Should I tell my therapist I think I have BPD?

Let the therapist know that you are interested in an assessment and treatment. Describe some of your symptoms. You can even mention that you think you may have BPD. Take the opportunity to ask some initial questions.


Can a therapist diagnose you with BPD?

Borderline personality disorder can be diagnosed by a trained mental health professional such as a psychiatrist, therapist, or clinical social worker. Screenings for BPD should be done face-to-face in person or virtually rather than via an online test.

Why won't my therapist diagnose my BPD?

Key points. Mental health providers can be reluctant to diagnose BPD and other personality disorders due to diagnosis criteria, insurance, and stigma. Not diagnosing BPD, where appropriate, can adversely affect treatment. Traits of BPD can be communicated without formally diagnosing the full personality disorder.


Who should I see if I think I have BPD?

See your GP if you're concerned that you have borderline personality disorder (BPD). They may ask about your symptoms and how they're affecting your quality of life.

How do therapists test for BPD?

A licensed mental health professional will use a book called the DSM-5 to help diagnose BPD. Some professionals may ask you to complete specific assessments while others may ask a lot of open-ended questions about you, your family history, and what kind of problems you may want to work on in treatment.


What a Borderline Personality Disorder (BPD) Episode Looks Like



How do I prove I have BPD?

To be diagnosed with BPD, you must display at least five of the following symptoms:
  1. viewing relationships in extremes (e.g., everything is either all good or all bad)
  2. challenges controlling anger.
  3. frequent mood changes (i.e., periods of intense anger, depression, or anxiety)
  4. recurrent suicidal ideation.


Is a BPD diagnosis hard to get?

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.

How do you rule out BPD?

A licensed mental health professional—such as a psychiatrist, psychologist, or clinical social worker—who is experienced in diagnosing and treating mental disorders can diagnose borderline personality disorder based on a thorough interview and a discussion about symptoms.


At what age is BPD usually diagnosed?

According to the DSM-5, BPD can be diagnosed as early as at 12 years old if symptoms persist for at least one year. However, most diagnoses are made during late adolescence or early adulthood.

What is the earliest age BPD diagnosed?

Early Onset

As previously mentioned, DSM-5 permits the diagnosis of BPD in patients younger than 18 if symptoms persist for at least 1 year. Symptoms of BPD usually start prior to adulthood and the diagnosis can be made reliably.

What is BPD usually misdiagnosed as?

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.


Why therapists fear borderlines?

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.

What can BPD be mistaken for?

The symptoms of BPD are very broad, and some can be similar to or overlap with other mental health problems, such as:
  • Bipolar disorder.
  • Complex post-traumatic stress disorder (C-PTSD)
  • Depression.
  • Anxiety.
  • Psychosis.
  • Antisocial personality disorder (ASPD)


Do therapists not like to treat 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.


Why can't you self diagnose BPD?

You May Be Wrong

Anytime you try and self-diagnose your symptoms, you run the risk of getting it wrong. That puts you at further risk for seeking treatment for the wrong diagnosis, or attempting self-help remedies that aren't appropriate.

What is the biggest symptom of BPD?

With borderline personality disorder, you have an intense fear of abandonment or instability, and you may have difficulty tolerating being alone. Yet inappropriate anger, impulsiveness and frequent mood swings may push others away, even though you want to have loving and lasting relationships.

What are the 9 criteria for BPD?

9 Traits of Borderline Personality Disorder
  • Fear of Abandonment. You're going to leave me. ...
  • Intense Interpersonal Relationships. ...
  • Identity Disturbance. ...
  • Impulsivity. ...
  • Recurrent Self-Harm/Suicidal Behavior. ...
  • Affective Instability. ...
  • Chronic Emptiness. ...
  • Inappropriate Anger.


What kind of trauma causes BPD?

Stressful or traumatic life events

Often having felt afraid, upset, unsupported or invalidated. Family difficulties or instability, such as living with a parent or carer who experienced an addiction. Sexual, physical or emotional abuse or neglect. Losing a parent.

Do I have BPD or am I just sensitive?

The big difference is that people with BPD tend to be willing to express themselves in any and all environments regardless of who is present. Whereas people with HSP tend to be more withdrawn in front of others and reserve their mood swings for a few safe people.

What happens if BPD is left undiagnosed?

If left untreated, the effects of borderline personality can be devastating, not only for the individual who is diagnosed with the disorder, but their friends and family as well. Some of the most common effects of untreated BPD can include the following: Dysfunctional social relationships. Repeated job losses.


How do I know if I'm having a BPD episode?

Identifying Episodes

Intense angry outbursts. Suicidal thoughts and self-harm behavior. Going to great lengths to feel something, then becoming increasingly avoidant and withdrawn. Paranoia, feeling as if there is someone out to get you.

How do I explain my BPD?

Give Specific Information About the Disorder

A pattern of unstable and intense relationships, often marked by alternating between idealization and devaluation. An unstable self-image or sense of self. Impulsivity in activities that are potentially self-damaging (like reckless driving or binge eating)

How long does a BPD test take?

Try this self-assessment based on the criteria outlined by the American Psychiatric Association's official DSM-5 Borderline Personality Disorder. The test should take less than five minutes.


Why won t my therapist diagnose me?

In some situations, therapists won't provide a diagnosis because they don't think it's essential to the recovery process. Many professionals believe that labels can cause clients to concentrate on the wrong aspects of their mental health condition.

Can I self diagnose BPD?

No, you cannot diagnose yourself with BPD.

This will include an interview where you'll be asked lots of questions. The symptoms of BPD often overlap with such diagnoses of bipolar disorder, ADHD, OCD, depression, and anxiety.