Borderline Personality Disorder

From Wikipedia, the free encyclopedia

Borderline personality disorder
 (BPD) is a personality disorder described as a prolonged disturbance of personality function in a person (generally over the age of eighteen years, although it is also found in adolescents), characterized by depth and variability of moods.[n 1]  The disorder typically involves unusual levels of instability in moodblack and white thinking, or splitting; the disorder often manifests itself in idealization and devaluation episodes, as well as chaotic and unstable interpersonal relationshipsself-imageidentity, and behavior; as well as a disturbance in the individual’s sense of self. In extreme cases, this disturbance in the sense of self can lead to periods ofdissociation.[1]

BPD splitting includes a switch between idealizing and demonizing others. This, combined with mood disturbances, can undermine relationships with family, friends, and co-workers. BPD disturbances also may include self-harm.[2] Without treatment, symptoms may worsen, leading (in extreme cases) to suicide attempts.[n 2]

There is an ongoing debate among clinicians and patients worldwide about terminology and the use of the word borderline,[3] and some have suggested that this disorder should be renamed.[4] The ICD-10 manual has an alternative definition and terminology to this disorder, called Emotionally unstable personality disorder. There is related concern that the diagnosis of BPD stigmatizes people and supports pejorative and discriminatory practices.



Long-term individual psychotherapy can be helpful to patients with BPD with the most successful therapies used being Dialectical Behavior Therapy and Cognitive Behavior Therapy.

Pharmacological Treatments

There are several controlled studies that indicate that low dosages of antipsychotics may help alleviate sustained symptoms of obsessive ruminations, somatic complaints, idea of reference and dissociative experiences. Some patients benefit from monoamine oxidase inhibitors (MAOI’s) but the risk of noncompliance makes them hazardous. The serotonin-specific reuptake inhibitors (SSRI’s) have been shown to diminish both the impulsive and mood symptoms. Because of their safety they are usually the first drugs that are tried. Tegretol has been reported to decrease impulsive self-destructive behaviors. Clinical experience suggests that lithium may sometimes diminish affective instability or impulsivity but its use for patients with BPD has received little empirical support. Hostile impulsive and self-mutilative behaviors may be aggravated by benzodiazepines or in some cases tricyclic antidepressants.


If you are experiencing troubles with Borderline Personality Disorder you are not alone and there is help.  I specialize in personality disorders and particularly Borderline.  Through CBT and DBT we can work together on obtaining the ability to learn the skills and have the tools you need to heal.  
– Dr Lewis James Jordan

Dr. Lewis Jordan has over 20 years experience in psychotherapy, counseling, education and public speaking. Dr. Lewis Jordan’s Psychology ServicesFlorida therapy offices for Therapy & Neurofeedback Services are located in various locations throughout South Florida as well as offices in New York City and South Carolina.  Please click here for Dr. Lewis Jordan’s current Educational Videos

Please visit this site regularly and for more information and updates.  

Blessings to you.

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