Supporting Someone with Borderline Personality Disorder

Distressed woman holds a hand to her forehead while a man behind her comforts her.

Borderline Personality Disorder (BPD) is a complex mental health condition that can be challenging for both those who live with it and those who support them. Understanding BPD and knowing how to provide support can make a significant difference.

What is Borderline Personality Disorder?

Borderline Personality Disorder is a mental health condition characterized by intense emotions, unstable relationships and a fragile sense of self. Those with BPD often experience mood swings, impulsive behaviors and a pervasive fear of abandonment. These symptoms can make it difficult for some people to maintain stable relationships and can lead to significant distress.

Signs of Borderline Personality Disorder

Recognizing the signs of BPD is the first step in providing support. Some of the common signs include:

  • Emotional instability
  • Intense and unstable relationships
  • Impulsive behaviors (e.g., spending sprees, substance abuse)
  • Fear of abandonment
  • Difficulty with self-image
  • Self-harming behavior
  • Feelings of emptiness or boredom
  • Intense anger or difficulty controlling anger

Understanding these signs can help you better comprehend the struggles your loved one might be facing.

What Causes Borderline Personality Disorder?

The exact cause of BPD is not fully understood, but it is believed to be a combination of genetic, environmental and social factors. People with a family history of BPD or other mental health disorders may be more prone to developing the condition. Additionally, traumatic events such as childhood abuse or neglect can increase the risk.

What is Splitting in Borderline Personality Disorder?

Splitting is a common defense mechanism observed in people with BPD. It involves viewing people and situations as all good or all bad, with no middle ground. This black-and-white thinking can lead to sudden shifts in relationships and perceptions, making it challenging to maintain healthy connections.

How Do You Treat Borderline Personality Disorder?

Effective treatment for BPD usually involves a combination of therapies and, in some cases, medication. Here are some of the most commonly used therapies:

Dialectical Behavior Therapy (DBT)

DBT is specifically designed for those with BPD. It focuses on teaching skills to manage emotions, improve relationships and cope with stress. DBT combines individual therapy with group skills training sessions.

Cognitive Behavioral Therapy (CBT)

CBT helps patients identify and change negative thought patterns and behaviors. By focusing on problem-solving and coping strategies, CBT can be beneficial in managing BPD symptoms.

Medication

While there is no specific medication for BPD, certain medications can help manage symptoms like depression, anxiety or mood swings. It is crucial to work with a healthcare professional to determine the best medication plan.

Other therapeutic approaches

Other therapies, such as Schema Therapy and Mentalization-Based Therapy (MBT), have also shown effectiveness in treating BPD. Each therapy has its strengths, and the best approach depends on the individual’s needs.

How to Help Someone with Borderline Personality Disorder

Supporting someone with BPD can be challenging, but your understanding and patience can make a significant difference. Here are some practical ways to help:

Educate yourself

Learning about BPD can help you understand what your loved one is going through. Knowledge can foster empathy and reduce frustration when faced with challenging behaviors.

Encourage treatment

Encourage your loved one to seek professional help. Therapies like DBT and CBT can be highly effective in managing symptoms. Offer to help them find a therapist or accompany them to appointments if they feel comfortable.

Set boundaries

While supporting someone with BPD, it is essential to maintain your own mental health. Setting healthy boundaries can prevent burnout and help ensure that you can continue to be a source of support.

Practice active listening

Listening without judgment can help your loved one feel heard and understood. Validate their feelings, even if you don’t fully understand them.

Be patient

Change takes time, and recovery is not a linear process. Being patient and offering consistent support can help your loved one feel more secure and motivated to continue treatment.

Get Help for BPD

Supporting someone with Borderline Personality Disorder requires understanding, patience and a willingness to learn. By recognizing the signs of BPD, encouraging treatment and setting healthy boundaries, you can make a positive impact in the life of someone dealing with this challenging condition. If you or someone you know is struggling with BPD, reaching out to a mental health professional is a crucial step toward recovery. Remember, you are not alone, and help is available. If you are struggling with your mental health and are looking for help with borderline personality disorder, Bloomington Meadows in Bloomington, Indiana, is here to help. Call us today at 1-833-902-2410 for a no-cost assessment to help recommend an appropriate treatment level for you.

About Bloomington Meadows Hospital

Bloomington Meadows Hospital specializes in providing each patient with a comprehensive behavioral and mental health counseling programs from a compassionate and caring staff. We pride ourselves on being dedicated to helping patients restore their health and obtain a fresh start.

We under that every person is unique, so all of our treatment plans and mental health counseling programs are individually designed to meet specific needs. Some of our services include our adults and children & adolescents programs, as well as our intensive outpatient programs.

We’re committed to the wellness of our patients, their families and the communities we serve. To schedule a no-cost assessment or for more information, please call 1-833-972-3358.