May 17th, 2023
Borderline personality disorder (BPD) is a mental health diagnosis that is often misrepresented or misunderstood. Over the years, society has viewed those with a diagnosis of borderline as being extremely unstable and dangerous.
While untreated borderline personality disorder can lead to problematic behaviors, those diagnosed can still get help and live fulfilling lives. Borderline personality disorder deals with the inability to manage emotion. Borderline personality disorder is often the result of trauma or neglect.
Borderline personality disorder is diagnosed through assessments and questionnaires. In addition, individuals may also be asked about their childhood or other periods in their lives to help clinicians gain an accurate diagnosis. Due to the stigmatization from society, providers avoid diagnosing until sufficient information and criteria are present.
In general, when looking at borderline personality disorder, those diagnosed tend to exhibit challenges with regulating their emotions. While not a formal diagnosis, in individuals with "high-functioning" borderline personality disorder, or “quiet” borderline personality disorder, this is not always as prevalent or present. They may engage in more self-harm and self-destructive behaviors and work hard to hide how they are truly feeling from others.
The following are a few characteristics of high-functioning borderline personality disorder:
Many people who have a diagnosis of borderline personality disorder are highly functioning. They can hold jobs and able to fulfill duties in their personal life such as responsibilities to others and around the house. Many times, those with high-functioning borderline personality disorder may not show certain symptoms such as emotional dysregulation unless they are in specific situations.
Treatments for BPD that those with high-functioning BPD can better manage their day-to-day lives:
Currently, there are no medications that have been approved for treating borderline personality disorder. Many individuals may be prescribed medications to treat co-occurring disorders such as anxiety and mood disorders. Through psychotherapy, individuals can help better manage BPD symptoms.
Psychotherapy, also known as talk therapy, can be effective in helping individuals increase self-awareness of how experiencing intense emotions and behaviors may affect themselves and others. Dialectical behavioral therapy (DBT), is the most effective way of treating borderline personality disorder. DBT can help individuals increase healthy coping skills to better manage dysregulation in their emotions.
DBT focuses on increasing one's ability to be mindful and present and managing distress tolerance. At Clarity Clinic in Chicago, we have a variety of well-experienced clinicians and medical providers who are here to support you and answer any questions or concerns you may have.
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