BPD Treatment Strategies: Overcoming Borderline Personality Disorder

7 min to read

April 2, 2024

Simon S.

Dealing with Borderline Personality Disorder (BPD) involves a comprehensive treatment plan. One therapy that is particularly effective is Dialectical Behavior Therapy (DBT), which emphasizes teaching coping skills to manage emotions and decrease self-destructive behaviors. Alternative treatments such as Mentalization-Based Therapy (MBT) and therapeutic communities also demonstrate potential. Medications can be helpful in addressing certain symptoms. The treatment landscape is changing, with new therapies such as ketamine treatment providing fresh hope. By combining the appropriate treatments, people with BPD can experience enhanced emotional stability and overall quality of life.

BPD is a complicated mental illness that hurts people's lives by making them very emotionally unstable, acting on impulse, and having relationships that aren't stable. To reduce symptoms and make life better, it is important for the BPD treatment to work. One of these ways is Dialectical Behavior Therapy (DBT), which is a treatment just for bipolar disorder. It shows how to control your emotions and stay calm. Combining different types of care can help people with BPD find mental balance and improve their relationships.

What is BPD?

People with BPD often feel very angry, sad, and anxious for hours or even days at a time.

Usually, these mood swings are brought on by problems with other people, like feeling left behind. People with this illness tend to act impulsively and have insecure relationships because it makes them judge and admire others, which can lead to emotional and fighting relationships.

A full clinical review is needed to diagnose BPD. Mental health experts use DSM-5 criteria to identify BPD. Some of these factors are insecure relationships, strong emotions, a skewed view of oneself, acting impulsively in dangerous situations, hurting oneself over and over again, feeling empty all the time, getting angry without a reason, and stress-induced anxiety or detachment.

worried man holding his head

Someone who works in mental health should be the only one to identify BPD.

Alternative treatments have made the long-term outlook better for people with BPD. BPD is a long-term problem, but with treatment and help, symptoms can get better.

Recovery from BPD takes time and looks different for each person. A healthy long-term attitude can be kept up with early diagnosis, regular therapy, a strong support network, self-care, and personal growth. With therapy and help, many people with BPD can live happy, safe lives.

Comprehensive Care Approaches for BPD

Different treatments are needed for Borderline Personality Disorder because it is so complicated. The Care Program Approach (CPA) organizes care for people with severe mental illnesses, such as BPD. Controlling your emotions and getting along with other people are very important parts of psychotherapy, especially DBT, for people with BPD. Outpatient treatment centers for BPD offer specialized services, while inpatient treatment centers for BPD provide strict, well-organized care. The goals are better symptoms, a better quality of life, and long-term repair.

DBT helps people control their strong feelings, stop doing things that are bad for them, and make friends better. Dialectics is used in DBT for BPD to find a balance between acceptance and change.

Individual treatment addresses specific issues and builds on group skills. Group skills training emphasizes mindfulness, discomfort tolerance, emotion management, and interpersonal effectiveness. Phone coaching helps therapists between sessions, while therapist consultation team meetings assist them follow the approach.

DBT helps people manage powerful emotions, reduce harmful behaviors, and improve social connections. DBT for BPD uses dialectics to balance acceptance and change.

To understand mentalization-based treatment (MBT), you need to be able to understand your own and other people's mental states. This skill is often impaired in people with BPD, which makes it hard to control their emotions and stay stable in relationships.

MBT helps people with BPD understand how they and others feel and think. Being aware of this can help you control your emotions and have better ties with other people. People can talk about their thoughts and feelings in a safe and encouraging space during one-on-one and group meetings.

MBT is very helpful for people with BPD. Studies have shown that it can help people with BPD who are having problems with their emotions, acting on impulse, and relationships. It can also cut down on suicide and self-harm. By encouraging self-awareness and kindness, MBT helps people with BPD find better ways to deal with problems and have better interactions.

Therapeutic groups help people work on their relationships, mental control, and self-awareness by giving them order and support. The staff and patients are very important to therapy.

One of the best things about TCs for people with BPD is that they focus on social skills and group interactions. Group therapy, skill-building, and neighborhood events help people connect with each other and offer support. People can try out new habits and ways of living in real time in this setting, with comments from peers and therapists.

