CONTENT for Borderline Personality Disorder Treatment | We Level Up Washington
By Editorial Team | Editor Rebecca Hill
Clinically Reviewed by Lauren Barry, LMFT, MCAP, QS
Medically Reviewed by Dr. Chris Small
Reviewed / Updated: November 6, 2025
Living with borderline personality disorder treatment can be very hard because it touches one’s emotions, relationships, and self-image. This is why people with BPD usually feel very strong mood swings and fear of being left alone. Every day feels like too much. Such trials lead them to feel isolated, anxious, and depressed, indicating that they really need help. They need innovative treatment and personalized approaches at We Level Up Washington. We will help them manage symptoms, build healthier relationships, and maintain stability. With support, your loved one can handle the complexities of BPD and move closer to a more fulfilling life.
By We Level Up Editorial Team | Edited By Yamilla Francese | Medically Reviewed By Dr. Chris Small

What is Borderline Personality Disorder?
Borderline personality disorder (BPD) is a mental health disorder characterized by intense emotional instability, impulsive behaviors, and difficulties in interpersonal relationships. Individuals with BPD often experience extreme mood swings, have a fragile sense of self, and struggle with regulating their emotions. They may exhibit impulsive behaviors such as self-harm, substance abuse, reckless driving, or excessive spending.
Relationships with others may be tumultuous, marked by fear of abandonment, idealization, and devaluation. BPD can cause significant distress and impairment in various areas of life, including work, relationships, and overall well-being. It is a complex disorder that often requires comprehensive treatment approaches to manage symptoms and promote recovery.
What Are the Symptoms?
Borderline personality disorder (BPD) is characterized by a wide range of symptoms that significantly impact an individual’s emotional well-being, interpersonal relationships, and overall functioning. Here are some common borderline personality disorder symptoms:
- Emotional instability: People with BPD often experience intense and rapidly shifting emotions. They may have difficulty regulating their emotions, leading to frequent and intense mood swings, such as feeling intensely happy one moment and then becoming extremely angry or depressed shortly after.
- Fear of abandonment: Individuals with BPD often intensely fear being abandoned or rejected by others. This fear can lead to frantic efforts to avoid real or imagined abandonment, such as clinging to relationships or exhibiting impulsive behaviors.
- Unstable self-image: BPD can cause individuals to have an unstable sense of self, leading to feelings of emptiness, identity confusion, and a lack of clear goals or values. They may struggle with self-worth and tend to define themselves based on the opinions of others.
- Impulsive behaviors: People with BPD may engage in impulsive behaviors, such as substance abuse, reckless driving, binge eating, or self-harming behaviors like cutting or suicidal gestures. These behaviors are often used to cope with intense emotions or gain a sense of control.
- Unstable and intense relationships: Individuals with BPD often have difficulties maintaining stable and healthy relationships. They may tend to idealize others initially, only to devalue them later and push them away. This pattern of intense, stormy relationships can cause significant distress and disruption in their lives.
- Chronic feelings of emptiness: People with BPD may experience a persistent sense of emptiness or feel disconnected from themselves and others. This can contribute to feelings of loneliness, boredom, and a search for external sources of validation or fulfillment.
- Self-destructive behaviors: BPD is associated with self-destructive behaviors, including self-harm, suicidal thoughts, or suicide attempts. These behaviors often result from intense emotional pain and ineffective coping mechanisms.
It’s important to remember that everyone with BPD may experience these symptoms to varying degrees, and each individual’s experience is unique. If you or someone you know is experiencing these symptoms, explore the mental health services Spokane Valley WA residents rely on. Seek our professional help for an accurate diagnosis and appropriate treatment.

