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    Borderline personality disorder patients often recover

    Borderline personality disorder patients often recover
    Los Angeles Times
    ​By Shari Roan
    April 6, 2011

    Borderline personality disorder usually goes away over time, but patients can be left with lingering "scars" that continue to hold them back in life, according to a major study on the disorder published Monday.

    Borderline personality disorder is a severe condition marked by chronic difficulties with mood and emotional control, relationships and self-image. Therapists often dislike treating such patients because they seem to defy treatment at times. "[A] firmly entrenched pessimism about the prognosis of patients with BPD has persisted," noted the authors of a new study, published in the Archives of General Psychiatry.

    However, the study, a 10-year project conducted by some of the leading experts in borderline personality disorder in the United States, yielded some surprising findings.

    Researchers studied 111 patients with borderline personality disorder, 114 with obsessive-compulsive personality disorder and 62 with major depression for more than 10 years. All the patients had sought treatment for their problems. The study found 85% of the people with BPD experienced remission and only 12% of those patients relapsed. The relapse rate was lower than for either major depression or other personality disorders.


    "What is evident appears clinically counterintuitive: Patients with BPD improve symptomatically more often, more quickly and more dramatically than expected and, once better, maintain improvements more enduring than for many other major psychiatric disorders," wrote the authors, led by Dr. John Gunderson of McLean Hospital and Harvard University.

    However, many of the patients with BPD still had more dysfunction compared with people who had obsessive-compulsive personality disorder or major depression -- perhaps the result of having an illness that impeded development at some point in their lives. People with BPD, for example, were less likely to have full-time employment.

    Treatments for BPD have improved as has the training of therapists in working with these patients. But future therapies should be devoted to helping people with BPD address functional impairment as they recover from their symptoms, the authors wrote.


    Related: Finally, hope for those with borderline personality disorder






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    Re: Borderline personality disorder patients often recover

    Thanks for posting this. I am having a very borderline day. I just keep saying to myself "the tools the tools!" to keep me focused. We do get better, but we do have moments...

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    Re: Borderline personality disorder patients often recover

    Linehan and Jung as Wounded Healers: Two Dialectically Different Approaches to Dealing With Inner Demons

    ...While variable, BPD's typical course tends...to wane with age, especially in those patients availing themselves of psychotherapy. (And not just DBT.) According to DSM-IV-TR, " During their 30s and 40s, the majority of individuals with this disorder attain greater stability in their relationships and vocational functioning. Follow-up studies of individuals identified through outpatient mental health clinics indicate that after about 10 years, as many as half of the individuals no longer have a pattern of behavior that meets full criteria for Borderline Personality Disorder." This may explain at least part of what happened in Linehan's case: time and maturation. But, as Dr. Linehan herself admits, she still, to this day, struggles with her demons at times. Thankfully, she got to the point in her life where she was no longer so destructively driven or possessed by her inner demons, learning to cohabitate with them creatively. Or as Jung might put it, she, like all of us, may still have her demons (complexes), but they no longer have her. At least, not most of the time...

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    Re: Borderline personality disorder patients often recover




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