man sitting away from mirror

Borderline Personality Disorder Treatment

Borderline Personality Disorder Treatment at Promises

Borderline personality disorder wreaks havoc on relationships. We want you to know that life can be better. Promises’ mental health professionals will help you manage BPD symptoms. We provide borderline personality disorder treatment that addresses co-occurring issues like substance abuse. You’ll live in comfortable residences with clients sharing similar struggles.

What’s Borderline Personality Disorder (BPD) Treatment Like?

Mental Health Assessment

Our mental health professionals will confirm or revise your BPD diagnosis. Borderline personality disorder is a distinct mental health condition. It produces a wide variety of symptoms and can manifest in many different ways. The American Psychiatric Association increased the number of BPD diagnosis symptoms. This has led to a spike in BPD diagnoses. Symptoms of BPD can overlap with other mental health conditions. We’ll make sure that your treatment plan addresses the range of issues you’re experiencing.

Psychiatric Treatment

You’ll meet regularly with our psychiatric team. We may prescribe medication to help your BPD symptoms. You’ll learn how and when to take medication. We’ll adjust dosage as necessary. We’ll also make sure side effects aren’t too bothersome.

Individual Therapy

One-on-one therapy sessions with a counselor allows for intensive work on underlying issues. You’ll explore issues that can contribute to borderline personality disorder. These may include challenges like childhood trauma and troublesome interpersonal experiences. Individual therapy sessions also give you a chance to discuss issues you’re not ready to bring to group therapy yet.

Group Therapy

People with borderline personality disorder often have relationships fraught with issues. Group therapy sessions provide a microcosm of interpersonal situations in everyday life. Similar issues will naturally arise. Group therapy gives you a chance to work through these situations with the help of a mental health professional. You’ll learn healthier ways to communicate. Supportive relationships with peers help you understand the rewards in open, honest communication.

Family Therapy

Researchers have found a link between impaired family relationships and borderline personality disorder. Family therapy can be especially beneficial for people with BPD. A trained counselor will help you and your loved ones explore unhealthy communication and behaviors. Difficult topics are sometimes easier to discuss with the guidance of a mental health professional. Therapy sessions will include family education on mental health conditions. Loved ones learn how to best support each other.

Co-Occurring Disorders Treatment

Borderline personality disorder often co-occurs with other mental health conditions. Studies show people living with BPD often struggle with co-occurring issues like:

  • Depression
  • Substance abuse
  • Bipolar disorder
  • Anxiety
  • Sleep disorders

We’ll craft a treatment plan that attends to both BPD and co-occurring issues. You’ll learn effective coping skills and practice a healthy lifestyle.

Home-Like Residences

You can focus more on treatment if you’re not worrying about what’s lacking in your environment. You’ll live in welcoming residences with comfortable furnishings and warm decor. We strive to make you feel at home so you can put your energy into getting better.

Effective Treatments for BPD

Dialectical Behavior Therapy (DBT) For Treating BPD

Dialectical behavior therapy (DBT) is a front-line treatment for borderline personality disorder. Some research reports over 75% of people living with BPD no longer meet diagnosis criteria after a year of DBT treatment.

Dialectical behavior therapy draws on principles of cognitive behavioral therapy (CBT). Cognitive behavioral therapy assumes faulty thoughts are at the root of many mental health conditions.

Dialectical behavior therapy (DBT):

  1. Identifies and addresses self-defeating thoughts and self-talk
  2. Replaces those thoughts with more positive and realistic ones
  3. Stresses mindfulness and self-acceptance

People living with BPD may struggle with past trauma. They may have been taught their emotions aren’t justified or they’re overreacting. This can make people feel defective or faulty. Dialectical behavior therapy sends a different message. It encourages you to recognize extreme emotions. Dialectical behavior therapy teaches you to have compassion for yourself. You learn to manage extreme feelings.

DBT is a particularly effective treatment option for borderline personality disorder. Research suggests DBT can be effective in helping reduce many common BPD symptoms, including:

  • Self-injury
  • Suicidal behavior
  • High-risk behavior
  • Anger
  • Depression
  • Substance abuse

The American Psychiatric Association recommends DBT for treating BPD. DBT is included in the Substance Abuse and Mental Health Services Administration’s national registry of evidence-based therapies.

