Borderline personality disorder (BPD) cannot be cured, and anyone who enters treatment looking for a quick and easy fix is bound to be disappointed. However, with treatment the symptoms of BPD can be effectively managed, monitored, and ultimately reduced in intensity, or entirely eliminated.
If you have borderline personality disorder, don't get discouraged. Many people with this disorder get better over time with treatment and can learn to live satisfying lives.
BPD in adulthood
Studies found that most patients with BPD improve with time. After 2 years, 1/4 of patients experience a remission (less than 2 symptoms for a period of 2 months or longer) of BPD diagnosis. After 10 years, 91% achieved remission of at least 2 months and 85% achieving remission for 12 months or longer.
Good News: There's Hope for Folks With BPD!
Because borderline personality disorder is as unique as each person who lives with it, treatment requires a specialized approach. Many people have BPD and, at times, experience emotional anguish from the condition.
Follow up studies of people with BPD receiving treatment found a borderline personality disorder treatment success rate of about 50% over a 10-year period. BPD takes time to improve, but treatment does work.
Not only is BPD one of the most painful mental illnesses, but it's also intensified by stigma and being misunderstood by others. Fortunately, borderline personality disorder is a treatable condition, and the pain doesn't have to be endless.
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.
Why Borderline Personality Disorder is Considered the Most “Difficult” to Treat. Borderline personality disorder (BPD) is defined by the National Institute of Health (NIH) as a serious mental disorder marked by a pattern of ongoing instability in moods, behavior, self-image, and functioning.
A person with BPD will go to great length to avoid rejection or abandonment as their memory fails them and they only feel calm when their support person is present. The distress from fear of separation may lead to falling into dissociation.
For many folks with BPD, a “meltdown” will manifest as rage. For some, it might look like swinging from one intense emotion to another. For others, it might mean an instant drop into suicidal ideation. Whatever your experience is, you're not alone.
So, what exactly does the BPD break up cycle look like? It can look like fear of abandonment, distrust of a partner, cheating, lack of communication and self-blame. It can look like idolizing a partner, confusing strong emotions for passion, anxiety and overreacting to interactions perceived as negative.
Although BPD personalities initiate a break-up as a way of seeking validation, because of the intense anxiety at play, they'll often express intense regret because of their abandonment wounding, especially if they're not met with the response they desire.
How are personality disorders treated? Personality disorders are some of the most difficult disorders to treat in psychiatry. This is mainly because people with personality disorders don't think their behavior is problematic, so they don't often seek treatment.
To evaluate crying behavior, we used a set of specially designed tools. Compared to non-patients, BPD patients showed the anticipated higher crying frequency despite a similar crying proneness and ways of dealing with tears.
Those who have BPD tend to be very intense, dramatic, and exciting. This means they tend to attract others who are depressed and/or suffering low self-esteem. People who take their power from being a victim, or seek excitement in others because their own life is not where they want it to be.
Borderline personality disorder relationships and cheating may occur due to the impulsivity associated with this mental health condition. Recent research has shown people with BPD are more sexually impulsive and likely to engage in risky sexual behavior than those without BPD.
Furthermore, many people who have been in a romantic relationship with someone with BPD describe their partner as fun, exciting, and passionate. Many people are initially drawn to people with BPD precisely because they have intense emotions and a strong desire for intimacy.
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.
An intense fear of abandonment is common in those with BPD, and it can honestly feel like your world is falling apart when someone rejects or leaves you. You can't imagine a future where they are not in it, and you don't want one without them.
Borderline personality disorder is characterized by loneliness, social isolation, a fear of abandonment, poor social and communication skills, and unstable, difficult interpersonal relationships. The loneliness of living with this condition can be extremely painful, but treatments can be effective.
A pattern of intense and unstable relationships with family, friends, and loved ones. A distorted and unstable self-image or sense of self. Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance misuse, reckless driving, and binge eating.