Treatment Plans for Borderline Personality Disorder or BPD (2022)

Borderline personality disorder or BPD is one among the common mental disorders found in humans and relates to the clinical settings that relate to the stressful situations. The disorder is often left under-diagnosed or incorrectly treated many a times. This disorder often causes various marked distress and an impairment in social as well as occupational functioning which are associated with higher rates of self-destructive behavior.

Treatment Plans for Borderline Personality Disorder or BPD (1)

Advertisement

Advertisement

Psychotherapy, hospitalization or medications are considered amongst the other treatments for Borderline personality disorder.

Psychotherapy

Advertisement

(Video) Treatment Strategies for Borderline Personality Disorder

Psychotherapy is also known as talk therapy and is a practical as well as a basic procedure for treating the borderline personality disorder. Various forms of psychotherapy have proven to be effective and a few amongst them are as follows:

Cognitive-Behavioral Therapy (CBT) for Treating Borderline Personality Disorder or BPD

The therapy session of CBT involves the assistance of mental health counselors (therapist) who will make a patient aware of all the inaccurate and negative thought process. This therapy will also guide the patient to see various options clearly and seek out for strategies and solutions.

Dialectical Behavior Therapy (DBT) for Treating Borderline Personality Disorder or BPD

DBT or Dialectical Behavior Therapy was considered exclusively to tackle the symptoms of borderline personality disorder. Through a combined approach of skills-based and physical treatments with meditation-like exercises, are often considered as a treatment for BPD. These exercises prove to be helpful for regulating various emotions and improve the relationships.The Following modes of treatment are included in DBT and each of them plays a significant role in making the treatment a successful one.

  • Individual Psychotherapy: The sessions are held once a week and after successful participation in the therapy sessions, the patient will be able to combat the ill effects of BPD effectively.
  • Group Skills Training: The training session is held on a weekly basis and concentrates on the skill sets like emotional regulation, distress tolerance skills, interpersonal effectiveness and core mindfulness skills.
  • Consultation Through Phone: The therapists are available to be contacted through phone, which makes it easier for the patient to contact them during emergencies. Through this option, the person can also get hold of all the sessions that are learned in the entire week.
  • Case Consultation Meetings for Therapists: Working with the patients can be strenuous for the therapists and borderline personality disorder is extremely challenging too. Experts believe that to treat this disorder one must be a part of interactive conversations and other therapy sessions.

Advertisement

(Video) Stressed with Borderline Personality Disorder: How Dialectical Behavior Therapy Helps

Advertisement

The process of DBT often lasts for one to two years and one has to effectively make a note of all the changes that are observed in a person’s state of mind. Through the therapies the unhealthy behaviors of a person is addressed which tend to harm the quality of life.

Mentalization-Based Therapy (MBT) for Treating Borderline Personality Disorder or BPD

MBT is a kind of speech therapy that facilitate in the identification and segregation of your feelings & thoughts from the people around you. It lays stress on all the activities where a person is bound to react without thinking. The concept of mentalization is reinforced, practiced in an emphasized manner. This is often done in a supportive and safe psychotherapy setting.

The thoughts that are shared considering a person’s experience as well as the perspective of the therapist often leads to instability and bewilderment with a patient’s head and also, the patients get attached with their therapist. It is still encouraged as without this, people who are suffering from this disorder often lack the capacity to function in a healthy way.

Advertisement

(Video) Borderline Personality Disorder | NCLEX Review

Advertisement

Mentalization is similar to any other skill such as public speaking and can be learned easily. People who are a part of MBT often experience, a focus on learning new skills and practicing them regularly. They also improve their social skills and interact with people in a direct manner.

Schema Focused Therapy (SFT) for Treating Borderline Personality Disorder or BPD

This type of treatment comes together with various approaches that are related to therapy sessions, which include evaluating various life patterns in a repetitive manner. These life themes are known as ‘schema’ and through this a person is able to identify the positive changes and change the negative perspectives instantly.

The primary goal of Schema Focused Therapy is to help in identifying various schemas that are related to the past events. The therapist and patient work in groups to design various strategies that will help in altering the functioning of emotion processing. This also focuses on changing the lifestyle that results in maladaptive schemas.

Transference Focused Psychotherapy (TFP) for Treating Borderline Personality Disorder or BPD

TFP is also known as psychodynamic psychotherapy and helps one in understanding various emotions that interfere with the various life events. Through successful participation in the sessions the relationship between the patient and the therapist are improved and then these insights are implemented in the person’s ongoing life situations.

(Video) Treatment principles for people living with Borderline Personality Disorder

Medications to Treat Borderline Personality Disorder or BPD

Borderline personality disorder cannot be cured using medications. Nevertheless, they can aid in bringing down the occurrence of symptoms that are associated with anxiety and depression. The mental counselor may often prescribe anti-psychotics and anti-depressants. When taken in regular doses, these can also help in bringing down the levels to a considerable amount.

Hospitalization:

Hospitalization is opted when all the other treatments are proving to be less effective. It also helps the patient to be safe from disturbing thoughts, behavior and self-injury. The treatment may last longer and is often offered to the people who are unable to cope with various stressful conditions.

Finally, a lot of people find the above treatments relieving and often continue with the treatment for a year or so. There are cases where the behavior was brought under control only after 10 years of treatment.

Unfortunately, people never consider about seeking help for this mental illness. They are often under a notion that the symptoms are not grave enough to get them treated. Many people additionally are suffering from eating disorders, substance fear and other conditions which can be treated by medication.

Treatment for Borderline Personality Disorder or BPD in Children

Various researches have shown that the occurrence of symptoms in adolescents is similar to the adults. However, in the former condition, treatment is a bit controversial. The symptoms begin to show in the early adolescence and are difficult to diagnose in children below 18. Many mental health counselors often fail to understand the exact symptoms in adults as well. Although the symptoms tend to allow the physicians to treat the disorder at them, they tend to write it as ‘deferred’. At times, medication is often prescribed for all the adolescents who are suffering from the disorder.

Borderline Personality Disorder or BPD is often left under diagnosed in children and is also inadequately studied. As a result of this, the nature as well as the course of its occurrence is not yet understood in the children. Studies have also shown that the symptoms begin to occur in the early days and lasts until adulthood. The lack of an early treatment often leaves the sufferer to struggle for finding a permanent cure for the disorder. This might also lead to self-injury and other self-reinforcing behaviors in extreme cases.

Many evidences suggest that the diagnosis of BPD can be effectively done in adolescents. However, there are other studies available, which suggest that the diagnosis is unstable in most cases. Chanen and colleagues undertook a case study, which showed that only 40% of adolescents were able to meet the criteria of undergoing a follow up treatment for BPD for 2 years.

A community study reported the condition in twins, which showed that the self-reported symptoms took almost two to three years to be cured. The results also displayed a reduction in the rate of diagnosis during the study period along with a successful reduction in symptoms during a 10-year treatment.

Also Read:

(Video) How to treat Borderline personality disorder? - Doctor Explains

  • How Borderline Personality Disorder or BPD Reduces the Quality of Life?

FAQs

What is the treatment is considered most effective for borderline personality disorder? ›

Dialectical Behavioral Therapy (DBT)

The most well-known, well researched, and widely available EBT for BPD is DBT [39, 40].

What is the gold standard treatment for BPD? ›

Abstract. Born from the randomized controlled trial by Linehan and colleagues in 1991, dialectical behavior therapy (DBT) has become the gold standard for treatment of individuals who are suicidal and have borderline personality disorder.

What is the best mood stabilizer for BPD? ›

Divalproex sodium and valproate

Divalproex sodium is among the mood stabilizers, which are comprehensively studied in patients with BPD [52].

Can BPD be treated without medication? ›

Overcoming BPD without medication is possible, but you should always follow the guidance and treatment plan set forth by your doctor or health care provider. Medication isn't necessarily the primary treatment for BPD in most cases. It's typically only used to treat specific symptoms such as depression or mood swings.

Can you live with BPD without therapy? ›

If you think you have BPD, don't let this misconception scare you away from therapy or make you feel helpless. Even without treatment, the symptoms of the disorder will ebb and flow over time; some people with BPD are able to function at a higher level than others, so recovery is different for each person.

What triggers a person with borderline personality disorder? ›

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.

