The most popular and most effective form of therapy for BPD is dialectical behavioral therapy (DBT). This form of therapy was created for people with borderline personality disorder in mind. If you've been diagnosed with BPD, know that you're not alone.
Dialectical Behavior Therapy (DBT) began as a way to help manage crisis behavior, such as suicidal behavior or self-harm. It is the most commonly recommended therapy for BPD.
Practice mindfulness of your emotions. Notice the emotion you are having and let yourself experience it as a wave without trying to block it, suppress it, or hold onto it. Try to accept the emotion for what it is. Try to stay in the moment so you do not carry the past emotions along with it.
People with borderline personality disorder experience rejection sensitivity, which makes relationships very intense and dependent. Events that can worsen this can be losing a job, ending a relationship, or experiencing rejection of any type.
Many people with BPD have a history of trauma. Whether that's adult or childhood trauma, when they're reminded of a traumatic event, those memories can be a catalyst for a BPD episode. Trauma triggers are highly personal and can include smells, sounds, or situations that remind someone of past trauma.
Borderline personality disorder is one of the most painful mental illnesses since individuals struggling with this disorder are constantly trying to cope with volatile and overwhelming emotions.
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.
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.
Second Stage of a BPD Relationship: Obsessive Neediness
The BPD sufferer may start to become irritable and nit-pick over anything they perceive as negative behaviour aimed at them. This also marks the beginning of the neediness phase and fear of abandonment.
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].
Antidepressants for BPD
Celexa or Zoloft for borderline personality disorder have been found to help with mood instability and impulsivity. By reducing the person's mood symptoms, they can improve their overall well-being.
It is important to remember that while having a relationship with a person with BPD can be challenging, they are not intentionally trying to hurt you. Rather, they lack the ability to understand and cope with their emotional pain, which causes them to act in ways that hurt others.
In BPD, anger often leads to destructive behavior such as aggression. Typically, aggression in BPD is classified as reactive in nature with real or assumed social rejection, threat, provocation, or frustration being assumed to be the most important triggers [3, 9,10,11].
Because of their overall pessimistic demeanor, they can easily feel slighted and may express this aggressively or hold it in and build resentment. Those with this type of BPD tend to view people in “black and white” terms (known as BPD splitting), so they are likely to hold onto a grudge after feeling insulted.
Common triggers of BPD rage can include: Emotionally challenging situations that seem threatening. Situations where the person fears abandonment. BPD splitting, which is a type of black-and-white thinking where people see things as either all-good or all-bad.
Adult patients with BPD experience a wide range of other psychotic symptoms in addition to AVH, including hallucinations (11% visual hallucinations, 8% gustatory hallucinations, 17% olfactory hallucinations, 15% tactile hallucinations [19]), thought insertion (100%), thought blocking (90%), being influenced by another ...
The actions of people who have BPD can indeed feel manipulative. However, the word 'manipulative', with its pejorative suggestions of malicious scheming, does not capture the true nature of BPD-spurred behavior.