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Mar 12, 2020
What Is Borderline Personality Disorder (BPD)?Borderline Personality Disorder (BPD) is a mental health condition that involves difficulty regulating emotions. When someone with BPD experiences intense stress over an extended period, it can be tough for that person to de-escalate to a “normal” level of functioning. This feeling may express itself as self-harm, unhealthy relationships, and impulsivity. Individuals diagnosed with BPD are 75% female, though professionals suspect that men are often misdiagnosed.
Characteristics of borderline personality disorder vary by the individual, but some are more common than others, according to the Diagnostic and Statistical Manual (DSM). Here are some of the most typical symptoms of BPD:
The definitive causes of BPD are not thoroughly understood, but experts agree that it’s probably multifactorial. Genetics likely play a role, as those with a close relative with BPD are more likely to be diagnosed themselves. Environmental factors, especially childhood trauma and being raised in an invalidating environment, seem to contribute to the development of BPD. Individuals with BPD may have neurological differences in the parts of the brain that control emotional regulation.
Because of the multiple factors that contribute to BPD, there is no single test to diagnose it or one single indicative symptom. Mental health professionals use a comprehensive assessment that includes a complete history of symptoms and functioning across areas over time.
Dialectical Behavior Therapy (DBT) is a type of cognitive-behavioral treatment initially designed to treat those diagnosed with borderline personality disorder (BPD). It focuses on thoughts, beliefs, behaviors, and actions to reduce symptoms and enhance life functioning. DBT was the first form of psychotherapy that has demonstrated effectiveness in treating BPD through controlled clinical trials. It is now the preferred first-line treatment for this disorder with a broad base of evidence and documented success rates in reducing adverse outcomes such as these:
While DBT cannot cure BPD, it is proven effective for reducing symptoms and helping with the management of them. Research finds that up to 77% of people no longer met the criteria for BPD after one year of treatment with DBT.
DBT usually involves a combination of group and individual sessions, classroom training, and phone coaching . Clients track symptoms and the use of their new skills daily while receiving services.
The skills training portion of DBT includes four types of skills.
What is Cognitive Behavioral Therapy?
Cognitive Behavioral Therapy (CBT) is a therapeutic approach that focuses on changing negative thought patterns and behaviors to improve overall mental health. At MHS, our experienced clinicians work with clients to identify cognitive distortions, such as catastrophizing or black-and-white thinking, and challenge these beliefs with evidence-based strategies. By helping clients recognize these unhelpful thought patterns, CBT empowers individuals to take control of their own mental well-being and make decisions that are more effective in their lives.
Along with addressing negative thoughts, CBT helps clients develop effective coping mechanisms for managing intense emotions. Through skills training and practice, individuals are guided toward implementing healthier behaviors that can alleviate stress and anxiety. By building a toolbox of coping strategies, clients can learn to navigate challenging situations with resilience and adaptability. Overall, CBT equips individuals with the tools they need to not only identify and change harmful thought patterns but to also manage their emotions in a healthy way for long-term mental wellness.
Dialectical Behavior Therapy (DBT) is a highly effective treatment approach that has been shown to be beneficial for a wide range of mental health conditions. DBT has been widely recognized as the most successful approach to treating borderline personality disorder. The evidence-based treatment specifically targets the core symptoms of BPD, such as emotional dysregulation, unstable relationships, and self-destructive behaviors. By teaching clients skills such as emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness, DBT equips individuals with the tools needed to manage their emotions more healthily and improve their overall quality of life.
DBT was the first form of psychotherapy that has demonstrated effectiveness in treating BPD through controlled clinical trials. It is now the preferred first-line treatment for this disorder with a broad base of evidence and documented success rates in reducing adverse outcomes such as these:
One of the key components of DBT that sets it apart from other treatments is its combination of individual psychotherapy sessions and group skills training. This comprehensive approach allows for more personalized attention in individual therapy while also providing a supportive environment in group settings where clients can practice and learn new coping mechanisms. The combination of both elements has proven to be highly effective in helping individuals with borderline personality disorder achieve long-term stability and growth in managing their symptoms. Through DBT, individuals are able to develop greater self-awareness, build healthier relationships, and ultimately lead more fulfilling lives despite their diagnosis.
While it is most commonly known for its effectiveness in treating Borderline Personality Disorder, DBT can also be helpful for individuals struggling with substance use disorder, depression, bipolar disorder, PTSD, eating disorders, ADHD, and more. The foundation of DBT lies in addressing the dysregulation of emotions, behaviors, thoughts, relationships, and self-perception that many individuals with these conditions experience.
While DBT cannot cure BPD, it is proven effective for reducing symptoms and helping with the management of them. Research finds that up to 77% of people no longer meet the criteria for BPD after one year of treatment with DBT.
At MHS, we offer tailored DBT programming for our clients. Through the structured therapy sessions and skills training exercises provided in DBT, clients are empowered to create a life worth living by setting and working towards personal goals that reflect their values and desires. Overall, DBT provides a comprehensive approach to mental health treatment that focuses on building coping skills and strategies to improve emotional regulation and overall well-being.
Dialectical Behavior Therapy, or DBT, is the exact therapy designed to help those with Borderline Personality Disorder (BPD). It’s not just your average therapy – it’s like a personalized toolkit for navigating life’s challenges, with skills to help you rock at tolerating distress, mastering your emotions, savoring the present moment, and acing those social interactions.
When meeting with your MHS therapist, they will work with you on what therapy options are best for your unique life and behavioral health needs.
DBT can help clients with BPD reach positive long-term functioning. The best results involve a combination of psychotherapy, family and peer support, and medications. Reach out to Mental Health Systems (MHS) to schedule an evaluation to see if DBT can help you or someone you love.
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