Understanding and Managing Borderline Personality Disorder

Experience the transformative power of whole-person borderline personality disorder care at Mind Body Optimization.
Table of Contents

Borderline Personality Disorder Care That Meets You Where You're At

Mind Body Optimization (MBO) is an outpatient treatment facility that offers a holistic and integrative approach to treatment. Our programs are especially suited for those who have found themselves at a crossroads after conventional methods have not given them the peace they seek.

Our knowledgeable and compassionate MBO team utilizes an integrated healing approach that treats the full spectrum of a person: mind, body, and spirit.

We empower people with borderline personality disorder (BPD) to take control of their health and well-being. This approach is not about quick fixes or temporary solutions, but rather about creating long-term, sustainable change.

"The importance of a multidisciplinary team in providing comprehensive care for individuals with borderline personality disorder (BPD) lies in the ability to offer a holistic and tailored approach to treatment. This diverse team, consisting of professionals with varied expertise, facilitates a comprehensive assessment that considers psychological, social, and physical aspects of BPD. The team's ability to address co-occurring conditions, draw on diverse therapeutic modalities, and support families enhances the effectiveness of care. Crisis intervention, continuity of care, and cultural competence are also emphasized, ensuring a well-rounded and personalized treatment experience."

Borderline Personality Disorder Care

Understanding Borderline Personality Disorder

Borderline personality disorder is a mental health condition characterized by:

  • Unstable emotional patterns
  • Distorted self-image
  • Intense, turbulent relationships
People with BPD often struggle with regulating their emotions. This leads to frequent mood swings and unpredictable behavior. This can affect multiple aspects of their lives.
BPD also impacts the way people perceive themselves and others. This leads to challenges in work, social interactions, and quality of life.

Diagnostic Criteria for Borderline Personality Disorder Care

BPD can be diagnosed when a person exhibits significant impulsivity along with severe instabilities in their interactions, emotions, and self-image.
Some of the BPD diagnostic criteria listed in the DSM-5 include:
  1. Attempts to escape being alone
  2. Impulsivity in self-damaging areas such as spending, reckless driving, binge eating, etc.
  3. Intense episodic dysphoria, irritability, or anxiety that lasts for multiple hours
  4. Chronic feelings of emptiness
  5. Frequent displays of temper, constant anger, recurrent physical fights

Risk Factors of Borderline Personality Disorder

The exact cause of BPD is not fully understood. But, research suggests that a combination of factors can contribute to its development.
Among them are:1
  • Genetic factors: A family history of BPD or other personality disorders 
  • Early childhood trauma: Exposure to physical, emotional, or sexual abuse during childhood
  • Neglect: Lack of emotional support, neglect, or inconsistent caregiving during early development
  • Neurobiological factors: Abnormalities in brain structure or function, particularly in areas related to emotional regulation
  • Biological vulnerability: Predisposition to emotional sensitivity and reactivity
  • Invalidating environments: Growing up in an environment where emotions were invalidated or punished
  • Childhood emotional dysregulation: Difficulties regulating emotions during childhood
  • Genes: Genetic predisposition and heritability of traits associated with emotional dysregulation
  • Brain chemistry Imbalance: Imbalances in neurotransmitters, particularly serotonin and dopamine

Challenges of Borderline Personality Disorder

Acknowledging the complexities of borderline personality disorder is a critical step in fostering compassion and support.
Some of the most common challenges that necessitate top-tier borderline personality disorder care include:

Intense Emotional Instability

People who struggle with BPD frequently experience strong, quickly fluctuating emotions. Because of this, it can be difficult for them to control their emotions and maintain emotional wellness.

Identity and Self-Image Issues

People with BPD struggle with identity crises and a skewed self-image. This can consistently leave them feeling empty and always searching for their identity.

Impulsive Activity

People with BPD and those around them may suffer from impulsivity in situations such as:
  • Spending too much money
  • Substance misuse
  • Unsafe sexual activity

Suicidal Tendencies

People with BPD may experience recurrent thoughts of self-harm or suicide. In fact, 73% of people with this condition will attempt suicide at least three times in their lifetime. This necessitates a heightened level of vigilance and support from mental health professionals, family, and friends.2
Our experts at MBO emphasize the need to understand the scope of BPD’s impact. This way, we can work toward building a more empathetic and inclusive society that is devoid of stigma surrounding borderline personality disorder care.

