Treatment for Borderline Personality Disorder

wandering through a desolate wasteland of your own making

I guess I have suffered from untreated Borderline Personality Disorder, (BPD), for most of my life.  I shouldn’t feel so bad because BPD is mostly incurable, and all many of we sufferers can do is learn how to minimise how the symptoms and traits that blight our lives.

As far as possible treatments go…..

Medication is usually neither effective nor recommended for sufferers of Borderline Personality Disorder.

Many suffers of this terrible illness self-medicate with copious quantities of alcohol, marijuana, and other street drugs ~ and then they become addicts.  I’ve tried the booze thing, over and over again, just to escape the pain and suffering.  It works for a while, because a boozer will eventually just pass out.  However, the cure soon becomes worse than the disease.  Too much booze can kill you in so very many ways, and anyone suffering from Borderline Personality Disorder will always drink far too much strong liquor.  Eventually one has to stop drinking for a while, and for a while after you stop drinking you might feel so physically ill that you believe you are going to die.

If you are in crisis your doctor might give you a sleeping pill or tranquilizer, but should not ever prescribe more than a week’s supply ~ there is too much danger that someone suffering from BPD will take an overdose, possibly in an attempt to kill themselves.

Your doctor may prescribe Prozac, (fluoxetine), which is an SSRI, (selective serotonin reuptake inhibitor), an antidepressant used to safely treat depression, anxiety, OCD, (obsessive compulsive disorder), maybe Bipolar Disorder, and eating disorders.  Prozac makes you want to commit suicide.  When you stop taking Prozac you will have some unpleasant withdrawal symptoms.

In a tiny study, (of 12 patients suffering from BPD), all showed some improvement after taking Prozac over an extended period, but none in the trial had suffered from terrible depression.  Nowhere is Prozac said to be an effective treatment for Borderline Personality Disorder.

Of the talking therapies, current thinking is that Dialectical Behavior Therapy, (DBT), is most effective at treating BPD.  The thing about DBT is that it focuses on honestly accepting who we are, and that is the real key to living a good life if you have fucking Borderline Personality Disorder.

Good luck in finding a counselor skilled in Dialectical Behavior Therapy, or getting the funding for the long and intensive course of treatment you really need.  The best you might get is some Cognitive Behavioral Therapy, which is where Dialectical Behavior Therapy came from in the first place.

Personally, I have found a great deal of benefit just watching and listening appropriate podcasts on internet sites like YouTube.  What I have learned is that no matter how fucking chaotic, evil, and negative my feelings are, I DO NOT NEED TO LET MY NEGATIVE FEELINGS AFFECT MY BEHAVIOUR.

Some say that they never realised that they were acting like a jerk, or a bitch.  And that they thought that everyone had distressing feelings all the time.  All I know is that I can be a cool guy, living a really great life ~ even though I have an incurable personality disorder.


jack collier

even in the short term drinking will not help people with a problem

7 responses

  1. There is such a tendency in psychology and Western modes of medicine to make pathological those dynamics that are not thoroughly understood.

    DBT, while effective, only leads one to develop attitudes and practices that honors self exploration through mindfulness studies and emotional/cognitive reflection. This can be done on one’s own. With the help of a mentor that can bring the practices to a point of emotional catharsis.

    It is important to understand that emotions are irrational, and therefore cannot be understood by the empirically based methods of an objective science. Instead, we must learn ways to effectively channel an emotions energized state to productive vs destructive outcomes.

    BPD is a horrible state, one that I have treated for decades using analytical methods of self exploration and meditative induction. While its symptoms can be traumatic, out of the emotional chaos, the order of a Self can and does emerge. Medications never treat personality. It is not a biochemical problem. The best method is to get the help of a great mentor, one that can help integrate the emotional chaos present and make higher levels of self meaning. Thank you for bringing awareness to this subject and I look forward to reading more.

    Liked by 2 people

    1. I was diagnosed with Borderline Personality Disorder, but nobody told me what that meant, or referred me to relevant talking therapy. I did get some alcohol counselling, because like many sufferers of BPD I self-medicated with booze.

      Coping with my chaotic, negative, volatile, extreme emotions wasn’t ever on the agenda. As for a mentor, I wish.

      But I did learn, and I was pretty much controlling the worst symptoms of BPD, right up until I was burgled a month ago. Then I want rapidly downhill, up to the point where I exhibited immediate and intense anger at a friend over a relatively innocent remark. That rage was less than a week ago now. It scared me. So did the suicidal thoughts.

      Since then I have learned all I can about BPD, CBT, DBT, et al. I have been to see my GP, who referred me to a psychologist, who is referring me to a psychiatrist. No medication, and no booze ~ booze is a bad idea for me.

