What "Works" For Borderline Personality Disorder (BPD)?

Hint: it is not oral medicine or hospitals.

Borderline Personality Disorder (BPD) is a problematic name for a real Problem. A brief back-of-the-envelope description:

Imagine you had a Lamborghini as your first car. And you lived in a town with eternal snow and only steep hills. And everyone ripped on you for being a terrible driver while they rolled around in their AWD Subarus.

Now make the above about emotions. That is what it feels like to have BPD. It is maladaptive to drive in the snow with a car exquisitely tuned to do anything but that.

(My Book on A Therapy Mentioned!)

Although BPD is often present with other problems (Depression, ADHD, Etc) for which there are biological treatments, they are not treatments for BPD’s three core symptoms:

• unstable interpersonal relationships

• impulsivity

• chronic feelings of emptiness

There are effective treatments for BPD, and they are all psychotherapeutic—not drugs or devices.

A recent meta analysis reviewed the state of pharmaceutical interventions:

Background: Borderline personality d…