Doctor insights on:
Dealing With Someone With Borderline Personality Disorder
Intense Symptoms: The primary features of bpd are unstable interpersonal relationships, affective distress, marked impulsivity, and unstable self-image. Often they are very sensitive to the way others treat them, reacting strongly to perceived criticism. Impulsive behaviors such as alcohol or drug abuse, promiscuous and intense sexuality, gambling and recklessness in general are common. Treatment is a challenge. ...Read moreSee 2 more doctor answers
According to the dsm IV tr, a personality disorder is: an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads ...Read more
Not drugs: Drugs are not definitive treatment for borderline pd, but are sometimes prescribed to help with specific symptoms like depression, anxiety, and mini-psychotic episodes. These would be antidepressants and low-dose antipsychotics. The most important treatment for borderline pd is psychotherapy aimed at assisting development through stuck areas. Also dbt therapy to help manage emotional pain. ...Read moreSee 1 more doctor answer
What is the least painful way for someone with borderline personality disorder to leave their significant other?
DBT skills: Making the decision to leave your partner is difficult and likely to be hurtful, even if it's the right decision for you. Have you explored DBT? Initially designed for BPD, but there are so many powerful lessons we can all use in our lives (especially during a break-up). Look up a DBT self help book, or a therapist that can help teach you the skills through individual or group therapy. ...Read moreSee 1 more doctor answer
A challenging task!: If you're certain you want to do this & really believe your reasons are healthy ones, it might be possible. Does the friend agree that they are borderline? If so, you can talk about it & how much you want the friendship to survive, your willingness to work through or wait out difficult times, etc. This sort of conversation could be a way for your friend to actually modify their way of relating. ...Read moreSee 2 more doctor answers
A flexible one: Great question. I have worked with people with borderline personality disorder (bpd) who are some of the brightest, most creative, engaging people I have ever met. Bpd is something that can be helped with psychotherapy and medication and it does not define the person totally. With treatment, this person can do anything he or she desires. But as a general rule i would recommend more flexibility. ...Read more
Borderline: Pervasive pattern of instability in interpersonal relationships/self image/affect , with marked impulsivity, along with chronic feelings of emptiness, recurrent self injurious behaviors, unstable moods, inappropriate anger, transient stress-related paranoea or dissociation. ...Read moreSee 2 more doctor answers
Can Harm 2 Rush This: Consider finding a caring, knowledgeable psychiatrist or clinical psychologist skilled in assessment. Ideally, 2identify personality qualities that r really hurting a person & her/his relationships, it's impt 2spend time getting 2know the person 2be able 2understand whatever "symptoms" they're experiencing in the context of their life history & current circumstances. Can do harm by rushing this. ...Read moreSee 1 more doctor answer
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