Borderline personality disorder is mainly treated using psychotherapy, but medication may be added. Your doctor also may recommend hospitalization if your safety is at risk. Treatment can help you learn skills to manage and cope with your condition.
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.
Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.
Most people with BPD do get better
The results: Nearly seven out of every eight patients achieved symptom remission lasting at least four years, and half no longer met the criteria for borderline personality disorder. “People with BPD can get out of the mental health system,” Hoffman said.
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.
It is commonly believed that some features of borderline personality disorder improve as individuals reach their late 30s and 40s.
Findings from community samples have demonstrated that BPD symptoms and features peak during mid-adolescence and decline during late adolescence and young adulthood [11–14].
Splitting is a psychological mechanism which allows the person to tolerate difficult and overwhelming emotions by seeing someone as either good or bad, idealised or devalued. This makes it easier to manage the emotions that they are feeling, which on the surface seem to be contradictory.
BPD is not necessarily a lifelong disorder. Many patients retain residual symptoms later in life.
Antipsychotics are widely used in BPD, as they are believed to be effective in improving impulsivity, aggression, anxiety and psychotic symptoms [Nose et al. 2006; American Psychiatric Association, 2001].
People with borderline personality disorder may experience intense mood swings and feel uncertainty about how they see themselves. Their feelings for others can change quickly, and swing from extreme closeness to extreme dislike. These changing feelings can lead to unstable relationships and emotional pain.
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.
Researchers think that BPD is caused by a combination of factors, including: Stressful or traumatic life events. Genetic factors.
Limited therapeutic effectiveness of antidepressants in BPD may be related to lack of serotonin receptor specificity, since 5-HT2A but not 5-HT2C antagonism is associated with decreasing impulsivity.
If left untreated, the effects of borderline personality can be devastating, not only for the individual who is diagnosed with the disorder, but their friends and family as well. Some of the most common effects of untreated BPD can include the following: Dysfunctional social relationships. Repeated job losses.
Borderline Personality Disorder is without question treatable. It takes time – healing is a marathon, never a sprint – but with early intervention, compassionate support, and appropriate treatment, individuals living with BPD can improve and ultimately thrive.
According to the DSM-5, BPD can be diagnosed as early as at 12 years old if symptoms persist for at least one year. However, most diagnoses are made during late adolescence or early adulthood.
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.
A person with BPD may experience intense episodes of anger, depression, and anxiety that may last from only a few hours to days.”