by KC Kelly, Ph.D., LMHC

http://DOCintheBiz.com

What is Borderline Personality Disorder (BPD), its Stigma, and is it Treatable?  Many people have written in to me concerning personality disorders, the harsh stigmas that plague them not only by lay people, but professionals as well, and whether or not there is any kind of treatment for these disorders. I’ve realized that lay people, family members of those diagnosed with the disorder(s) as well as the actual person who has the disorder have many questions about what is going with them or their loved one. I understand these concerns completely. Afterall, how can one with this type of disorder have any hope of treatment if others, including professionals haven’t any hope themselves?

The stigma is no doubt much harsh when it comes to personality disorders than any other kinds of disorders. This is unfortunate, but a fact. Borderline personality disorder (BPD) as defined by the DSM-IV is a psychiatric diagnosis that describes a long-term disturbance of personality function. It is one of four related diagnoses classified as cluster B (”dramatic-erratic”) personality disorders typified by disturbance in impulse control and emotional dysregulation, the others being narcissistic, histrionic, and antisocial personality disorders.

Individuals with BPD may show fluctuation between anger, anxiety, depression and anxiety and temperamental sensitivity to emotive stimuli. The person often is histrionic (experiencing extreme feelings in general) leading to feelings of destructiveness or self-destructiveness, feelings of lack of identity or extreme feelings of victimization or paranoia. Individuals with BPD can be very sensitive and react strongly to perceived criticism. They often have love/hate relationships with others as they tend to often feel unfounded rejection. Self-image can also change rapidly almost narcissistic to having no self worth at all. Impulsivity can be massive. Common behaviors are alcohol or drug abuse, unsafe sex, gambling, and recklessness. Lastly, Individuals with BPD are often described, by the DSM as deliberately manipulative and difficult with extreme inner pain and turmoil, powerlessness and defensive reactions with extremely limited coping and communication skills.

Professionals have been skeptical about the psychological treatment for BPD saying that someone diagnosed with type of disorder is unable to be treated. No medications work and there is just “no hope.” Clients have been hearing this and losing hope towards living any kind of quality life. I’m here to try to help reduce this thought pattern and try to turn it around as best as I can. I cannot change the medical journals or even the doctors today who have strong beliefs that genetics along with neurofunction make personality disorders impossible to treat. This can be very true. I am only one doctor of millions who is here to save some hope for those with these disorders. One should never give up hope of living a happy life…EVER.

Several specific types of psychotherapy for BPD have developed in recent years.

There is good news and bad news. The bad news is that unfortunately, limited studies to date do not allow confident claims of effectiveness, but the good news is that some studies do suggest that people with a diagnosis of BPD can benefit on at least some outcome measures.

Yes, many professionals will not treat someone with BPD as they may not be comfortable doing so, and this is their prerogative. It does not make them bad doctors or therapists, it just makes them not right for the person suffering with a personality disorder.

SO WHAT DO YOU DO? You find someone who is willing to be non-judgmental and willing to be a great support for you and your loved ones. The therapist should be willing to try many different techniques until something is found that will ease the symptoms and make a difference!

Sometimes, simple supportive therapy alone may enhance self-esteem and bring out the strengths a person has innately within them to increase their ability to fight the fight. Self awareness plays a big part in treatment as well. Learning when symptoms are coming on and being able to catch them before they cause damaging behaviors to transpire, if this is possible. Learning great coping skills to deal with these times is extremely valuable. Many times groups will help. Being able to discuss your issues with others dealing with similar concerns can help.

So, I do understand the harsh stigma put onto BPD and other personality disorders. We cannot change the way people will think or classify those with these disorders, but what we can do, is find a professional who will understand, not judge, and be willing to accept the person for who he/she is and help to the best of their ability. The key to successful therapy is in great part, the relationship the client has with their therapist, hence reaching successful outcomes for a person to live a happy and healthy fulfilled life despite their disorder.

What is Borderline Personality Disorder (BPD), its Stigma, and is it Treatable? I hope you have gained some insight after reading this article.

Please visit me at http://DOCintheBiz.com for the opportunity to email me for professional and confidential help with any concerns you may have. You are never alone!

Dr. KC
http://DOCintheBiz.com

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