      What I know is that my emotions will always be extreme and chaotic. My mood-swings are rapid and vicious. I exhibit every character defect in the book. And, when I am good, I am very very good. I know none of this is my fault.

      I can let myself feel those extreme emotions ~ BUT I should not react to them, at least not without putting some rational and conscious thought behind whatever it is I decide to do.

      What I also know is that I can be a very cool guy, leading a really great life.

      Thank you for your insightful comment.

      Liked by 2 people

      1. Thank you for bring up BPD and DBT. I worked in the field for many years. The number of clients coming through the programs I worked in with BPD was quite large. I have bipolar 1 disorder. Just a note that these two diagnoses are often confused for the other. Medication helped my symptoms clearing up the questioning of which I was. Over the years, I’ve had the opportunity to do DBT. Young and newly diagnosed Bipolar, it was really helpful… impulse control is a big deal!!! I later did the program again for an eating disorder. Distress tolerance and learning to cope with hard feelings in a way that is not destructive was extremely helpful. It also helped me along the way so I could ultimately do therapy around PTSD. I’ve been fortunate to have good medical insurance. DBT was offered in group sessions of about 8 people for a class like program. Look into it, if you’re able to find access to it.

        Later, I found that for me personally, Gestalt therapy, was the most effective method of getting out of my head and into my feelings where I can actually work through them. I have no idea if Gestalt is a good therapeutic tool for BPD. Traditional talk therapies and CBT didn’t do a tinker’s damn to help me.

        Best of luck in finding what works for you!! ♥ Remember, too, that with any and all lifelong health issues… relapses happen. Don’t beat yourself up. Get back up on the horse as soon as you can and go back to doing what works. 🙂

        Liked by 1 person

        1. Thank you for your cogent, honest, and open comment.
          I am not beating myself up ~ not any longer. I spent years bouncing between negative emotions and actions, followed by deep remorse and anger at myself. I now know that I don’t need to do that any more. I can feel destructive, painful, and negative emotions up to the wazoo ~ but I don’t have to react to them, and mostly it’s much better if I don’t take action based on strong negative emotion.
          It seems that Gestalt Therapy might be helpful for me. Where I am now is all about taking personal responsibility for my actions, rather than giving in to the sometimes vicious pleasure of letting my savage heart rule my head.
          I know that all the bad, destructive and negative things I did in the past, all the relationships I enjoyed and then destroyed, was not my fault. I had an untreated personality disorder.
          But, from here today, anything bad I do will be my fault, because now I know better, and now I know how to control my reactions to the symptoms of BPD.

          Liked by 1 person

      2. Great article and response. Emotions are the hardest element to gain control over, because they are simply Energy in Motion. Learning self help habits such as meditative induction, yoga, and positive habits such as exercise regimens can help with the emotional state as well as the propensity to turn to alcohol.

        BPD dynamics of personality exist in everyone. They are relational in nature. A good psychotherapist or psychologist can help you with integrating the emotional and relational aspects present to live a more emotionally healthy life, The only nomenclature that turns these dynamics symptomatic and therefore problematic is when the emotional state is used for destructive versus constructive outlets.

        You have a real gift with sharing the emotional state that this disorder can have. Advocates are sorely needed to bring a humanistic touch the problem. It is a really needed entity to share the stories of mental health to help others who may be suffering with the same symptoms present. Thank you for the insight here Jack and keep writing, it helps in more ways than one.

        Liked by 1 person

        1. There is no way I will ever be able to completely control the chaotic emotions I feel, nor the rapid mood swings. I am able to control what those emotions would have me do. I may feel instant and intense anger, but I am now able to keep that inside until I can find an appropriate and positive way to express it.
          Unbelievably I do practice yoga, (for a man of my generation yoga is for women), and I can meditate during my daily 10,000 step walk.
          Today I am trying to reprogram my subconscious by acting ‘as if’. If I act as if I am a very cool guy, living a really great life, then eventually my subconscious should accept that as reality. I know it may take a year or more.
          In the meantime staying sober, outwardly calm, accepting, and understanding is probably the best I can do.
          And you know what? Writing this blog helps me a great deal ~ and if I can help others along the way, then maybe I am a very cool guy, living a really great life. 😉

          Liked by 1 person

          1. Well said. Another practice that I have found in conjunction with meditative induction is to do daily gratitude prayers and affirmations. What I can say, there is no one size cookie cutter approach to the treatment of BPD, but through healthy modes of self reflection and mindfulness based experimentation, one can gain healthy insight and a degree of healthy living skills that decrease the problematic effects of the symptoms present.

            Keep on writing, dialogue about these problems are sorely needed to help people understand the human side of our emotional plight to realize Self.

            Liked by 1 person

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