Borderline Personality Disorder (BPD) Treatment at Somorpon Foundation
What is Borderline Personality Disorder?
If you perceive life in extremes—everything being either wonderful or terrible—and struggle with persistent feelings of sadness and isolation, you may be experiencing Borderline Personality Disorder (BPD). Approximately one in a hundred people has BPD, with studies indicating a higher female-to-male ratio.
The most challenging aspect of BPD is the lack of a stable identity. Individuals may experience intense feelings of anger and hopelessness, making them feel disconnected or even sociopathic. However, moments later, they may feel extreme joy and excitement.
Types of Borderline Personality Disorder
According to the book “Disorders of Personality DSM-IV and Beyond,” BPD is classified into four categories:
1. Discouraged BPD
- Characterized by an intense fear of abandonment, whether real or imagined.
- Individuals with this type tend to be clingy, people-pleasing, and may go along with situations they feel are wrong to avoid rejection.
- Often struggle with self-worth and identity issues, leading to codependency in relationships.
2. Impulsive BPD
- Marked by reckless and impulsive behaviors without thinking of consequences.
- Common issues include overspending, gambling, binge eating, and risky sexual behaviors.
3. Self-Destructive BPD
- Involves self-harming behaviors, suicidal thoughts, and chronic feelings of emptiness.
- Individuals may engage in self-sabotage by ruining careers, abusing substances, or engaging in dangerous relationships.
- Many report feeling numb and disconnected from themselves and their surroundings.
4. Petulant BPD
- Characterized by extreme mood dysregulation, with emotions shifting from joy to rage within moments.
- These mood swings may last for seconds, days, or even weeks.
- Individuals may display intense anger and unpredictable behaviors, leading to conflicted relationships.
Diagnosis of Borderline Personality Disorder
Diagnosing BPD can be challenging, as individuals often do not realize how their thoughts and behaviors impact their lives. Diagnosis typically involves:
- A thorough evaluation by a mental health professional.
- Medical history review and physical check-up to rule out other conditions.
- Assessing impulsivity control and emotional regulation.
BPD is generally diagnosed in adulthood, as symptoms in children and adolescents may change as they mature.
Treatment for Borderline Personality Disorder
Treating Borderline Personality Disorder is challenging due to its complex symptoms. However, effective treatment options include:
1. Psychological Treatment (Psychotherapy)
Various therapy approaches are used to treat BPD, including:
- Dialectical Behavioral Therapy (DBT): Helps regulate emotions and reduce self-destructive behaviors.
- Cognitive Behavioral Therapy (CBT): Focuses on changing negative thought patterns.
- Schema-Focused Therapy: Addresses deep-rooted patterns and belief systems.
- Mentalization-Based Therapy (MBT): Encourages self-reflection and emotional understanding.
- Systems Training for Emotional Predictability and Problem-Solving (STEPPS): A 20-week group therapy program involving family, friends, or caregivers.
2. Medications
Although no specific medication is designed for BPD, certain drugs can help manage symptoms:
- Mood stabilizers and antidepressants – Help control mood swings and emotional dysregulation.
- Low-dose antipsychotics – May assist in reducing disorganized thinking.
3. Short-Term Hospitalization
In cases of extreme distress, impulsivity, or suicidal behavior, hospitalization may be necessary for safety and crisis intervention.
How to Help Someone with Borderline Personality Disorder?
If a loved one has BPD, you cannot force them into treatment, but you can provide support through effective communication and understanding.
Ways to Support a Loved One with BPD:
✔ Educate Yourself: Learn about BPD to understand that their behaviors stem from pain rather than personal attacks.
✔ Stay Calm & Consistent: During emotional episodes, remain patient and provide a sense of stability.
✔ Remind Them of Their Strengths: Encourage them by pointing out their positive qualities.
✔ Set Healthy Boundaries: Establish clear expectations to maintain a stable relationship.
✔ Encourage Professional Help: Support them in seeking therapy and treatment options.
Common Myths About Borderline Personality Disorder
🚫 Myth: BPD only affects women.
✅ Fact: Both men and women can develop BPD.
🚫 Myth: BPD is rare.
✅ Fact: Millions of people worldwide are affected by BPD.
🚫 Myth: BPD is untreatable.
✅ Fact: With therapy and medication, BPD can be managed successfully.
At Somorpon Foundation, we provide specialized Borderline Personality Disorder (BPD) treatment, offering compassionate care and effective therapy options to help individuals regain control of their lives.