Residential BPD Treatment

Some psychologists have questioned inpatient treatment for people living with BPD. They believe symptoms like emotional volatility and interpersonal issues could complicate residential treatment Recent research debunks that theory.  Researchers found inpatient treatment for borderline personality disorder can improve BPD symptoms like:

  • Anxiety
  • Depression
  • Suicidal thoughts
  • Poor emotional regulation
  • Poor social aptitude

Residential treatment for borderline personality disorder included these approaches:

  • Individual therapy sessions
  • Group therapy
  • Psychiatric and  medical care
  • Drug and alcohol abuse treatment
  • Fitness
  • Family work
  • Emotional regulation techniques
  • Recreational and social activities
  • Locked setting
  • Suicide alert system
  • Medication management

Trauma Therapies

More than 30% of people living with BPD also have co-occurring PTSD. Trauma may include experiences like rape or violence. It may also include emotional, physical or sexual abuse.  A parent’s rejection or verbal abuse can also underlie borderline personality disorder. Parental relationships lay the foundation for a number of things like:

  • Romantic relationships and friendships
  • Self-esteem and self-worth
  • Attachment styles
  • Conflict resolution
  • Healthy intimacy
  • Trust and vulnerability
  • Locus of control

It’s important to address underlying trauma in treatment of borderline personality disorder. PTSD may play a large role in many of the symptoms of BPD. Research shows trauma therapies like EMDR can help people with BPD get to some of the root causes of their issues.


Some clinical trials indicate atypical antipsychotics and anticonvulsants can be effective BPD treatments. Antidepressants such as monoamine oxidase inhibitors (MAOIs) and fluvoxamines may sometimes be helpful. Antidepressants may help with low mood swings. They’re not as effective for easing volatile emotions. Mood stabilizers and anticonvulsants can help with more extreme symptoms like angry outbursts.

For Loved Ones of People Living With BPD

Concerned a Loved One Needs BPD Treatment?

Loving someone with borderline personality disorder can be difficult. Unpredictable mood swings and an unstable sense of self make for turbulent relationships. Review these signs and symptoms of BPD if you’re concerned a loved one may have borderline personality disorder:

  • Unusual mood swings
  • Problems with self-awareness
  • Interpersonal issues
  • Impulsive thoughts and behaviors
  • Unstable interpersonal relationships that alternate drastically between “good” and “bad” states
  • Uncontrollable, extreme or disproportionate anger
  • Persistent feelings of emptiness or boredom
  • Cutting and other forms of self-harm
  • Suicidal behavior or threats
  • Impulsive or reckless patterns around:
    • Eating
    • Drinking
    • Shopping
    • Substance use
    • Driving
    • Stealing
    • Sexual activity

Symptoms of BPD may first appear as early as pre-adolescence according to the National Institute on Mental Health. Diagnosis typically occurs during adolescence or early adulthood. Outpatient day treatment can be helpful in many cases. Some people with this mental health condition have better results in residential treatment.

Causes of Borderline Personality Disorder

Scientists haven’t been able to pinpoint an exact cause of BPD. Likely factors include:

  • Alterations in several genes
  • Exposure to childhood trauma
  • Abnormal levels of brain chemicals (neurotransmitters) such as serotonin and oxytocin

People living with BPD sometimes have close relatives with other major forms of mental illness. These include related conditions like schizophrenia or bipolar disorder.

Women With Borderline Personality Disorder

Borderline personality disorder diagnosis criteria largely focuses on emotional symptoms such as:

  • Emptiness
  • Sadness
  • Volatile emotional expression

Some researchers believe this encourages bias in diagnosing women with borderline personality disorder. Men sometimes hide or suppress sadness and emptiness. Doctors sometimes exclude men from diagnoses for BPD. They may diagnose women with borderline personality disorder, but not diagnose men with the same symptoms.

Women may deal with trauma differently than men. Some mental health professionals believe this may be why they are diagnosed with BPD more often. These traumas may include:

  • Physical abuse
  • Sexual abuse
  • Rape
  • Neglect
  • Emotional abuse

Sometimes these events create emotional adaptations that make sense within their context, but don’t make sense to a doctor considering a diagnosis of mental illness. Some symptoms of borderline personality disorder are also symptoms of dependent personality disorder and histrionic personality disorder. This can also make diagnosing BPD difficult.

As of 2012, roughly 75% of all people in the U.S. with a BPD diagnosis were women. According to the NIMH, most of these women also have symptoms of other major psychiatric problems such as:
  • Anorexia
  • Bulimia
  • Anxiety disorders
  • Major depressive disorder (major depression).

Some signs in the medical community point toward a shift in outlook in the imbalance of BPD diagnoses between men and women. The National Alliance on Mental Illness emphasizes up-to-date research showing similar rates of borderline personality disorder in men and women.

Change Everything With One Call

Our compassionate treatment team will help you manage BPD symptoms that are holding you hostage. Get evidence-based treatment for mental health conditions. It’s possible to create the life you’ve always imagined. Call us today: 844-876-5568

To learn more about Borderline Personality Disorder Treatment, call 844-876-5568

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