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.

Why is BPD treatment resistant?

Family issues as a source of resistance

Another important source of resistance in treating patients with BPD is their notion that change may entail betraying their family in particular ways as well as giving up habits they may feel work well for them in avoiding feelings.

What makes borderline personality disorder so difficult?

People living with BPD often have an intense fear of instability and abandonment. As a result, they have problems being alone. The condition is also known for anger, mood swings, and impulsiveness. These qualities can dissuade people from being around someone with BPD.

What is the most difficult personality disorder to treat?

Treating antisocial personality disorder

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.

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.

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

What does BPD get 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.

What is the controversy with borderline personality disorder?

Since its conception, borderline personality disorder has been controversial because of the stigma associated with the diagnosis and the therapeutic nihilism held by practitioners who encounter people with this high prevalence problem in acute settings.

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.

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.

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.

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 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.

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.

What is the success rate of BPD treatment?

Follow up studies of people with BPD receiving treatment found a borderline personality disorder treatment success rate of about 50% over a 10-year period. BPD takes time to improve, but treatment does work.

Do most people with BPD recover?

Background. Recovery in borderline personality disorder (BPD) has predominantly been viewed in the context of symptom improvement and no longer meeting diagnostic criteria. Longitudinal studies have demonstrated that symptom remission is a common occurrence, with remission rates ranging between 33 and 99% [1].

What happens if borderline personality disorder is not treated?

Borderline personality disorder can significantly affect a family unit in a negative way. When a loved one is not being treated for this condition, effects on the family can include excessive conflict, diminished contact, and the loss of previously valued relationships.

What are the benefits of BPD?

Is BPD a rare diagnosis?

Myth: BPD Is a Rare Condition

It is estimated that more than 14 million Americans have BPD, extrapolated from a large study performed in 2008. An estimated 11% of psychiatric outpatients, 20% of psychiatric inpatients, and 6% of people visiting their primary health care provider have BPD.

Is BPD on a spectrum?

It is now clear that DSM-IV-defined BPD is a heterogeneous construct that includes patients on the mood disorder spectrum and the impulsivity spectrum (Siever and Davis, 1991), in contrast to the original speculation that these patients might be near neighbors of patients with schizophrenia or other psychoses.

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.

What are good jobs for people with BPD?

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.

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.

Why are people with BPD misunderstood?

Issues that promote stigma and, thus, further the BPD misunderstanding include: 1) theories on the development of the disorder, with a suspect position placed on parents similar to the erstwhile schizophrenogenic-mother concept; 2) frequent refusal by mental health professionals to treat BPD patients; 3) negative and ...

What is borderline personality disorder in a nutshell?

Overview. Borderline personality disorder is a mental health disorder that impacts the way you think and feel about yourself and others, causing problems functioning in everyday life. It includes self-image issues, difficulty managing emotions and behavior, and a pattern of unstable relationships.

What is the stigma around BPD?

If you have BPD, you may experience a variety of forms of stigma such as people avoiding you because they think you might be unstable, or people blaming you for your condition and telling you to grow up or change your behavior.