Treatment Strategies for Borderline Personality Disorder

[@kennymac8949]

The fact that I have identified what’s wrong with me is even more hopeless now that I could not possibly find or even seek such help knowing now that there is no cure.after watching this I am more alone than ever.I wouldn’t take my own life for it would hurt my children too much.but I just wish I would be out of this pain of terrifying introverted loneliness

[@KidsWithGuns1992]

Honestly, all of us with BPD who are still trying and pushing on are unbelievably brave and strong. The feeling of hopelessness and giving up visits us every day, the deep sickening depression, the frantic stress, and disorienting dissociation - all sometimes for seemingly no discernible reason, or as a result of something YOU KNOW is “silly” but you can’t control your emotional reaction. If other people experience what I do, every day just as I do, but they still get up and try, try, try to beat this fucking beast….. man, all of you are incredible human beings. Imagine not having BPD and how EASY life would be, I feel like I would breeze through anything. If “normal” stress is even half of what I experience, man neurotypical people have it so easy. And yeah sorry to sound passive aggressive, but I’m having a real bad day of an ongoing BPD episode of severe depression/stress. I guess I’d just give anything to not have to fight every day, but unfortunately this is the card I’ve been dealt. I’ll just have to keep trudging on till my legs give out.

[@gonzalot517]

A fellow comment section for all our lost souls. Alone, together. May God bless you

[@TheChosenFeather]

It is difficult to treat due to the inherent cognitive structuring. It is difficult for 'the therapist' due to those intensities Your insight with structuring these modalities is beyond brilliant. I hope other clinicians will seek your wisdom.

[@xSnowyOwlx]

Cognitive behavioural therapy helps as it helps you to reform your distorted thinking patterns but if you have bdp and complex trauma like me you will still suffers from fits of rage and emptiness been in therapy 5 yrs! Love your channel Dr grande ❤ 👏

[@ComplacencyAmongUs]

I am currently undergoing Dynamic Deconstructive Psychotherapy for BPD. So far as I can tell, it checks all the boxes mentioned in the study you discuss.

[@ameliel8792]

I think it's so important that the therapist understands about splitting and the way they become what I think is referred to as a 'bad object' like the abusive parent in the BPD's childhood. I had a retraumatising experience as a BPD in that I thought I was establishing a trusting relationship and the therapist knew what they were doing but he made me feel all the more ashamed and misunderstood as I don't think he had worked with BPD. There is a danger that traditional talk thetapy can do more harm than good even when the therapist is well intentioned because I think the treatment of deep trauma, attachment trauma developmental trauma which are linked to BPD is really quite different and needs to be carefully worked with. Dr Grande what do you think of IFS for trauma and BPD and just as a modality? And Somatic Experiencing? Both of these seem to address the actual deep trauma that we have experienced as BPDs. Maybe you could do a review on them but I guess they are new trauma therapies so not much research on them yet?

[@johnharrisjr2808]

I found it interesting that when exploring ruptures in the therapeutic alliance that proper timing, sensitivity, & empathy must be used.

[@malkaringel7864]

6 weeks of therapy during 62 years, has not helped my bpd. I am totally alone in this world.

[@hankscorpiouk]

Try 6 months or 6 years.

[@TheTeresiah]

You are not alone,I do not have bpd,but I have learnt a lot about it and I would love to be there for anyone who needs a friend ..I will not abandon you 🤗

[@randyflannigon3452]

I to have bpd and I'm so alone

[@amalsabba117]

@@andrecolombia09hi dear I have bpd and I feel so lonely and no one loves me.. I feel I'm losing myself and everything around me ..

[@rayo3117]

I have BPD and I feel exactly the same as you. I am so sorry... I don't wish this anyone. Just know that you are not alone in this pain. But it is true that only we can figth it on our own and that feels impossible since I don't even have the energy to get out of bed anymore

[@lynetterobinson4308]

Thank you for sharing. You are so very helpful. Lynette Gamino.😌

[@Drift_787]

Great video thank you, facts that lie in between the lines rite here

[@Victoria-vy7pq]

Thank you.. Smart & precise.. ☺

[@allyouneedtoknowanonymous7558]

i'll save your time and data so you don't waste it like i did. "no single treatment works effectively in any modality" in other words. they haven't clue how to treat it.

[@s.mendoza5705]

Thank u

[@GothBiDemiGirl]

That isn't true. Heard of therapist and KZbinr Katie mourten? (I'm bad at spelling. Sorry) She has said that after 10 years of therapy, around half of people no longer have it! People shouldn't fear treatment or avoid it. It can be really helpful.

[@AA-zq1sx]

Actually DBT has been proven to work on BPD, far better than any other treatment which is why insurance will cover DBT treatment for suicidal patients, etc, and not psychodynamic therapy or other methods that failed in clinical trials to show strong results. This video is incorrect saying all treatments are the same for BPD, they aren't - and DBT was specifically designed for the worst of the worst BPD patients (and now expanded into many other disorders because of it's effectiveness.) Perhaps a video update is in order?

[@jcsmith7898]

Todd, can you talk about dealing with a family member who seems to have borderline personality disorder and when you no longer care to interact with them.