The Need for Borderline Personality Disorder Care

BPD is more common than people realize, with studies showing that it affects about 1.6% of the general adult population.
This percentage might seem small at first glance, but it translates to millions of patients each year. This further showcases the need for effective, integrated care for those with BPD.
The importance of effective borderline personality disorder care is highlighted below:

Significance Among Inpatient Psychiatric Population

It’s essential to consider the prevalence of BPD within various treatment environments to understand its scope. For example, BPD is significantly more prevalent in the inpatient psychiatric population, where it affects approximately 20% of patients.3

Gender Disparity

Although BPD can affect anyone, there is a prominent gender disparity within BPD diagnoses. Approximately 75% of people diagnosed with BPD are women.4
This disparity has been attributed to various factors, including:
  • Societal pressure and expectations 
  • Differences in how men and women express their emotions

The Impact of BPD on Individuals and Their Relationships

Those with BPD face both internal and external challenges, with profound implications for their relationships.
Here are some of the challenges that highlight the need for effective borderline personality disorder care:

Intense Yet Unstable Bonds

People with BPD tend to form relationships marked by extremes. This involves intense idealization followed by sudden devaluation. The emotional intensity can create a whirlwind of emotions. This makes it challenging for both partners to navigate the ups and downs.

Fear of Abandonment

A constant fear of abandonment is a hallmark of BPD. This often leads people to go to desperate measures to avoid real or perceived rejection. This fear can drive impulsive actions and emotional outbursts, which can push relationships to their limits.

Frequent Conflicts

The emotional turbulence associated with BPD often manifests in interpersonal conflicts. Small disagreements can escalate rapidly. This can intensify emotional reactions, contributing to a cycle of conflict.

The Need for Comprehensive and Individualized Borderline Personality Disorder Care

One of the biggest challenges in treating BPD is its complexity. It’s often diagnosed alongside other mental health disorders, such as depression and anxiety. This makes it difficult to distinguish which symptoms are specific to BPD.

The unpredictable nature of BPD also makes it challenging to create effective treatment plans. Symptoms can fluctuate rapidly, making it difficult to know what interventions will be most helpful at any given time.

Because of this, individualized treatment plans are an integral part of borderline personality disorder care. A tailored care plan takes into consideration each person’s unique needs and preferences. This can include a combination of therapy and self-care strategies.

Conventional Treatment Approaches for Borderline Personality Disorder Care

At MBO, we understand that BPD treatment can sometimes cause emotional distress and uncertainty.
For those on this path or walking beside a loved one, understanding borderline personality disorder care options can be a beacon of hope. Some of the most common among them include:

Cognitive-Behavioral Therapy (CBT)

At MBO, CBT operates under the principle that our thoughts, feelings, and behaviors are intertwined. For those with BPD, CBT helps them identify and modify distorted perceptions they may harbor about themselves and others.
This therapy helps by:
  • Dissecting harmful thought patterns
  • Challenging ingrained beliefs
  • Introducing healthier ways to respond to emotional distress
Through consistent practice, CBT aims to mold these challenges into more adaptive behaviors. It improves emotional regulation and lessens the intensity and frequency of BPD episodes.

Dialectical Behavioral Therapy (DBT)

At MBO, DBT offers a blend of acceptance and focused change that helps people build a fruitful life despite struggling with BPD.
DBT focuses on four core skills that address the typical challenges faced by those with BPD:
  1. Mindfulness: Fostering an awareness of the present moment.
  2. Distress tolerance: Equipping people with skills to tolerate pain in difficult situations, not change it.
  3. Interpersonal effectiveness: Enhancing communication and assertiveness in relationships.
  4. Emotional regulation: Learning to identify and manage intense emotional impulses.

"Dialectical behavior therapy (DBT) is a central and evidence-based modality in the care of individuals with Borderline Personality Disorder (BPD). It is utilized to address emotional dysregulation, improve interpersonal skills, and foster mindfulness. The therapy encompasses various components, including mindfulness training, interpersonal effectiveness, emotion regulation techniques, and distress tolerance strategies. Additionally, DBT is delivered through a combination of individual and group therapy sessions. Complementary therapies, such as yoga and expressive therapies, are integrated to provide a holistic approach, addressing the multifaceted needs of individuals with BPD."

