However, as many as 75% of people with BPD attempt suicide at some point in their life so even threats need to be taken seriously.īungert M, Liebke L, Thome J, Haeussler K, Bohus M, Lis S. This can lead to their loved ones taking their suicidal ideations less seriously. Never ignore self-harming behaviors or threats: Many people with BPD may threaten to harm themselves several times without acting on it.Just knowing that they have validation can provide relief to someone with BPD during an episode. Listen and validate: You don’t have to agree with how a person with BPD sees a situation to listen attentively and validate that they are not wrong to feel what they’re feeling.People with BPD who have strong support systems see a greater improvement in their symptoms than those without any support. To support their decision, you can voice how proud you are of them or offer to accompany them to their appointments. Support them when they reach out for help: While you can’t force someone to seek professional help, you can be patient with them and support them when they finally do.It’s important to learn about the disorder so that you can better understand what is motivating their behavior. Educate yourself about the disorder and all that it entails: People with BPD often engage in mean-spirited behaviors, but that is their illness taking over.Systems training for emotional predictability and problem-solving (STEPPS): STEPPS is a psycho-educational, group-based treatment that teaches people with BPD more about their disorder and the skills needed to manage their feelings and change unhealthy behaviors.Transference-focused psychotherapy: For people with BPD, this type of therapy is centered around building and exploring aspects of a relationship with a therapist to change how relationships are experienced.Schema-focused therapy: This form of therapy helps to identify unhelpful patterns that a person may have developed as a child and replace them with healthier ones.Mentalization-based treatment: Mentalization-based therapy works by helping a person with BPD develop an increased capacity to imagine the thoughts and feelings in their mind and the minds of others to improve interpersonal interactions.Dialectical behavior therapy: Dialectical behavior therapy is a type of cognitive behavioral therapy that uses mindfulness, acceptance, and emotion-regulation strategies to change negative thinking patterns and make positive behavioral changes.
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