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What is Borderline Personality Disorder and How DBT Can Help

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Borderline Personality Disorder (BPD) is a complex mental health condition that can have a profound impact on an individual's emotions, behaviors, and relationships. Understanding BPD and exploring effective treatment options like Dialectical Behavior Therapy (DBT) can be crucial steps towards managing this disorder and improving quality of life.


Understanding Borderline Personality Disorder

Borderline Personality Disorder is characterized by intense mood swings, impulsive behaviors, and severe issues with self-worth. These symptoms often lead to troubled relationships in various aspects of life. While signs of BPD typically emerge in childhood, significant problems often do not become apparent until early adulthood. The journey to improvement can be long and challenging, but with appropriate treatment, many people with severe symptoms see substantial improvement over time.


Causes of BPD

The exact cause of BPD remains unknown, but several factors are believed to contribute to its development. Issues with brain chemicals that help regulate moods may play a role, and the disorder often runs in families. Additionally, individuals who experience childhood trauma, such as abuse, neglect, or the loss of a parent, are at higher risk, particularly if they also have difficulty managing anxiety or stress.


Symptoms of BPD

Everyone experiences emotional and behavioral challenges at times, but for those with BPD, these problems are more severe, persistent, and disruptive. Common symptoms include:

  • Intense emotions and mood swings.

  • Harmful, impulsive behaviors such as substance use, binge eating, reckless spending, risky sexual behavior, and reckless driving.

  • Relationship difficulties, often seeing others as entirely good or bad and switching between these views suddenly.

  • Low self-worth and a frantic fear of abandonment.

  • Aggressive behavior and intense anger.

  • Feelings of emptiness and problems with anger management.

  • Self-harming behaviors.

  • Suicidal thoughts and attempts.

  • Episodes of paranoia or loss of reality (psychosis).


Due to the overlap with other mental illnesses, it’s crucial to seek a professional diagnosis if you suspect BPD.


Treatment for BPD

Borderline Personality Disorder can be challenging to treat, with common issues including symptom recurrence and strained relationships with healthcare providers. However, long-term treatment can reduce symptoms and harmful behaviors and help individuals better manage their emotions. Treatment options include:


  • Counseling and Therapy: Finding a stable relationship with a therapist, especially one trained in DBT, is vital. DBT is specifically designed to treat BPD and focuses on building skills to manage emotions and behaviors.

  • Medications: Antidepressants, mood stabilizers, and antipsychotics can be beneficial when combined with therapy to manage BPD symptoms.


Dialectical Behavior Therapy (DBT)

DBT is a specialized form of cognitive-behavioral therapy developed to treat BPD. It focuses on the emotional and social aspects of living, providing structure, support, and essential tools for those with BPD.


  • Structure: DBT includes individual therapy, group skills training, and phone coaching, offering stability and predictability in a person’s turbulent world.

  • Support: Therapists in DBT act as guides and coaches, providing validation and a non-judgmental space for individuals to explore acceptance and change.

  • Tools: DBT teaches skills to help individuals manage their emotions, improve relationships, and reduce harmful behaviors. These skills include mindfulness, distress tolerance, interpersonal effectiveness, and emotion regulation.


Benefits of DBT

The effectiveness of DBT is supported by research, showing significant reductions in suicidal behavior and psychiatric hospitalization, along with overall improvements in quality of life. Unlike traditional CBT, which focuses on changing unhelpful thoughts and behaviors, DBT emphasizes accepting and managing emotions and interpersonal relationships.


Seeking Help

If you or someone you know is struggling with BPD, seeking help from a mental health professional is a critical step. At Eras Therapy and Wellness, we specialize in providing compassionate care tailored to your unique needs. Our therapy, particularly Dialectical Behavior Therapy (DBT), can equip you with the tools and support necessary for managing this disorder and improving overall well-being. Don’t hesitate to reach out for help—everyone deserves to feel better and live a fulfilling life.


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Eras Therapy and Wellness is an Ontario based virtual therapy practice for kids, teens and adults. We treat anxiety, ADHD, self-esteem, trauma and more and offer psychotherapy as well as EMDR that is collaborative, empathetic and effective. If you are ready to heal from your past and feel hopeful for your future, book a free consultation with Eras Therapy and Wellness HERE


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