You'll probably receive a diagnosis after your BPD assessment. If your therapist needs more information before making a diagnosis, they may refer you to a specialist or your primary care doctor for further assessment.
Your therapist might desire a second opinion for any number of reasons, such as:. It's more likely, however, that you'll receive a diagnosis at the end of your BPD assessment.
Your therapist will also explain more about the problems your symptoms are causing and recommend treatment options. Your therapist may provide some or all of your treatment depending on their qualifications.
If necessary, they may refer you for part of your therapy to another mental health professional with special expertise or the ability to prescribe medication if they cannot. It is often challenging to accurately diagnose BPD. An experienced mental health professional can help determine whether your symptoms indicate BPD or another mood disorder.
Most importantly, they can recommend treatment that can help you manage your symptoms and improve your quality of life. Learn the best ways to manage stress and negativity in your life. Biskin RS, Paris J. Diagnosing borderline personality disorder. Your Privacy Rights. To change or withdraw your consent choices for VerywellMind.
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There is no test for BPD. It can only be diagnosed by a mental health professional after talking to the person and getting to know them. The diagnosis of BPD can be made if a person has several of the signs or features. There are many combinations of these features, so people with a diagnosis of BPD can seem very different from one another.
If someone has signs of BPD, their doctor or psychologist will carefully ask questions about their life, experiences and symptoms before making the diagnosis. It could take more than one session to be sure of the diagnosis, because some of the symptoms of BPD are similar to the symptoms of other mental health conditions. Psychological treatments talking therapies are the best way to treat BPD.
These treatments usually involve talking with a health professional one-to-one, or sometimes attending special groups. More about treatment of borderline personality disorder. With treatment, most people with BPD recover from their symptoms for at least some of the time. Many people achieve a good social life and work life. Some people still have some problems with work and social life, even though their symptoms have improved.
BPD is a pattern of behaviour and symptoms that can be recognised by trained, experienced health professionals. They are diagnosed in different ways and have different treatments. Knowing they have BPD can also help someone understand their experiences. Most people with BPD are relieved to learn that they have a recognised mental health condition. In the past, some doctors believed it was unhelpful to tell someone they had BPD and kept the diagnosis a secret.
They usually did this because they thought this would protect their patients from negative attitudes in the community and within the mental health system.
We now expect honest, accurate information from our health-care system. People can develop BPD even if they have not experienced child abuse or other childhood trauma. Health professionals should not assume that everyone with BPD has experienced such trauma. A person with borderline personality disorder may experience episodes of anger, depression, and anxiety that may last from a few hours to days. Recognizable symptoms typically show up during adolescence teenage years or early adulthood, but early symptoms of the illness can occur during childhood.
People with borderline personality disorder may experience mood swings and may display uncertainty about how they see themselves and their role in the world. As a result, their interests and values can change quickly. People with borderline personality disorder also tend to view things in extremes, such as all good or all bad. Their opinions of other people can also change quickly. An individual who is seen as a friend one day may be considered an enemy or traitor the next.
These shifting feelings can lead to intense and unstable relationships. Not everyone with borderline personality disorder experiences every symptom. Some individuals experience only a few symptoms, while others have many. Symptoms can be triggered by seemingly ordinary events; for example, people with borderline personality disorder may become angry and distressed over minor separations — due to business trips or changes in plans — from people to whom they feel close.
The severity and frequency of symptoms and how long they last will vary depending on the individual and their particular illness. Likewise, there may be people without these risk factors who will develop borderline personality disorder in their lifetime.
A licensed mental health professional—such as a psychiatrist, psychologist, or clinical social worker—experienced in diagnosing and treating mental disorders can diagnose borderline personality disorder, based on a thorough interview and a discussion about symptoms. A careful and thorough medical exam can also help rule out other possible causes of symptoms.
The mental health professional may ask about symptoms and personal and family medical histories, including any history of mental illness. This information can help determine the best treatment. Borderline personality disorder often occurs with other mental illnesses. These co-occurring disorders can make it harder to diagnose and treat borderline personality disorder, especially if symptoms of other illnesses overlap with the symptoms of borderline personality disorder.
For example, a person with borderline personality disorder may be more likely to also experience symptoms of major depression, bipolar disorder, anxiety disorders, substance abuse, or eating disorders. Borderline personality disorder has historically been viewed as difficult to treat. But with newer, evidence-based treatment, many people with borderline personality disorder experience fewer and less severe symptoms, improved functioning, and an improved quality of life.
It is important for patients with borderline personality disorder to receive evidence-based, specialized treatment from an appropriately-trained mental health professional. Other types of treatment, or treatment provided by a provider who is not appropriately trained, may not benefit the patient. Many factors affect the length of time it takes for symptoms to improve once treatment begins, so it is important for people with borderline personality disorder and their loved ones to be patient and to receive appropriate support during treatment.
Borderline personality disorder is also associated with a significantly higher rate of self-harm and suicidal behavior than the general population. Borderline personality disorder is associated with higher rates of suicide and self-harming behaviors. Psychotherapy, 45 , 15— Hayes, A. Introduction to mediation, moderation, and conditional process analysis 2nd ed. New York: Guilford Press. Google Scholar. Janis, I. Possible selves and borderline personality disorder.
Journal of Clinical Psychology, 62 , — Javaras, K. Functional outcomes in community-based adults with borderline personality disorder. Journal of Psychiatric Research, 89 , — Korn, C. Processing of information about future life events in borderline personality disorder. Psychiatry Research, , — Kramer, U. Change in emotional and theory of mind processing in borderline personality disorder: A pilot study. Journal of Nervous and Mental Disease, , — Kroenke, K. The PHQ-8 as a measure of current depression in the general population.
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