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.
It is certainly possible to have BPD and success in education and employment. In fact, many maintain strong careers when able to control BPD symptoms. On the other hand, some people with BPD have trouble with their career in which some are unemployed, underemployed or unhappy in their jobs.
It's been confirmed in recent studies by Director of Outpatient Psychiatry at Rhode Island Hospital Mark Zimmerman, M.D., that those diagnosed with Borderline Personality Disorder and Bipolar Disorder have a harder time holding employment.
An employee or coworker with BPD may be a good worker when not overwhelmed by their symptoms. However, the effects of BPD symptoms can vary with different workplace situations, affecting job performance and the ability to “fit in” with the work environment.
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.
The Fair Employment and Housing Act
It also protects you if you have a history or record of a mental disability, or if you have a perceived mental disability. Your employer is not permitted to terminate you because of a mental disability or because you requested a reasonable accommodation for your mental disability.
Fear of Patients Lashing Out. 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.
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.
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.
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.
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].
Psychotherapy, also known as talk therapy, is the primary treatment approach for borderline personality disorder. Talk therapy for BPD focuses on improving functionality, managing emotions and reducing impulsiveness. Dialectical behavior therapy (DBT) is one approach used for the treatment of BPD.
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.
In particular, there is evidence that BPD is commonly misdiagnosed as Bipolar Disorder, Type 2. One study showed that 40% of people who met criteria for BPD but not for bipolar disorder were nevertheless misdiagnosed with Bipolar Type 2.
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.
You do not have to disclose that you have a mental illness, and there are some upsides and downsides to doing so. The Americans with Disabilities Act (ADA) protects people with disabilities from discrimination in the workplace.
You might feel worried about confidentiality or unfair treatment because of it. However, if your mental health problem is a disability and you want the protection of the Equality Act, your employer needs to know about it.
This clinical study of 23 borderline outpatients and 38 outpatients with other personality disorders provides evidence that individuals who become borderline frequently have a special talent or gift, namely a potential to be unusually perceptive about the feelings of others.
With treatment, medication, and counselling, most individuals suffering from BPD can build a life worth living but the dynamics of the illness make emotion dysregulation a reoccurring obstacle that can sometimes cause major setbacks (legal issues, loss of sobriety, physical injury, etc.)
The BPD group had significantly lower Verbal, Performance, and Full Scale IQ scores on the WAIS-R. The BPD group also was impaired significantly on motor skills, figural memory, complex visuomotor integration, social or interpersonal intelligence, and on a measure of susceptibility to interference.