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How to Manage Self-Destructive Behaviours and Emotion Regulation in Borderline Personality Disorder (BPD)

Dr Liliya Korallo

CHALLENGES ASSOCIATED WITH BORDERLINE PERSONALITY DISORDER 


Borderline Personality Disorder (BPD) also known as Emotionally Unstable Personality  Disorder (EUPD) or Emotional Intensity Disorder (EID), is a mental disorder which consists  of several difficulties such as self-destructive behaviours, emotion regulation, interpersonal  functioning, and identity crisis.  


Challenges associated with relationships 

Individuals with Borderline Personality Disorder have to go through several challenges such  as difficulties in maintaining romantic relationships. People with BPD have a tendency to depend on their partner and may rely on them for emotional stability, which can also create  unrealistic expectations i.e. depending on the partner to provide happiness and emotional  validation. BPD can also have a negative affect on other professional and personal  relationships such as friends and family, this can happen because of unexpected anger outbursts, emotional instability, hurtful behaviours, and unpredictability. These intense and  unstable emotions can cause challenges for individuals with BPD to maintain stable  relationships i.e. losing relationships, abusive relationships, social issues (isolation), and  employment instability. Individuals with BPD have a severe fear of rejection and abandonment  which can cause instant moods shifts and difficulties in trusting others.  


Other challenges 

Self-harm 

• Impulsive behaviours 

• Substance abuse 

• Eating disorders 

• Anxiety 

• Depression 

• Unstable moods

• Difficulties with everyday tasks 

Low self-esteem and dissociation  

• Distorted thought process 

• Paranoia  


How does City Psychological Services help with these challenges? 

City Psychological Services offers Dialectical Behaviour Therapy (DBT) as a form of treatment for clients with Borderline Personality Disorder, which focuses on decreasing self harming behaviours or behaviours that can interfere with daily lives. Clients can also learn  various skills and techniques for them to regulate their emotions in a much better way through DPT i.e. cope up with challenging situations, reduced symptoms of BPD,  improvement in relationships and social skills, and reduce in substance abuse. This is  conducted in group sessions. With the help of DBT, not only BPD but other psychological  issues can also be treated.  


References


https://www.hhills.com/rehab-blog/how-borderline-personality-disorder-impacts relationships/#:~:text=In%20romantic%20relationships%2C%20untreated%20BPD,for%20th e%20individual%20with%20BPD.

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