What is the number one treatment for borderline personality disorder?

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


What are some coping mechanisms 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.


What is the best mood stabilizer for borderline personality disorder?

BPD is sometimes treated with medications for anxiety or depression, for instance, which may reduce some symptoms.
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Common anticonvulsants and mood stabilizers for BPD include:
  • Depakote (valproate)
  • Lamictal (lamotrigine)
  • Lithobid (lithium)
  • Tegretol or Carbatrol (carbamazepine)


How do I stop my BPD?

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.

What are five treatment options for BPD?

Five major treatments—DBT, mentalization-based treatment (MBT) [1], schema-focused therapy (SFT) [2], transference-focused psychotherapy (TFP) [3], and systems training for emotional predictability and problem solving (STEPPS) [4]—have been established as evidence based treatments (EBTs) for BPD [5].


What Is the Best Medication for Borderline Personality Disorder?



What is the gold standard treatment for borderline personality disorder?

Born from the randomized controlled trial by Linehan and colleagues in 1991, dialectical behavior therapy (DBT) has become the gold standard for treatment of individuals who are suicidal and have borderline personality disorder.

Why is borderline personality so 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.

What is the main cause of borderline personality disorder?

Environmental factors

being a victim of emotional, physical or sexual abuse. being exposed to long-term fear or distress as a child. being neglected by 1 or both parents. growing up with another family member who had a serious mental health condition, such as bipolar disorder or a drink or drug misuse problem.


Can you outgrow borderline personality disorder?

BPD in adulthood

Studies found that most patients with BPD improve with time. After 2 years, 1/4 of patients experience a remission (less than 2 symptoms for a period of 2 months or longer) of BPD diagnosis. After 10 years, 91% achieved remission of at least 2 months and 85% achieving remission for 12 months or longer.

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.

What is the best antidepressant for BPD?

Antidepressants for BPD may be recommended if you have comorbid depression, anxiety, or if your psychiatrist expects that they with help with your symptoms related to the BPD.
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Some examples include:
  • Celexa (citalopram)
  • Lexapro (escitalopram)
  • Prozac (fluoxetine)
  • Zoloft (sertraline)
  • Paxil (paroxetine)


Does Xanax help with borderline personality disorder?

Examples of anti-anxiety medications used to treat the symptoms of BPD include: Alprazolam (Xanax) Diazepam (Valium) Buspirone (Buspar)

How is high functioning BPD treated?

BPD Treatments
  1. Explore emotion management and control.
  2. Make behavioral changes to reduce impulsivity and aggression.
  3. Learn how to build healthy relationships with others and self.
  4. Understand the BPD diagnosis.


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.


What can worsen BPD?

Romantic relationships are not the only ones that can trigger a person with BPD to experience an episode. Their relationships with friends, family, and colleagues can also spark symptoms if they experience any sort of rejection, criticism, or threat of abandonment.

Does BPD count as a disability?

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.

Do borderlines get worse with age?

Borderline personality disorder usually begins by early adulthood. 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.


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.

Do BPD have empathy?

People with BPD score low on cognitive empathy but high on emotional empathy. This suggests that they do not easily understand other peoples' perspectives, but their own emotions are very sensitive. This is important because it could align BPD with other neurodiverse conditions.

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.


What does borderline personality disorder do to the brain?

Patients with BPD showed significantly reduced volumes of both brain structures (left hemisphere hippocampus reduced 15.7%, right hemisphere hippocampus reduced 15.8%, left hemisphere amygdala reduced 7.9% and right hemisphere amygdala reduced 7.5%).

What is a BPD favorite person?

A favorite person is the center of attention of an individual living with BPD. This means they consider this person as a trusted friend, confidant, and counselor all wrapped in one. Dr. Roberts notes that the person with BPD demonstrates an “anxious-preoccupied attachment style.”

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.


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.

Why do some therapists refuse to treat BPD?

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.