[@malkaringel7864]

Jane Smith. People run the other way bcz I have bpd. Just slowly stop contact with that person, that's my suggestion

[@hankscorpiouk]

Restraining order.

[@andreasleonlandgren3092]

Malka Ringel well said just being abonadoned hurts us deeply its the very basis of our instability and our most persistenent fear

[@GothBiDemiGirl]

@nxenci some people are pushed away solely due to the stigmatism.

[@4cornersgalsst415]

Thank you for this information. One of my parents has BPD and has failed in multiple therapy opportunities. You've helped me understand one potential reason - i.e, inherent problems in the therapeutic relationship.

[@andyisalwaysanxious8599]

I've never been suicidal... but lately the intrusive thoughts have been heavier. This bpd shit is no joke...one day at a time 🤘✌️

[@ivengrowe4783]

Inability to manage behavior, function normally, feeling and emotions all over the place, inappropriate anger, absence from reality and so on is a tall order for any therapist. The ray of hope is that BPD gets better with aging. The biggest fact to me is that the therapist must be intentional when using strategies to treat it.

[@chloebyerly4889]

I’m not sure how a psychiatric professional that has been around in the last 5-10 years and feels that they have enough knowledge on BPD to make a video on treatment strategies thinks that their is no specific talk therapy that benefits people with BPD more than another. TONS of studies have shown that DBT therapy is the best for BPD. It was basically created for BPD.

[@technogeek1]

Dr Grande. I love watching your very informative videos. This might be a silly question. Is this similar to Bipolar Disorder?

[@RavenMadd9]

thank you Doc

[@marybachmann]

Yeah, we don't often think about the poor therapists. Those cluster B problems must be very difficult to deal with, compared to the other clusters.

[@kyrareneeLOA]

I agree with the therapeutic alliance... disagree that there is not one practice that works better, the "mindfulness practice"... seems to really work. and it has the greatest success to that ... mindfulness cultivates emotional awareness. Meditation does too. My mother is classic BPD,... I am not , nror will be her therapist, always have healthy boundaries in place.

[@thelostone1728]

I have bpd , it's one of 5 mental disorder I have ,but this creates the greatest nuisance and really most problematic , I am in pain everyday.......😑 , I am 19y

[@nenadcubric2663]

The BPD the Tornado in your Mind

[@bert.hbuysse5569]

Thanks Doc!

[@alexandrepeight1491]

essentially, theres no help or hope for us.

[@lovorka3321]

Dear doctor, I have problems, my ex boyfriend had this and now I have it. I also have post aborion PTSP because of him . My parent that I live with is really not helping me, she is judging me for my laziness. While im on Moditen and I sleep a lot because of pills, I want to pluck my eyes off because I can't handle her hate

[@lifewithzargoonkhan5306]

Thank you sir from 🇵🇰

[@Dariuz001]

Could you explain the difference between intrusive thoughts, paranoia and OCD?

[@iliketoyeetityeetit9382]

I dont know the first one but paranoia could be suspecting other people for doing scetch things shit talkin you and those types of things. Paranoia could also be like feeling that someone is watching or following you. Ocd is more like a obsession of must having things in perfect order. So if someone with ocd had 3 different citchen knives meat knife (largest) vegetable knife (middle) and a small knife, they could not resist not putting the knives from smallest to largest and perfectly aligned. If you didnt understand sometjing you can tell me. I hope this helps

[@coneymoney5190]

Please could you talk about self defeating personality disorder

[@GLstyle1]

not a smart approach

[@hankscorpiouk]

With BPD are there inherent physical differences in brain structure?

[@parissminor6725]

No its a personality disorder !

[@karenedonald]

Yes

[@somethingsomethingsomethin8366]

There's some correlation with the left side of the amygdala. This makes some patients respond differently to pain, physically and mentally.

[@Geraldwalowitz23]

these videos always seem so heartless, as if people with this are bad or no good

[@rayo3117]

I feel the same. One thing (of many) I will never understand is how can people be so cold and/or aggressive towards someone who is sick. Noone wants to be sick. Noone wants to have BPD. It happens to me on a regular basis that if I cry, I will get yelled at eventhough I am not trying to offend with my crying, what can I do when tears roll down my face and my chest starts hurting? But people threat you as if you are a bad person... it is a very, very sad world...

[@suttonmychubb1571]

What if you're poor and can't afford therapy? Are poor people just kind of fucked per say or is there anything they can do?

[@randyflannigon3452]

How do I find someone to help

[@Luckimee]

Hello Dr. Thank you for such informative content. I would love to know what you think about gang stalking. 🤔

[@nenadcubric2663]

Does anybody here with BPD has a very big problem with Anxiety, Panic, Tension mostly between People??

[@reedoburrito7456]

I think I have bpd. Im alone and its all my fault.

[@kennymac8949]

You and I both

[@The_coming_storm]

Jesus loves you and will never forsake you. I find prayer helps

[@keithleeuwen877]

interesting

[@ryancox5097]

My BPD makes me wanna poop. Is that normal?