BPD and Borderline Processes
The Borderline Personality Disorder (BPD) diagnosis carries a huge amount of stigma. I prefer to restate this as ‘I work with people who experience borderline processes’. We all experience borderline processes at some point. Some people, however, become entrenched in these processes. The disorder is a serious psychiatric problem that requires a considerable amount of therapy. Approximately 1% of the UK populations suffer from this problem. That is actually a large number of people.
The good news is that it does respond to some types of therapy. The problem, however, is that there is seldom enough resources to cover the problem. I use Emotion Focused Therapy which is premised on dialectical constructivism, this is different from the recommended dialectical behavioural therapy (DBT). Emotion Focused Therapy is effective in working with Borderline processes.
There are nine criteria for the diagnosis (diagnosis normally is undertaken by a clinical psychologist or a psychiatrist). You do not have to have met all the criteria to receive this diagnosis. It is said that you could put 50 people with this diagnosis in a waiting room and they would not necessarily recognise anybody in the room as being similar to them. They are all experiencing variations of borderline process.
Support can be lacking
Here is a snippet from NICE Quality Standard QS88.
‘Although borderline and antisocial personality disorders are both associated with significant morbidity and increased mortality, the care people receive is often fragmented. Borderline and antisocial personality disorders are frequently misdiagnosed because of comorbid conditions, and people are often prescribed medication or therapies that are unsuitable for them. Sometimes they are excluded from health or social care services because of their diagnosis or their behaviour. This may be because staff lack the confidence and skills to deal with these conditions or have negative attitudes towards people with borderline or antisocial personality disorder. Some topic experts and people with personality disorder feel that the stigma attached to borderline and antisocial personality disorders still prevails even within mental health services.’
Other problems are often present with these processes, depression, anxiety, eating disorders, self-harm, suicidal ideation, post-traumatic stress and misuse of substances including alcohol.
I offer support and therapeutic interventions that can help you. Consider this as a dialectic ‘ I can help you ‘ and ‘ I can’t help you’ the reality is somewhere between those two positions. This is not a problem for short-term therapy and you will need additional support outside of the therapy sessions. Contact