The BPD Clinician’s Corner: Living with Borderline Personality Disorder

Borderline Personality Disorder (BPD) is a mental disorder characterized by unstable moods, behaviors, and relationships. 

Core Factors That Affect Relationships in BPD

• Fear of abandonment: Even small signs of distance (like a delayed text or canceled plan) can feel like rejection. This can trigger intense anxiety or anger, which may strain the relationship.

• Emotional intensity: People with BPD often experience emotions more strongly and for longer periods. A minor conflict can escalate quickly, making it harder to resolve disagreements calmly.

• Unstable self-image: Shifts in how someone with BPD sees themselves can spill into how they view their partner or friend—sometimes idealizing them, then suddenly feeling disappointed or mistrustful.

• Impulsivity: Risk-taking behaviors (overspending, substance use, reckless decisions) can destabilize relationships and create cycles of crisis.

• Difficulty with trust and interpretation: Misreading others’ intentions is common. For example, a neutral action might be perceived as rejection or betrayal, leading to conflict.

Treatment Options:

• BPD is treatable—with the right therapy, many people experience fewer symptoms and improved quality of life.

• Psychotherapy is the cornerstone of treatment.

• Medications may help with co-occurring conditions, but are not the main treatment.

• Support systems (family, group therapy, peer support) are crucial for long-term stability.

There is Hope!!

Talking therapy and Dialectical Behavior therapy are common counseling treatment approaches that can help individuals ease their fears of abandonment. With consistency and a commitment to therapy, clients can lead happier, more fulfilling lives.