Therapeutic communities encourage residents to take part in self-government and healing as well as running the community. People with BPD may feel helpless and reliant, so giving them more control might help.

These nonverbal treatments give people with BPD a safe and creative way to talk about their feelings and experiences that are hard to explain.

Arts therapies help people with BPD control their feelings. Having creative hobbies can help people deal with tough feelings and learn more about themselves. This can help people with BPD understand and control their feelings.

By teaching people new skills and pushing them to do important, creative things, arts therapies may boost their self-esteem and sense of self-efficacy. It can give you power and improve your self-esteem.

Arts therapies can help people get along better with others and communicate more. Group meetings give people a chance to talk to each other and work together, which builds unity and understanding. This can help people with BPD make new friends and feel less alone.

Can Medication Help BPD?

Taking medicine is not the main way to treat BPD. But it might help treat some signs or diseases. There isn't a single drug that can treat BPD, but many can help with mood swings, nervousness, and acting without thinking.

People with BPD are often given lithium and anticonvulsants like valproate and lamotrigine to control their mood swings and urges to act without thinking. Antidepressants like SSRIs can help with the sadness and worry that come with BPD. Antipsychotics may help people who are paranoid, dissociative, or have a lot of trouble controlling their emotions.

People with Borderline Personality Disorder (BPD) should take medicine to control their symptoms or other health problems. The best way to treat BPD is through therapy, but drugs can help with mood swings, anxiety, impulsiveness, and depression. Usually, medication is given after a full medical exam and as part of a larger treatment plan that also includes therapy. It's important to remember that drugs for BPD are given without the manufacturer's approval and need to be carefully tested for their benefits and harms.

How to Live with BPD and Strategies to Deal With BPD

Dealing with Borderline Personality Disorder (BPD) can be hard, but using good techniques can make your life better in general. Here are some ideas for dealing with BPD:

  1. Seek Professional Help: Consider evidence-based therapies such as Dialectical Behavior Therapy (DBT) or Mentalization-Based Therapy (MBT) to acquire coping skills and handle symptoms effectively.
  2. Build a Support Network: Surround yourself with a strong support system of friends, family, and mental health professionals who can empathize with your situation.
  3. Practice Self-Care: Focus on engaging in activities that enhance both your physical and emotional health, like regular exercise, nutritious eating, and relaxation methods.
  4. Develop Coping Strategies: Pinpoint what sets off strong feelings and create plans to handle them.
  5. Set Boundaries: Discover how to establish healthy boundaries in relationships to avoid conflicts and lower stress levels.
  6. Educate Yourself: Understanding BPD can assist you and your loved ones in better managing the condition.
  7. Stay Consistent: It's important to adhere to your treatment plan and heed your healthcare provider's guidance.

Emerging Treatments and Hope for BPD

New treatments for BPD give people who want to better control their symptoms hope. A lot of people with BPD are turning to ketamine treatment because it quickly helps with depressive symptoms and suicide thoughts. Ketamine treatment for BPD is still being looked into, but early study shows it may give people who have tried and failed other treatments hope.

Researchers are also looking into technology-based treatments, such as transcranial magnetic stimulation (TMS) and virtual reality exposure therapy. This study could lead to more accurate and useful treatments for BPD, which would make it easier to deal with symptoms and improve quality of life.


With the right care, like psychotherapy and medicine, people with Borderline Personality Disorder can be handled well.

People with BPD can live fulfilling and productive lives with the appropriate treatment and support. What is considered "normal" can differ from one individual to another, but most people can form stable relationships, hold down jobs, and reach their personal objectives.

Managing BPD requires professional guidance, therapy like DBT or MBT, self-care routines, emotional regulation techniques, and a strong support system of loved ones and mental health experts.

BPD is frequently viewed as a long-lasting condition, yet symptoms may get better with treatment as time goes on. Many people notice a decrease in symptoms and an enhancement in functioning, allowing for a more stable and fulfilling life.

Conclusion: Embracing the Journey Towards Healing

Borderline Personality Disorder individuals find treatment tough but promising. Therapy and support help BPD patients recover. DBT, MBT, medication, and a robust support network are essential for successful therapy. BPD demands patience, perseverance, and growth. As science develops, new drugs may improve symptom management and quality of life. With dedication and skills, BPD patients can find emotional equilibrium and meaningful relationships.

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