Motivational Interviewing (MI)

Motivational interviewing at MBO involves talking with clients to understand their motivation for change. By using this technique, therapists can communicate in a non-judgmental and empathetic manner.
MI focuses on collaboration and empathy, helping people feel heard and understood. This can increase their engagement and willingness to take part in treatment.
MI can also help people develop a stronger sense of self-efficacy and empowerment as they take an active role in their recovery journey. It can be an excellent addition to a borderline personality disorder care plan.

Eye Movement Desensitization and Reprocessing (EMDR)

Trauma often lies at the heart of BPD. EMDR is a psychotherapy that reduces the distress associated with traumatic memories.

During EMDR therapy at MBO, the client relives traumatic or triggering experiences in brief doses. They do so while the therapist directs their eye movements, facilitating the brain’s processing of these memories and associated feelings.

Gradually, this results in diminished distress regarding memory and improved belief systems.

Motivational Enhancement Therapy (MET)

MET at MBO fosters personal motivation to change behaviors. The therapist works collaboratively with the client to harness internal motivations.
  • Developing an empathetic and empowering counselor-patient relationship
  • Focusing on the discrepancies between personal goals and current behaviors
  • Avoiding arguments and direct confrontations
  • Eliciting and solidifying change talk
  • Nurturing self-efficacy for change
Using MET for borderline personality disorder care helps when resistance to change presents a snag in therapeutic progress.

"Mind Body Optimization employs a comprehensive approach to aftercare and relapse prevention for individuals with borderline personality disorder (BPD). Aftercare plans are individualized, involving continued therapy, community support, and ongoing psychoeducation. Emphasis is placed on crisis intervention planning, skill reinforcement, and family involvement. Relapse prevention skills training equips individuals to identify triggers, develop coping strategies, and create personalized plans for navigating challenges, ensuring ongoing support and improved overall well-being."

Embracing Wholeness: Holistic Approaches to Borderline Personality Disorder Care

Below are some of the innovative holistic care modalities we use for our clients seeking borderline personality disorder care:


Meditation fosters mindfulness and emotional regulation. It’s a tool that can transform moments of emotional distress into opportunities for peace and self-reflection.
Through guided sessions at MBO, clients learn to:
  • Focus on the present
  • Develop awareness of their thought patterns
  • Gain control over their emotional responses
Meditation at MBO is a nurturing journey that cultivates a sense of inner stability.

Rational Emotive Behavior Therapy (REBT)

REBT is a psychotherapy that challenges and changes irrational beliefs. It provides a supportive environment where questioning “absolute” negative thoughts is encouraged. By adjusting these thought patterns, those with BPD can reduce emotional instability.

MBO’s application of REBT involves identifying the root cause of distressing emotions and behaviors in people with BPD. By recognizing and dismantling these beliefs, MBO offers a pathway to emotional well-being.

Borderline Personality Disorder Care

Experience Personalized Borderline Personality Disorder Care at MBO

At MBO, we approach client care with a holistic mindset, understanding that each person is a complex being with different backgrounds, experiences, and challenges.
Our patient-centered philosophy recognizes the importance of treating the whole person rather than just specific symptoms or diagnoses.
We integrate both traditional and holistic care modalities to provide comprehensive treatment that addresses all aspects of a person’s well-being. This approach allows us to tailor care plans specifically to meet the needs of people with borderline personality disorder.

Join the Journey to Emotional Resilience

Borderline personality disorder is characterized by intense emotional instability, identity struggles, and impulsive behaviors, making it crucial to move beyond conventional methods.
It’s important to recognize the significance of long-term, sustainable change over quick fixes and to acknowledge that BPD is a condition that can be treated with the right approach.
Mind Body Optimization stands at the forefront of this paradigm shift. We offer care that considers the unique challenges and preferences of each individual with BPD. We value your story, seen through your lens, and with your own words.

Contact Mind Body Optimization Today

By providing comprehensive care, MBO provides a beacon of hope. Our goal is to guide people toward a life marked by emotional regulation, healthier relationships, and a renewed sense of self.

Don’t wait. Reach out to us today to learn more about our effective borderline personality disorder care, and take the first step toward a healthier, happier life. Together, we can pave a path worth following.