BPD Treatment

Your mental health professional may recommend one or more borderline personality disorder, or BPD treatments, including psychotherapy, medication, or hospitalization.

Researchers are still trying to learn the exact cause of BPD and their corresponding best working BPD treatment modalities. Multiple factors may contribute to the disorder such as environmental factors, including genetics, and serotonin abnormalities. It develops during adolescence or early adulthood. You may be familiar already with BPD, but there are also other subtypes of this condition. One such subtype is known as “quiet” BPD, which means that you direct your struggles more inward, so others do not notice. For this reason, quiet BPD tends to go undiagnosed or is misdiagnosed. The earlier you seek help, the better the outcome if Quiet BPD is difficult to diagnose and treat.

The typical presentation of BPD involves angry outbursts and obvious and outward self-destructiveness. However, those with quiet BPD have internalized emotional episodes, turning their anger inward.

Symptoms and diagnosis of BPD

Below are the following criteria of all signs and symptoms of BPD according to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM). [1] We must meet at least five of the official criteria from the DSM to be diagnosed with BPD.

  • A pattern of unstable relationships
  • You’re frantically trying to avoid real or imaginary abandonment
  • Acting impulsively in at least two areas of your life in ways that can be self-damaging, for example, you may spend too much money or abuse substances
  • History of suicidal or self-mutilating behavior
  • Unstable self-image or self-identity
  • Frequent mood swings. They usually last for a few hours but may last for a few days or more.
  • Having difficulty in controlling your anger or you get severely angry without cause. You may feel angry all the time, display your anger frequently, or get in frequent physical fights.
  • Severe and long-term feelings of emptiness
  • Periods of stress-related paranoia or experience severe dissociation. Dissociation occurs when you feel like your mind is detached from your emotions or body

BPD may also raise your risk of other disorders, including:

  • Depression
  • Substance abuse
  • Anxiety disorders
  • Eating disorders
  • Bipolar disorder

Borderline Personality Disorder Treatment
We Level Up NJ is an accredited BPD treatment center

Borderline Personality or BPD Treatment

Following your doctor’s prescribed treatment plan is extremely important as you may face lifelong challenges associated with your BPD treatment program. A proper borderline personality treatment can reduce the severity of your symptoms. And help you lead a fulfilling and safe life. If a psychiatrist recommends medications, this is to help ease some of your symptoms. However, you should not rely on medications alone, because they do not necessarily address the underlying causes of your BPD. Medications often work best in conjunction with proper psychotherapy.

Psychotherapy is the main treatment for borderline personality disorder. There are three types of psychotherapy and one of these may be recommended to you: cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and schema-focused therapy.

Medication can relieve symptoms but does not cure BPD. Your doctor may prescribe medication in addition to psychotherapy treatment. They may prescribe: antidepressants to treat depression, antipsychotics to treat aggressive symptoms, and antianxiety medications to treat anxiety.

If your symptoms are severe; you may be recommended to temporarily stay in a hospital for treatment. You may also be hospitalized for suicidal thoughts, suicidal behavior, or thinking about harming yourself or others.

Alternative BPD treatment therapy may include Omega-3 fatty acids. These may relieve symptoms of depression and aggression in people who have borderline personality disorder. However, more research is needed to confirm the benefits of omega-3 fatty acids.

“High-functioning” BPD or Quiet BPD

A lot of people with this type of mental illness are not getting the right borderline personality disorder or BPD treatment plans. The sufferer can still go to work, school, or function with no one’s around that knows what your mind is going through deep inside. You may direct significant feelings toward yourself only without letting others know or see them. Such intense emotions may include anger or rage, anxiety, mood swings, severe self-doubt, self-blame and guilt, fear of abandonment or rejection, and emotional attachments or obsessions.

Symptoms of Quiet BPD

This form of borderline personality may be difficult to identify at first and may require BPD treatment. The most notable symptoms of quiet BPD include:

  • Deep-seated fear of rejection
  • Social anxiety and self-isolation
  • Extremely poor self-esteem
  • Blaming yourself whenever there is a conflict
  • Avoiding talking to others who have upset you and cutting them off instead
  • Feeling detached from the world and sometimes feeling like you are in a dream
  • Fear of being alone, yet pushing people away at the same time
  • Inability to build connections with others
  • Mood swings that can last for as little as a few hours, or up to a few days, but no one else can see them
  • Suppressing feelings of anger or denying that you feel angry
  • Withdrawing when you are upset
  • Persistent feelings of guilt and shame
  • Having a “thin skin” and taking things personally
  • Feeling like you are a burden to others
  • Feelings of numbness or emptiness
  • People-pleasing, even at a cost to yourself
  • Self-harm or suicidal thoughts

Note that some people with quiet BPD may experience just a few of these symptoms, while others might be experiencing more.

Individuals at risk for quiet BPD

Certain risk factors have also been shown to influence the development of quiet borderline personality disorder. These may include a history of:

  • Eating disorders
  • Substance abuse
  • Abandonment or neglect
  • Bipolar disorder
  • Anxiety
  • Depression

Quiet Borderline Personality Disorder and BPD Treatment

Psychodynamic therapy, dialectical behavior therapy (DBT), or psychiatric medications are among the first lines of quiet borderline personality disorder treatments. DBT teaches mindfulness strategies, distress tolerance, emotional regulation, and interpersonal effectiveness. A proper and guided practice can help reduce self-destructive thoughts and actions. A psychotherapist administers DBT.

In fact, people with a personality disorder including borderline personality are much more likely to develop a substance abuse disorder. For instance that you may have co-occurring disorders if you are struggling to complete drug rehab. We Level Up Dual Diagnosis Rehab treatment teams apply best practices & evidence-based treatment for client multi disorders getting to the underlying problems behind one’s addiction.

At We Level Up NJ Treatment Center, you will find world-class care with round-the-clock medical professionals available to help with your BPD Treatment and recovery. Working as an integrated team providing BPD treatment or Dual Diagnosis for successful recovery. Make this your opportunity to reclaim your life. Call today to speak with one of our treatment specialists. Our counselors know what you are going through and will answer any of your questions.

Your call is private and confidential and there is never any obligation.


[1] https://www.psychiatry.org/psychiatrists/practice/dsm – American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM)