Borderline personality disorder historically has been viewed as challenging to treat. But with newer, evidence-based treatment, many people with this disorder experience fewer and less severe symptoms, improved functioning, and better quality of life.
Treating antisocial personality disorder
But antisocial personality disorder is one of the most difficult types of personality disorders to treat. A person with antisocial personality disorder may also be reluctant to seek treatment and may only start therapy when ordered to do so by a court.
Personality disorders are difficult to treat because it's very difficult for someone suffering from one of these disorders to separate their personality (how they interact with others, how they view the world, and how they think about themselves) from the symptoms of their mental illness.
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.
Living with Borderline Personality Disorder (BPD) is difficult for many reasons, including unstable relationships, emotional reactivity and dysregulation, impulsivity, and other challenging features.
Living with borderline personality disorder (BPD) poses some challenges. Intense emotional pain and feelings of emptiness, desperation, anger, hopelessness, and loneliness are common. These symptoms can affect every part of your life.
Only remorse leads to a real apology and change. One of the hallmarks of people with Borderline Personality Disorder or Narcissistic Personality Disorder (BP/NP) is that they often do not feel truly sorry. Even though a BP/NP may say he or she is sorry, there is often something lacking.
Many people with BPD feel emotions deeply and find working in a caring role fulfilling. If you are an empathetic person, consider jobs such as teaching, childcare, nursing and animal care.
Borderline personality disorder is a mental illness that severely impacts a person's ability to regulate their emotions. This loss of emotional control can increase impulsivity, affect how a person feels about themselves, and negatively impact their relationships with others.
It is commonly believed that some features of borderline personality disorder improve as individuals reach their late 30s and 40s.
Some therapists work around this by diagnosing comorbid conditions, such as anxiety or depression, that are often present with BPD symptoms. Other therapists are uncomfortable with this practice and, for this reason, avoid treating BPD.
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.
BPD is associated with both forms of resistance, and these underlying sources may overlap. Particular forms of defenses exhibited by patients with BPD can constitute therapeutic resistance. However, when BPD coexists with mood disorders, those disorders often fail to respond to treatments as well as expected.
People with BPD experience intense mental-emotional pain as their baseline mood. Emotions are extremely intense, leading to episodes of depression, anxiety or anger.
By all accounts, serious mental illnesses include “schizophrenia-spectrum disorders,” “severe bipolar disorder,” and “severe major depression” as specifically and narrowly defined in DSM. People with those disorders comprise the bulk of those with serious mental illness.
Sometimes also known as emotional regulation disorder, the hallmarks of BPD are difficulty managing moods and expressing emotions. Symptoms can include avoiding abandonment at all costs, unstable relationships, suicidal ideation, periods of emotional intensity, chronic emptiness, paranoia, and dissociation.
It is the most common personality disorder in Australia, affecting about 1 to 4 in every 100 people at some time in their lives. It's more common in women, and usually the symptoms appear in the teenage years or early adulthood.
For example, in one study, 24% of BPD patients reported severe psychotic symptoms and about 75% had dissociative experiences and paranoid ideation. Thus, we start with an overview regarding the prevalence of psychotic symptoms in BPD patients.
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. Many people with this disorder get better over time with treatment and can learn to live satisfying lives.
Symptoms of BPD can also interfere with concentration, which can lead to poor work performance. For example, frequent dissociation can inhibit your ability to finish your tasks in a timely fashion.
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].
But with some individuals with BPD, you don't want to get into the habit of allowing certain things such as calls after hours, visits to your home without announcing it, borrowing your things and never returning them, driving your car and keeping it longer than they should, etc.
Those diagnosed with Borderline Personality Disorder (BPD) or those with BPD who may not even know they have it, are more likely than the general population to be verbally, emotionally/psychologically, physically abusive.
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.
MD. People with borderline personality disorder (BPD) often rotate between idolizing and devaluing others. In the case of the “favorite person,” the individual with BPD prefers one person and wants to spend all their time with them.