Borderline Personality Disorder May Be as Disabling as Bipolar Disorder | Psych Central News

Borderline Personality Disorder May Be as Disabling as Bipolar Disorder | Psych Central News.

4 responses to “Borderline Personality Disorder May Be as Disabling as Bipolar Disorder | Psych Central News”

  1. This is very misleading – even without treatment, many people with Borderline PD label often improve to the point where they are no longer diagnosable as BPD and can function well in a job or relationship. Here is data on that:

    Click to access Zanarini10-yearCourseofBPD-10-23-12.pdf

    As for the article you cited, how can this research be valid and meaningful when neither BPD nor biplar are valid, reliable categories?

    I encourage you to check out an alternative viewpoint on the validity of psychiatric diagnosis, such as this:

    Perhaps yes, “people with BPD” will tend to have increasing/psychiatric problems when they are not given good treatment. But people are not inert vessels who are “acted on” by their illnesses. They can get help and change the course of their lives. Isn’t that what your site is about?

    So, it is not as inevitable as this overly medical conception of people’s problems make it sounds.
    People are unique individuals, and if a group of “borderlines” received good, intensive, long-term interpersonal intervention (e.g. long-term psychotherapy), then the outcome would likely be quite different, i.e. they would live much longer and be much healthier. I wrote about this kind of improvement due to external intervention here –

    I recommend you to think a little more carefully next time you cite an article from the medical-industrial complex of psychiatry. Such viewpoints as the one you described do not promote hope and optimism, which are sorely needed for people labeled with these illusory conditions.


    1. I am aware that some people with BPD may improve even without treatment but many just get worse. I was just getting worse and worse until I got the proper help in the form of DBT. I know that it doesn’t work for everyone but for many people, including me, it does.

      I try to publish comments that differ from my own, as long as I don’t feel like I am being attacked. I hope your comment wasn’t meant in that way. I am trying to let people without BPD know what it can be like for us with BPD or in recovery so that they may have a little more compassion for us, and not just think of us as “manipulative” or “attention-seeking” etc.

      I will check out the video you suggested shortly. Right now, I need to take care of myself.


      1. It was not meant as a criticism of you personally – I don’t even know you – but was meant firstly to be critical of the article in the link, and secondly it was meant to question the posting of this article on a blog which is focused around reducing stigma for BPD. If you reread the article, it starts with, “People with borderline personality disorder (BPD) tend to suffer similar deterioration of their psychiatric and physical health as those with bipolar disorder”… and it goes on from there, listing more negative traits and consequences relating to “the disorder”, with no information about treatment or hopeful outcomes. In my opinion, articles like this, which imply a deteriorating course for “borderlines” and don’t give any agency or empowerment to the “sufferer”, get internalized by people labeled with BPD as just more stigmatizing/pessimistic (mis)information. The tone of the writing makes it sound as if they have some “disease” which will “tend” to make “deterioration” likely. This is inappropriate, pathologizing language for human emotional problems, again in my opinion. That is why I was surprised to find it on your blog, given its title about reducing stigma. Of course, I don’t know you, so do not know what other reasons you might have for posting it, and maybe I should have asked you about that. But I think it is good to be careful about the type of language used in the articles we link to and what effect they will have on people, i.e. consider the source. In this case, the source is the medical model/reductionistic disease-focused view of BPD that is arguably increasing stigma for people labeled with this unfortunate word. I did react strongly to the article, and that it because I felt that the language in this type of article tends to increase stigma/pessimism.
        If you look at the long-term follow-up study by Zanarini that I linked, the majority of people labeled with BPD do improve rather than get worse, with or without treatment, over the very long term. And as you rightly stated, with good treatment, many people labeled with BPD can do very well.


  2. The point that I was trying to make by posting this article is that Bipolar Disorder gets all of the awareness and funding, while BPD can be just as bad but desperately needs more awareness and funding. “BPD lives in the shadow of bipolar disorder,” Very true!



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