How do I tell a therapist I think I have BPD?

Schedule an Assessment
Let the therapist know that you are interested in an assessment and treatment. Describe some of your symptoms. You can even mention that you think you may have BPD. Take the opportunity to ask some initial questions.
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How do therapists know if you have BPD?

Personality disorders, including borderline personality disorder, are diagnosed based on a: Detailed interview with your doctor or mental health provider. Psychological evaluation that may include completing questionnaires.
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What do I do if I suspect I have BPD?

See your GP if you're concerned that you have borderline personality disorder (BPD). They may ask about your symptoms and how they're affecting your quality of life.
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Why won't my therapist diagnose my BPD?

Key points. Mental health providers can be reluctant to diagnose BPD and other personality disorders due to diagnosis criteria, insurance, and stigma. Not diagnosing BPD, where appropriate, can adversely affect treatment. Traits of BPD can be communicated without formally diagnosing the full personality disorder.
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How do I prove I have BPD?

There is no definitive test to diagnose borderline personality disorder (BPD). It is diagnosed through a clinical interview with a licensed mental health professional, explains Simon A.
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How to Seek Help If You Think You Have BPD



Is it OK to self diagnose BPD?

Can I self-diagnose BPD? No. Only a healthcare or mental health professional can accurately diagnose a mental health condition.
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Is a BPD diagnosis hard to get?

Borderline personality disorder (BPD) can be hard to diagnose because the symptoms of this disorder overlap with many other conditions, such as bipolar disorder, depression, anxiety, and even eating disorders.
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Why therapists fear borderlines?

Additionally, relationship instability is a feature of BPD, and clinicians may be wary of patients with whom establishing a therapeutic bond could be difficult. They may also hold the mistaken belief that treatment is ineffective for BPD patients.
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What is commonly misdiagnosed as BPD?

One of the most common misdiagnoses for BPD is bipolar disorder. Both conditions have episodes of mood instability.
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How do I explain my BPD?

Give Specific Information About the Disorder

A pattern of unstable and intense relationships, often marked by alternating between idealization and devaluation. An unstable self-image or sense of self. Impulsivity in activities that are potentially self-damaging (like reckless driving or binge eating)
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Do I have BPD or am I just sensitive?

The big difference is that people with BPD tend to be willing to express themselves in any and all environments regardless of who is present. Whereas people with HSP tend to be more withdrawn in front of others and reserve their mood swings for a few safe people.
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At what age is BPD usually diagnosed?

According to the DSM-5, BPD can be diagnosed as early as at 12 years old if symptoms persist for at least one year. However, most diagnoses are made during late adolescence or early adulthood.
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What are the traits of BPD in females?

You may have severe mood swings over a short space of time. It's common for people with BPD to feel suicidal with despair, and then feel reasonably positive a few hours later.
...
Emotional instability
  • rage.
  • sorrow.
  • shame.
  • panic.
  • terror.
  • long-term feelings of emptiness and loneliness.
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Why won t my therapist tell me my diagnosis?

In some situations, therapists won't provide a diagnosis because they don't think it's essential to the recovery process. Many professionals believe that labels can cause clients to concentrate on the wrong aspects of their mental health condition.
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How do you rule out BPD?

A licensed mental health professional—such as a psychiatrist, psychologist, or clinical social worker—who is experienced in diagnosing and treating mental disorders can diagnose borderline personality disorder based on a thorough interview and a discussion about symptoms.
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Is BPD just cPTSD?

cPTSD is more chronic than BPD and often requires long-term treatment. cPTSD can be disabling if left untreated. cPTSD has often been misdiagnosed as BPD. cPTSD and BPD have some symptoms in common, but cPTSD is more complex than BPD.
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What is BPD splitting?

Splitting is a psychological mechanism which allows the person to tolerate difficult and overwhelming emotions by seeing someone as either good or bad, idealised or devalued. This makes it easier to manage the emotions that they are feeling, which on the surface seem to be contradictory.
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What does mild BPD look like?

Wide mood swings lasting from a few hours to a few days, which can include intense happiness, irritability, shame or anxiety. Ongoing feelings of emptiness. Inappropriate, intense anger, such as frequently losing your temper, being sarcastic or bitter, or having physical fights.
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What to look for in a therapist for BPD?

How do you find a BPD therapist?
  • Intensively trained in Dialectical Behavior Therapy (search here), and/or certified by the DBT-Linehan Board of Certification.
  • Part of a comprehensive DBT program (learn more)
  • Part of a DBT consultation team.
  • Dedicated to evidence based treatment.
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What is BPD sense of self?

Borderline personality disorder is associated with emotional instability, impulsive behavior, and dichotomous thinking. All of these factors can make it difficult to form a coherent sense of self, because internal experiences and outward actions are not consistent.
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What are borderline clients like?

BPD clients are so desperate for attachment that their fierce need can draw a therapist in. At the same time, many BPD clients have learned not to trust those very attachments they demand and crave. Thus, therapists can find themselves caught in their BPD clients' conflicting desires.
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What is the hardest mental disorder to treat?

Personality disorders are some of the most difficult disorders to treat in psychiatry. This is mainly because people with personality disorders don't think their behavior is problematic, so they don't often seek treatment.
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What is the average length of a BPD relationship?

Results found in a 2014 study found the average length of a BPD relationship between those who either married or living together as partners was 7.3 years. However, there are cases where couples can stay together for 20+ years.
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Is there a physical test for BPD?

There are no imaging tests or lab tests that can determine if a person has BPD. A doctor may begin the screening process by performing a complete medical history and physical examination. Bloodwork, X-rays and other tests may be ordered to rule out physical causes of symptoms such as mood swings and erratic behavior.
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Why do borderlines test you?

If you have a partner with BPD, they test because the beginning of the relationship is over, and now that you're not fawning over them every second, they're very afraid of losing you. They may be biting just to see how long you stay.
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