Why do people with BPD resist treatment? ›

Family issues as a source of resistance

Another important source of resistance in treating patients with BPD is their notion that change may entail betraying their family in particular ways as well as giving up habits they may feel work well for them in avoiding feelings.

Can antidepressants worsen BPD? ›

In fact, many antidepressants can cause mood swings as a side effect, which can amplify the flurry of emotions that you are already feeling due to BPD, highlighting the necessity of proper diagnosis and receiving the appropriate antidepressant medication.

Can BPD be a disability? ›

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.

Why do antidepressants not work for BPD? ›

Because antidepressants have not demonstrated significant high-level evidence of therapeutic benefit, these medications currently lack strong recommendations in treating BPD. Serotonin regulates amygdala hyperreactivity in BPD, thought to be a central neurobiological correlate of affective instability.

Can BPD turn into schizophrenia? ›

However, can BPD turn into schizophrenia? While the two mental disorders share many similarities, borderline personality disorder cannot develop into schizophrenia.

How do I calm down my BPD? ›

Here are some tips on healthy ways to manage your anger with BPD.
  1. Count to 10. Hero Images / Getty Images. ...
  2. Notice Your Anger Earlier. Hero Images / Getty Images. ...
  3. Take a Break. Betsie Van Der Meer / Getty Images. ...
  4. Distract Yourself. ...
  5. Take Deep Breaths. ...
  6. Ground Yourself. ...
  7. Listen to Calming Music. ...
  8. Practice Letting Go.
17 Mar 2021

What foods are good for BPD? ›

Following this type of diet may help to improve both your mood and your energy level.
...
Foods that need to be included in your diet are:
  • Whole grains and cereals.
  • Lean proteins such as lean meats, seafood, nuts and legumes.
  • Fruits and vegetables.
  • Low-fat dairy products.
  • Unsaturated fats such as olive oil.

What happens if BPD goes untreated? ›

Effects borderline personality disorder can have

Some of the most common effects of untreated BPD can include the following: Dysfunctional social relationships. Repeated job losses. Broken marriages.

Can people with BPD be happy? ›

This person says it exactly right — people with BPD have very intense emotions that can last from a few hours to even a few days, and can change very quickly. For example, we can go from feeling very happy to suddenly feeling very low and sad.

How long does the average BPD relationship last? ›

Results found in a 2014 study found the average length of a BPD relationship between those who either married or living together as partners was 7.3 years. However, there are cases where couples can stay together for 20+ years.

What hurts a borderline? ›

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.

What do people with BPD struggle with? ›

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.

Do people with BPD have empathy? ›

Lack of cognitive empathy, ToM, mentalizing, social cognition, or emotional intelligence was found to be a common feature among patients with BPD.

Do borderlines cry a lot? ›

Compared to non-patients, BPD patients showed the anticipated higher crying frequency despite a similar crying proneness and ways of dealing with tears. They also reported less awareness of the influence of crying on others.

How long is therapy for BPD? ›

Most of the specialized treatments for BPD are time-limited and generally of 1 to 3 years' duration. This makes them expensive, and some experts suggest that a better model of care for patients with BPD would be intermittent psychotherapy.

Is borderline personality disorder a serious mental illness? ›

Overview. 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.

How effective is DBT for BPD? ›

Research shows it's incredibly effective—one study from 2014 showed that 77% of participants no longer met criteria for BPD diagnosis after undergoing treatment. DBT is recognized as the “gold standard” for people with BPD.

What medications can help with borderline personality disorder? ›

Stronger evidence exists for the use of the mood stabilizers topiramate, lamotrigine and valproate semisodium in BPD. Topiramate and lamotrigine have both been shown in small RCTs to be effective in the treatment of symptoms of aggression in BPD [Nickel et al. 2005, 2004; Tritt et al. 2005].

What therapies are used for personality disorders? ›

Psychotherapy, also called talk therapy, is the main way to treat personality disorders.
...
However, several types of psychiatric medications may help with various personality disorder symptoms.
  • Antidepressants. ...
  • Mood stabilizers. ...
  • Antipsychotic medications. ...
  • Anti-anxiety medications.
23 Sept 2016

What is DBT used for? ›

Dialectical behavior therapy (DBT) is especially effective for people who have difficulty managing and regulating their emotions. DBT has proven to be effective for treating and managing a wide range of mental health conditions, including: Borderline personality disorder (BPD). Self-harm.

