Borderline Personality Disorder

Having a personality disorder or supporting someone who has one can feel like a very challenging thing- however isn't as hopeless as outdated information around the net would lead us to believe. There is hope for coping & healing. Trying to find the kindest information on the net, I hope that you find the links provided here supportive & helpful on your journey to wellness!

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What is Borderline PD?

Diagnostic criteria of borderline personality disorder

A pervasive pattern of instability of interpersonal relationships, self-image and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by 5 (or more) of the following:

  1. Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in criterion 5.

  2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.

  3. Identity disturbance: markedly and persistently unstable self-image or sense of self.

  4. Impulsivity in at least 2 areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in criterion 5.

  5. Recurrent suicidal behavior, gestures or threats, or self-mutilating behavior.

  6. Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days).

  7. Chronic feelings of emptiness.

  8. Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).

  9. Transient, stress-related paranoid ideation or severe dissociative symptoms.

 

*Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition

How is BPD treated?

Reduction in symptom severity has been shown over time with various therapy modalities; including dialectical behavioral therapy, cognitive behavioral & rational emotive behavior therapy, schema therapy, transference-focused psychotherapy & mentalization based treatment. While not a replacement for a quality therapist (taking into consideration the stigma, pricing, waitlists & lack of access to adequately trained professionals) one of the easier first steps is utilizing free online tools & trying workbooks for modalities like DBT at home.

Dialectical behavioral therapy

Camh.ca - " What is Dialectical Behavioral Therapy?"

Practical Resources

Rational emotive & cognitive behavioral therapy

Practical Resources

Acceptance & Commitment Therapy

Practical Resources

Schema Therapy

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Transference focused psychotherapy

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Mentalization based psychotherapy

Practical Resources

Resources