21 Sep 2007
BORDERLINE PERSONALITY DISORDER
Borderline Personality Disorder Treatment
by John M. Grohol, Psy.D. - June 22, 2007
Table of Contents
Borderline Personality Disorder is experiencedin individuals in many different ways. Often, people with this disorder will find it moredifficult to distinguish between reality fromtheir own misperceptions of the world andtheir surrounding environment.
While thismay seem like a type of delusion disorder tosome, it is actually related to their emotionsoverwhelming regular cognitive functioning.
People with this disorder
often see othersin “black-and-white” terms.
Dependingupon the circumstances and situation, forinstance, a therapist can be seen as beingvery helpful and caring toward the client.But if some sort of difficulty arises in thetherapy, or in the patient’s life, the personmight then begin characterizing thetherapist as “bad” and not caring about theclient at all. Clinicians should always beaware of this “all-or-nothing” lability mostoften found in individuals with this disorderand be careful not to validate it.Therapists and doctors should
learn to belike a rock
when dealing with a person whohas this disorder. That is, the doctor should offer his or her stability to contrast theclient’s lability of emotion and thinking. Many professionals are turned-off by workingwith people with this disorder, because it draws on many negative feelings from theclinician. These occur because of the client’s constant demands on a clinician, theconstant suicidal gestures, thoughts, and behaviors, and the possibility of self-mutiliatingbehavior. These are sometimes very difficult items for a therapist to understand and workwith.
Psychotherapy is nearly always the treatment of choice for this disorder
;medications may be used to help stabilize mood swings. Controversy surroundsovermedicating people with this disorder.