If you have a partner with borderline personality disorder (BPD), your relationship may look something like this:
According to the National Institute for Mental Health, two percent of Americans are diagnosed with BPD, which equates to about six million people, although some estimates are as high as six percent, or eighteen million people. Women are more frequently given the diagnosis, but that may be because they present for psychiatric services more often than men, or because of provider bias, with men being diagnosed with antisocial personality disorder instead of BPD.
Obviously, having a relationship with someone who experiences BPD is a challenge. At the beginning of your relationship, there may have been a honeymoon period where you were idealized by your partner. But now you may be experiencing the darker side of BPD: fears of abandonment, impulsive behaviors (gambling, unsafe sex, spending sprees, binge eating, drug use), emotional instability, and suicidal gestures or attempts.
What does the partner of someone with BPD do?
Helping your partner find the right treatment is crucial. Convincing them to first try treatment, and then stick with it, however, is a whole other issue. BPD clients are frequently considered the “toughest to treat” by mental health professionals because of the instability they present. Remember, what happens in the “real world” also happens in therapy offices: the same patterns your partner with BPD does at home happen with the therapist, too.
But there is hope. Dialectical behavioral therapy (DBT) is considered the most effective treatment for BPD. There are a ton of resources online about DBT, including the blog Dialectical Behavior Therapy Understood here on PsychCentral, so I invite you to check them out to learn more. There are other treatments that are beginning to receive more attention as well, such as mentalization-based therapy (MBT), transference-focused psychotherapy (TFP), schema therapy (ST), and cognitive behavioral therapy (CBT) tailored specifically to BPD.
Next, finding a therapist to help you is vitally important as well. Even if your partner is in treatment, the instability and uncertainty around their mood and behavior will not resolve overnight. Treatment for BPD is a long process, and if you and your partner are going to get to the other side with your relationship intact, you are going to need professional support.
It is important for you to learn about DBT as well so that you can participate in your partner’s recovery. One way to do this is through DBT Family Skills training.
As for day-to-day ways to support your partner during the recovery process, some tips include:
Other helpful resources:
LA Times article: Borderline Personality Disorder Grows as a Healthcare Concern
Online message board for loved ones of BPD clients: BPDFamily.com
Coping with a Loved One’s BPD from About.com
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Last reviewed: 25 May 2011