Lesley Evans, Always learning why people do what they do Answered Sep 18, 2016 Originally Answered: How can I come over borderline personality disorder? Short answer: therapy and DBT Long answer: Borderline Personality Disorder is very deeply ingrained in one’s automatic thought patterns and behaviors. Just like everyone’s unique personality is, whether healthy or not. Persistently maladaptive, invalidating and/or threatening circumstances an individual is raised in or subjected to over time molds what may have otherwise been a well-grounded personality into one that is less conducive to healthy engagement with the world and it’s societal norms. BPD is a personality of fear, insecurity, and detachment from oneself. It is, in my experience/opinion, confusion about self-worth combined with internal choas and unhealthy coping mechanisms. Everyone’s personality is a product of their culture, family life, socioeconomic status, educational opportunities, life experiences and a handful of their genetic makeup. That’s a lot of foundation to “overcome” for the BPD individual! You can’t change your past, but you can learn volumes from it to help you figure out how to live a life that is more meaningful and more peaceful. Not all BPD individuals are the same and can fall anywhere on a very wide spectrum of disorder severity. Also, the impact of BPD on one’s behavior and daily functioning is unpredictable and ever-changing. However, being professionally diagnosed with BPD means you consistently fulfill certain criteria, and this also means you are likely to respond well to certain therapeutic approaches. Ones that have been developed specifically geared toward BPD. The most sensible starting point would be psychotherapy, to start whittling away the shell of defensive volatility. Get talking about who you are today and what areas you want to improve in. A thorough review of your childhood all the way up to who you are today will help to identify the kinks encountered and how those kinks made you who you are. This is where psych providers divide in terms of treatment approach. Cognitive behavioral therapy will entail more analysis of nature vs. nurture and focus more deeply on understanding the “why?” of your behavior and personality. In my opinion, it is the more educational approach that requires you to discuss yourself as a subject that has defects that need fixing. It works for many, but the one therapy model developed for Borderline Personality Disorder treatment that statistically proves more effective is Dialectical Behavior Therapy (DBT). Very briefly put, DBT focuses on the here and now, rather than picking apart the ugly pieces of your past. It’s four components are Mindfulness, Distress Tolerance, Emotion Regulation, and Interpersonal Effectiveness. These are all things that require you to stay present, be aware of your emotions/behaviors, remain non-judgemental about those emotions/behaviors as well as those of the people you are interacting with, and employ healthy ways of responding to distressing situations. DBT teaches you how to acknowledge negative or intense emotions and to ride them out using safe/healthy coping skills until those feelings have lessened to a tolerable degree. It’s hard and takes a lot of commitment and skill practice. Mindfulness is the hardest if you aren’t used to quieting your mind to enjoy the moment. Interpersonal Effectiveness is also tough for many people because it requires being both assertive AND receptive/empathetic to whoever you are communicating with. 1.5k Views · 12 Upvotes ·

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