![]() And for some, low-dose antipsychotic medication may help control symptoms such as disorganized thinking. Rather, several medications can be used off-label to treat various symptoms. For example, mood stabilizers and antidepressants help with mood swings and dysphoria. Medications may be instrumental to a treatment plan, but there is no one medication specifically made to treat the core symptoms of BPD.Learning ways to cope with emotional dysregulation in a therapeutic setting is often the key to long-term improvement for those experiencing BPD. Psychotherapy-such as dialectical behavioral therapy (DBT), cognitive behavioral therapy (CBT) and psychodynamic psychotherapy-is the first line of choice for BPD.The overarching goal of treatment is for a person with BPD to increasingly self-direct their own treatment plan as they learn what works and what doesn’t. Examples of treatment options include psychotherapy medications and group, peer and family support. TreatmentĪn effective treatment plan should include your preferences while also addressing any other co-existing conditions you may have. BPD is best diagnosed by a mental health professional following a comprehensive clinical interview that may include talking with previous clinicians, reviewing previous medical evaluations and, when appropriate, interviews with friends and family. There is no definitive medical test to diagnose BPD, and a diagnosis is not based on one specific sign or symptom. Specifically, the portions of the brain that control emotions and decision-making/judgment may not communicate optimally with one another. The emotional regulation system may be different in people with BPD, suggesting that there is a neurological basis for some of the symptoms. People who experience traumatic life events-such as physical or sexual abuse during childhood or neglect and separation from parents-are at increased risk of developing BPD. While no specific gene or gene profile has been shown to directly cause BPD, research suggests that people who have a close family member with BPD may be at a higher risk of developing the disorder. The causes of BPD are not fully understood, but scientists agree that it is the result of a combination of factors, including: Severe cases of stress can also lead to brief psychotic episodes. ![]() Dissociative feelings-disconnecting from your thoughts or sense of identity or “out of body” type of feelings-and stress-related paranoid thoughts.Inappropriate, intense or uncontrollable anger-often followed by shame and guilt.Chronic feelings of boredom or emptiness.Periods of intense depressed mood, irritability or anxiety lasting a few hours to a few days.Self-harming behavior including suicidal threats or attempts.Impulsive behaviors that can have dangerous outcomes, such as excessive spending, unsafe sex, reckless driving, or misuse or overuse of substances.Distorted and unstable self-image, which affects moods, values, opinions, goals and relationships.This is also sometimes known as "splitting." Unstable personal relationships that alternate between idealization (“I’m so in love!”) and devaluation (“I hate her”).Frantic efforts to avoid real or imagined abandonment by friends and family.According to the Diagnostic and Statistical Manual diagnostic framework, some key signs and symptoms may include: People with BPD experience wide mood swings and can feel a great sense of instability and insecurity. ![]() ![]() Recent research suggests that men may be equally affected by BPD, but are commonly misdiagnosed with PTSD or depression. Nearly 75% of people diagnosed with BPD are women. It’s estimated that 1.4% of the adult U.S. Struggling with self-regulation can also result in dangerous behaviors such as self-harm (e.g. This difficulty can lead to impulsivity, poor self-image, stormy relationships and intense emotional responses to stressors. This means that people who experience BPD feel emotions intensely and for extended periods of time, and it is harder for them to return to a stable baseline after an emotionally triggering event. Weight Gain Related to Psychiatric TreatmentsĮCT, TMS and Other Brain Stimulation Therapiesīorderline Personality Disorder (BPD) is a condition characterized by difficulties regulating emotion. What to Avoid with Psychiatric Medications Methylphenidate or Dexmethylphenidate (Concerta, Ritalin and others) ![]() Dextromethorphan and Bupropion (Auvelity) ![]()
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