What triggers a person with borderline personality disorder? ›

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.

What is a favorite person BPD? ›

A favorite person is the center of attention of an individual living with BPD. This means they consider this person as a trusted friend, confidant, and counselor all wrapped in one.

Can I do DBT on myself? ›

DBT is complex, and it's generally not something that people can do on their own without the guidance of a trained therapist. However, there are some things you can do on your own to help you develop new coping skills.

Can you live with BPD without therapy? ›

If you think you have BPD, don't let this misconception scare you away from therapy or make you feel helpless. Even without treatment, the symptoms of the disorder will ebb and flow over time; some people with BPD are able to function at a higher level than others, so recovery is different for each person.

How do you calm someone with BPD? ›

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.

Can antidepressants make BPD worse? ›

In fact, many antidepressants can cause mood swings as a side effect, which can amplify the flurry of emotions that you are already feeling due to BPD, highlighting the necessity of proper diagnosis and receiving the appropriate antidepressant medication.

Why is it difficult to treat BPD? ›

treatment options? Borderline personality disorder (BPD) can be hard to diagnose because the symptoms of this disorder overlap with many other conditions, such as bipolar disorder, depression, anxiety, and even eating disorders.

Why do people with BPD resist treatment? ›

Family issues as a source of resistance

Another important source of resistance in treating patients with BPD is their notion that change may entail betraying their family in particular ways as well as giving up habits they may feel work well for them in avoiding feelings.

Why is treating BPD particularly challenging? ›

APA also claimed that while people with BPD often seek out treatment, many tend to leave therapy. It is suggested that individuals with BPD may be triggered easily in therapy, which can be difficult for them to regulate those emotions and work with their therapist.

When is DBT not appropriate? ›

DBT is not recommended for individuals with intellectual disabilities or uncontrolled schizophrenia. A therapist who is trained in DBT can help you determine if DBT is an appropriate treatment for you.

What are the four stages of DBT? ›

These are the four stages:
  • Stage 1. In stage 1, the patient has out of control behavior and typically feels miserable. ...
  • Stage 2. During stage 2, a patient may be in control of their behaviors but continue to suffer in silence. ...
  • Stage 3. Stage 3 is where patients learn to live. ...
  • Stage 4.

Can DBT be harmful? ›

Cons of Dialectical Behavior Therapy in DID Treatment

DBT aims to treat the whole person as an individual, and does not include treatment of multiples. This can be harmful, as the lack of acknowledgment can feel invalidating for both the host and other parts in the system.

Videos

1. When is Medication Right for Personality Disorders?
(MedCircle)
2. Borderline Personality Disorder Simplified | Diagnosis & Treatment of BPD | A Psychiatrist Explains
(Dr Sanil Rege's Hub - Psychiatry Simplified )
3. Therapy vs Medication in Treating Borderline Personality Disorder (BPD) - JOHN GUNDERSON
(BorderlinerNotes)
4. Webinar 2: Treatment principles for people living with Borderline Personality Disorder
(Australian BPD Foundation)
5. Borderline Personality Disorder: 10 Self Care Tips to Help You Cope with BPD
(The International Psychology Clinic)
6. Tailoring Psychotherapy for Borderline Personality Disorder: What Do We Know About What Works fo...
(McLeanHospital)

Top Articles

Latest Posts

Article information

Author: Prof. Nancy Dach

Last Updated: 01/24/2023

Views: 6341

Rating: 4.7 / 5 (57 voted)

Reviews: 88% of readers found this page helpful

Author information

Name: Prof. Nancy Dach

Birthday: 1993-08-23

Address: 569 Waelchi Ports, South Blainebury, LA 11589

Phone: +9958996486049

Job: Sales Manager

Hobby: Web surfing, Scuba diving, Mountaineering, Writing, Sailing, Dance, Blacksmithing

Introduction: My name is Prof. Nancy Dach, I am a lively, joyous, courageous, lovely, tender, charming, open person who loves writing and wants to share my knowledge and understanding with you.