Clinicians can be reluctant to make a diagnosis of borderline personality disorder (BPD). One reason is that BPD is a complex syndrome with symptoms that overlap many Axis I disorders. This paper will examine interfaces between BPD and depression, between BPD and bipolar disorder, and between BPD and psychoses.
Specialized training is necessary for effective treatment.
Finding good treatment for symptoms of BPD can be challenging. Many therapists either avoid or refuse to treat BPD. Treating BPD requires specialized training or experience for optimal results. Often, insurance companies do not pay for the treatment of BPD.
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.
I also learned that some doctors knowingly fail to diagnose BPD because they are under the misapprehension that effective therapies don't exist and bad outcomes are inevitable. Others don't give the diagnosis because they fear it will stigmatize the patient and lead to rejection by the mental health system.
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.
Shifting Self-Image
A person with borderline personality disorder is often unable to trust their own feelings or reactions. Lacking a strong sense of self leads to a sense of emptiness and sometimes a sense of being non-existent, which is another reason BPD hurts so much.
BPD is considered to be one of the most serious mental illnesses, as it causes a great deal of suffering and has a high-risk for suicide.”
Borderline personality disorder (BPD) is one of the most damaging mental illnesses. By itself, this severe mental illness accounts for up to 10 percent of patients in psychiatric care and 20 percent of those who have to be hospitalized.
Clinicians can be reluctant to make a diagnosis of borderline personality disorder (BPD). One reason is that BPD is a complex syndrome with symptoms that overlap many Axis I disorders. This paper will examine interfaces between BPD and depression, between BPD and bipolar disorder, and between BPD and psychoses.
One of the most common misdiagnoses for BPD is bipolar disorder. Both conditions have episodes of mood instability. When you have bipolar disorder, your mood may shift from depression to mania, in which you experience elation, elevated energy levels and a decreased need for sleep.
The Victim
Individuals with BPD often feel helpless, hopeless, powerless, and ashamed. When in this state of mind, they may adopt a passive role and draw in others to make decisions for them and support them.
BPD is a complex and contentious diagnosis [19], partly because evidence is yet to determine the exact cause of the condition. However, the trajectory is likely to be linked to genetic and environmental factors including emotional vulnerability, childhood abuse [20, 21], and insecure attachment.
This finding suggests that people with BPD are viewed harshly due to their apparent lack of control over their behavior and emotions. People with schizophrenia, by contrast, suffer from hallucinations and delusions that, by virtue of their seriousness, would seem less controllable.
NICE doesn't recommend using medication to treat the ongoing symptoms of BPD. This is because there aren't any drugs that are known to be effective. But we know that in practice doctors often do prescribe medication for people diagnosed with BPD. This could include antidepressants, antipsychotics or mood stabilisers.
Challenges with getting a BPD diagnosis
The symptoms of BPD are very broad, and some can be similar to or overlap with other mental health problems, such as: Bipolar disorder. Complex post-traumatic stress disorder (C-PTSD) Depression.
If you think you might have BPD, it's important to get an accurate diagnosis so you can begin an effective treatment program.
Hospitalizations Due to Self-Harm
Many people with BPD harm themselves, such as by cutting, to try to deal with their overwhelming feelings. (1) Some may even attempt to take their own lives. Often, this kind of behavior serves as a wake-up call for the person suffering.
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.
Borderline personality disorder (BPD) has long been believed to be a disorder that produces the most intense emotional pain and distress in those who have this condition. Studies have shown that borderline patients experience chronic and significant emotional suffering and mental agony.
A person with BPD typically has an unstable self-identity. Sometimes, lies help them bridge the gap between their true identity and the one they've adopted for the time being.
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.
The effects of untreated borderline personality disorder (BPD) can be devastating. For example, the physical and mental health impact of this disorder is so severe that life expectancy among people who have BPD is about 20 years less than the national average.
There are different triggers for everyone, but medical marijuana is often recommended for those who have trouble sleeping or need to calm down due to high-stress levels. The best strain for borderline personality disorder is cannabis sativa since it helps ease anxiety and boost mood.
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.