but not for bipolar disorder were nevertheless misdiagnosed with Bipolar Type 2.
Childhood trauma such as sexual, emotional, or physical abuse also may lead to the onset of borderline personality disorder. Unstable relationships are a main symptom of BPD , and children with traumatic backgrounds or unhealthy family relationships may be more prone to developing BPD later in life.
Results: People with Borderline Personality Disorder have a reduced life expectancy of some 20 years, attributable largely to physical health maladies, notably cardiovascular. Risk factors include obesity, sedentary lifestyle, poor diet and smoking.
There is increasing evidence regarding the negative impact of BPD on physical health, with increased risks of many major physical illnesses with BPD, including cardiovascular diseases, arthritis and obesity. Life expectancy in this regard has been shown to be reduced significantly.
National Disability Insurance Agency (NDIS), psychosocial support may be available as someone with a diagnosis of BPD. Carers may often need to assist in compiling the information to apply, although the process needs to be commenced by the person receiving the service directly.
BPD is estimated to affect between 2 – 6 percent of Australians.
Fear of Patients Lashing Out. Individuals with symptoms of BPD are particularly sensitive to perceived criticism. This increases the likelihood that they will feel attacked when a therapist attempts to offer suggestions or insights. This often leads to lashing out.
Fact: People with BPD are capable of giving and receiving love. People with BPD have a lot of difficulty in relationships, but that doesn't mean they're incapable of love.
When a person has BPD, they often experience periods of intense feelings of anger, anxiety, or depression that can last for a few hours or a few days. The mood swings experienced by people with BPD can lead to issues with impulsive behavior and can contribute to relationship problems.