Psychotherapy. Psychotherapy — also called talk therapy — is a fundamental treatment approach for borderline personality disorder.
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].
Coping skills for BPD are often centered around learning to manage moments of emotional instability and/or control anger. Some techniques to help in these situations could include: Using stress-reduction techniques, like deep breathing or meditation. Engaging in light exercise, like walking or yoga.
Psychotherapy, also known as talk therapy, is the primary treatment approach for borderline personality disorder. Talk therapy for BPD focuses on improving functionality, managing emotions and reducing impulsiveness. Dialectical behavior therapy (DBT) is one approach used for the treatment of BPD.
Environmental factors
being a victim of emotional, physical or sexual abuse. being exposed to long-term fear or distress as a child. being neglected by 1 or both parents. growing up with another family member who had a serious mental health condition, such as bipolar disorder or a drink or drug misuse problem.
It is commonly believed that some features of borderline personality disorder improve as individuals reach their late 30s and 40s.
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].
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.
A marked and persistent fear of social interaction is often diagnosed as Social Anxiety Disorder, and it is a common co-occurring disorder for those with Borderline Personality Disorder. It may even be an initial diagnosis if it presents as the biggest problem a patient has to address through the therapeutic process.
Listening to your loved one and acknowledging their feelings is one of the best ways to help someone with BPD calm down. When you appreciate how a borderline person hears you and adjust how you communicate with them, you can help diffuse the attacks and rages and build a stronger, closer relationship.
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.
Five major treatments—DBT, mentalization-based treatment (MBT) [1], schema-focused therapy (SFT) [2], transference-focused psychotherapy (TFP) [3], and systems training for emotional predictability and problem solving (STEPPS) [4]—have been established as evidence based treatments (EBTs) for BPD [5].
Mood stabilizers for borderline personality disorder (BPD) can be effective in reducing BPD symptoms, particularly emotion dysregulation and impulsivity symptoms.
Borderline personality disorder often occurs with other mental illnesses, such as post-traumatic stress disorder (PTSD). These co-occurring disorders can make it harder to diagnose and treat borderline personality disorder, especially if symptoms of other illnesses overlap with symptoms of the disorder.
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.
A number of research studies have demonstrated that certain types of antidepressants are effective in treating specific symptoms of BPD. For example, SSRIs can reduce emotional instability, impulsivity, self-harm behaviors, and anger. MAOIs have also been shown to effectively treat emotional instability.
Borderline personality disorder can significantly affect a family unit in a negative way. When a loved one is not being treated for this condition, effects on the family can include excessive conflict, diminished contact, and the loss of previously valued relationships.
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.
People with borderline personality disorders are aware of their behaviors and the consequences of them and often act in increasingly erratic ways as a self-fulfilling prophecy to their abandonment fears.
Borderline personality disorder usually begins by early adulthood. The condition seems to be worse in young adulthood and may gradually get better with age. If you have borderline personality disorder, don't get discouraged.
The Social Security Administration placed borderline personality disorder as one of the mental health disorders on its disabilities list. However, you'll have to meet specific criteria for an official disability finding. For example, you must prove that you have the symptoms of the condition.
One strong predictor of the disorder is family history. In fact, having a first-degree relative (parent, sibling, child) with BPD puts you at a 5 times greater risk of developing it yourself, according to NAMI. (2) With a first-degree relative, you share an average of 50 percent of your genes.