Borderline Personality Disorder

Understanding & Treating Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental condition characterized by emotional instability, impulsive behaviors, and difficulty maintaining relationships. People with BPD often experience intense mood swings, a deep fear of abandonment, and difficulty regulating emotions. While it can be challenging, with proper treatment and support, individuals with BPD can lead fulfilling lives.Individuals with BPD exhibit a pattern of unstable emotions, relationships, and self-image. Some common symptoms include Fear of Abandonmen,Unstable Relationships,Emotional Instability,Impulsive Behaviors,Self-Harm and Suicidal Behavior,Identity Disturbance & Chronic Feelings of Emptiness

AIn my Clinic few years back, 27-year-old woman, visited my clinic with complaints of extreme mood swings, unstable relationships, and feelings of emptiness. She had a history of intense romantic relationships that often ended suddenly no proper reason, leaving her feeling abandoned and unworthy. She mentioned experiencing anger outbursts, impulsive spending, and occasional self-harm behaviors.

Her Presenting Problem

She expressed deep frustration about her inability to maintain friendships and romantic relationships. She felt that people either "loved her or hated her," with no middle ground. She also reported severe anxiety when alone, leading her to engage in reckless behaviors like excessive drinking and impulsive traveling.

She had been diagnosed with depression in the past, but antidepressants did not seem to help significantly. She had a strong fear of being abandoned, even in minor conflicts with friends or family. This fear often triggered emotional breakdowns and self-destructive behaviors.

After a thorough assessment She showed signs of Borderline Personality Disorder (BPD). I explained to her how emotional dysregulation, a core feature of BPD, was affecting her life.

The first step I started in her treatment was Dialectical Behavioral Therapy (DBT). This therapy helped her improve emotional stability, impulse control, and relationship management. She learned to identify and regulate her emotions without resorting to self-destructive behaviors. Using mindfulness and distress tolerance techniques, she was able to handle stress more effectively.

Next, I introduced Cognitive Behavioral Therapy (CBT). Through this therapy, Priya became more aware of her negative thought patterns and learned how to challenge them. She replaced self-doubt and fear of abandonment with more balanced and positive thinking.

Schema Therapy

Following CBT, I provided Schema Therapy, which helped Priya gain a deeper understanding of how her childhood experiences shaped her fears and emotional responses. She identified and challenged the deep-seated beliefs that made her feel unworthy and fearful of abandonment.

Finally, I introduced Meridian Therapy (MR) to further support her emotional well-being. This therapy helped her reduce anxiety and enhance her ability to handle difficult emotions.

Over seven and a half months of therapy, Priya made significant improvements. She became calmer and learned to handle situations in a healthy way. While she is not completely perfect she is now a more understanding and balanced person. Her relationships gradually improved, and she reported fewer self-destructive behaviors.

Her journey highlights that with the right therapeutic support, individuals with BPD can learn to manage their emotions, build healthier relationships, and lead fulfilling lives. Her progress serves as an inspiration for others who may be struggling with similar challenges.

Written By - Ms. Shamshi Mubarak - Consultant Psychologist