Why is borderline personality disorder difficult to treat?

Borderline personality disorder often occurs with other mental illnesses, such as post-traumatic stress disorder (PTSD). These co-occurring disorders can make it harder to diagnose and treat borderline personality disorder, especially if symptoms of other illnesses overlap with symptoms of the disorder.

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What makes borderline personality disorder so difficult?

People with BPD have an intense fear of abandonment and have trouble regulating their emotions, especially anger. They also tend to show impulsive and dangerous behaviors, such as reckless driving and threatening self-harm. All of these behaviors make it difficult for them to maintain relationships.

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Why is BPD not treatable?

While there is no definitive cure for BPD, it is absolutely treatable. 1 In fact, with the right treatment approach, you can be well on the road to recovery and remission. While remission and recovery are not necessarily a "cure," both constitute the successful treatment of BPD.

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Why is personality disorder difficult to treat?

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.

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What are some coping skills for BPD?

You could:
  • Wrap up in a blanket and watch your favourite TV show.
  • Write all your negative feelings on a piece of paper and tear it up.
  • Listen to music that you find uplifting or soothing.
  • Write a comforting letter to the part of yourself that is feeling sad or alone.
  • Let yourself cry or sleep.
  • Cuddle a pet or a soft toy.

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Why Isn’t Borderline Personality Disorder Treated Like This Illness?

16 related questions found

How do you calm down a BPD trigger?

If you suffer from borderline personality disorder, here are some ways to help cope with the symptoms that can lead to or trigger an episode:
  1. Take a warm shower or bath.
  2. Play music that relaxes you.
  3. Engage in a physical activity.
  4. Do brain teasers or problem-solving activities.
  5. Talk to a sympathetic loved one.

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How do you soothe BPD rage?

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.

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What is the hardest personality disorder to deal with?

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.

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How severe is borderline personality disorder?

Borderline personality disorder (BPD) is a serious mental illness characterized by intense mood swings and difficulty in relationships. A person who has BPD feels emotions with great intensity, and episodes of anger, anxiety or depression can go on for several days.

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What is the most effective treatment for borderline personality disorder?

Psychotherapy. Psychotherapy — also called talk therapy — is a fundamental treatment approach for borderline personality disorder.

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Why do therapists refuse to treat BPD?

Additionally, relationship instability is a feature of BPD, and clinicians may be wary of patients with whom establishing a therapeutic bond could be difficult. They may also hold the mistaken belief that treatment is ineffective for BPD patients.

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What age does BPD go away?

It is commonly believed that some features of borderline personality disorder improve as individuals reach their late 30s and 40s.

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What are borderline clients like?

BPD clients are so desperate for attachment that their fierce need can draw a therapist in. At the same time, many BPD clients have learned not to trust those very attachments they demand and crave. Thus, therapists can find themselves caught in their BPD clients' conflicting desires.

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Are borderline personality toxic?

Many people still believe that those living with it can be manipulative or dangerous due to their symptoms. While this can be the case in a very small minority of people, most people with BPD are just struggling with their sense of self and their relationships. It's important to note that we're not dangerous people.

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Why do borderlines hurt the ones they love?

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.

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Do borderlines feel remorse?

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.

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Is BPD the most serious mental illness?

Borderline personality disorder (BPD) is one of the most damaging mental illnesses. By itself, this severe mental illness accounts for up to 10 percent of patients in psychiatric care and 20 percent of those who have to be hospitalized.

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How hard is it to live with BPD?

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.

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Is Borderline Personality hopeless?

Part of their surprise almost surely stemmed from an uncomfortable truth: people with BPD are often regarded as hopeless individuals, destined to a life of emotional misery. They are also frequently viewed as so disturbed that they cannot possibly achieve success in everyday life.

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How painful is borderline personality disorder?

People with BPD experience intense mental-emotional pain as their baseline mood. Emotions are extremely intense, leading to episodes of depression, anxiety or anger.

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Are borderlines aware of their behavior?

People with borderline personality disorders are aware of their behaviors and the consequences of them and often act in increasingly erratic ways as a self-fulfilling prophecy to their abandonment fears.

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How to detach from someone with borderline personality disorder?

How to Navigate Relationships with People with BPD
  1. 1: Leave the abuser. ...
  2. 2: Do not try to endure your suffering alone. ...
  3. 3: Set boundaries. ...
  4. 4: Help address “emptiness.” Without becoming the therapist of the one with borderline symptoms, talk about the underlying feelings that so often throw him or her into darkness.

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What angers a borderline?

Rage in a person with BPD can occur suddenly and unpredictably, often triggered by an intense fear of being alone. Fear of rejection can be so intense that they begin to anxiously expect rejection. Subtle cues that they associate with rejection can set off unexpectedly intense reactions.

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What is it like to live with someone who has borderline personality disorder?

Their wild mood swings, angry outbursts, chronic abandonment fears, and impulsive and irrational behaviors can leave loved ones feeling helpless, abused, and off balance. Partners and family members of people with BPD often describe the relationship as an emotional roller coaster with no end in sight.

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How do you deal with abusive BPD?

In dealing with emotional abuse in borderline personality disorder, it's imperative to separate the behavior from the person who is borderline. Instead of judging the person, focus on the behavior that was hurtful and express how it impacted you, to set a limit on the behavior.

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