BPD Treatment Options
Several different treatment approaches are available at our We Level Up, one of the borderline personality disorder treatment centers Washington locals rely on. These approaches aim to alleviate symptoms, improve emotional regulation, and enhance overall functioning. Here are some of the commonly used treatments:
- Dialectical behavior therapy (DBT): DBT is one of the most widely recognized and researched treatments for BPD. It combines individual therapy, group skills training, phone coaching, and therapist consultation to help individuals develop skills in emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness.
- Schema therapy: Schema therapy focuses on identifying and modifying deeply ingrained patterns or schemas that contribute to BPD symptoms. It helps individuals explore and challenge maladaptive beliefs about themselves and others while fostering healthier coping strategies and improving interpersonal relationships.
- Mentalization-based treatment (MBT): MBT focuses on enhancing the individual’s ability to understand their own thoughts, emotions, and motivations, as well as those of others. It aims to improve mentalizing abilities essential for managing relationships and regulating emotions effectively.
- Transference-focused psychotherapy (TFP): TFP emphasizes the exploration of the individual’s feelings and thoughts within the therapeutic relationship. The focus is on understanding and resolving relationship conflicts to improve overall functioning and reduce BPD symptoms.
- Cognitive-behavioral therapy (CBT): CBT for BPD helps individuals identify and challenge negative thoughts and behaviors, develop healthier coping strategies, and improve problem-solving skills. It often includes elements of emotion regulation and interpersonal skills training.
- Medication: While medication does not directly treat BPD, it can help manage associated symptoms such as depression, anxiety, or impulsivity. Antidepressants, mood stabilizers, and antipsychotic medications may sometimes be prescribed, but they are typically used with therapy.
It’s important to note that treatment for BPD is often most effective when it combines multiple approaches and is tailored to the individual’s specific needs. A comprehensive treatment plan may involve a combination of therapy, medication, and support from a multidisciplinary team to address the various aspects of BPD symptoms and promote long-term recovery.
Learn more about our treatment options. Contact our mental health center Washington trusts. Get a free consultation.
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Specialized BPD Topics
There are some special cases of BPD, such as splitting BPD and BPD in females. We need to take the differences into account for personalized treatment. This will ensure we give the right care.
Splitting BPD
Dialectical behavior therapy (DBT) and schema therapy can help people with BPD recognize and address splitting tendencies. But first, what is splitting BPD? It is a cognitive and emotional pattern characterized by the tendency to perceive people, situations, or oneself in extremes—good or all bad—with little room for middle ground or nuance. When splitting, individuals may idealize someone, viewing them as perfect, flawless, or the source of all happiness and validation. This idealization can quickly shift to devaluation, where the same person is perceived as entirely negative, flawed, or the cause of all problems and distress. The shift can occur abruptly without reason, leading to volatile and unstable relationships.
Splitting can lead to intense emotional reactions, impulsive behaviors, and difficulty maintaining stable and healthy connections with others. It often arises from a fear of abandonment, a fragile sense of self, and difficulties integrating conflicting emotions or experiences.
BPD in Females
Borderline Personality Disorder (BPD) symptoms are generally similar for males and females. However, it’s important to note that individual experiences may vary. Common symptoms of BPD in females may include intense emotional instability, fear of abandonment, self-destructive behaviors, identity disturbances, chronic feelings of emptiness, difficulties in interpersonal relationships, and impulsivity.

Borderline Personality Disorder Statistics
How prevalent is borderline personality disorder? Data from the National Center for Biotechnology Information shows us that:
- BPD affects 1.4% of adult Americans
- BPD affects 20% of patients in inpatient psychiatric facilities
Also, women make up about 75% of those with BPD diagnoses.
Popular FAQs about Borderline Personality Disorder
What Is BPD? BPD disorder stands for Borderline Personality Disorder. It is a mental health condition characterized by intense emotional instability, impulsive behaviors, and difficulties in interpersonal relationships. Individuals with BPD often experience rapid mood swings, have a fragile sense of self, and struggle with regulating their emotions. The term “borderline” originated from early beliefs that the disorder bordered on psychosis, but it is now understood as a distinct personality disorder.
Can a borderline personality disorder test (BPD Test) diagnose You? There is no specific test that can diagnose Borderline Personality Disorder. A qualified mental health professional, such as a psychiatrist or psychologist, typically makes a diagnosis based on a thorough evaluation of symptoms and clinical assessment. To make an accurate diagnosis, the professional will consider various criteria outlined in diagnostic manuals, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
How is BPD different from other personality disorders? Borderline Personality Disorder (BPD) is distinct from other personality disorders due to its hallmark features, including intense emotional instability, a profound fear of abandonment, and unstable relationships that swing between idealization and devaluation. People with BPD often engage in impulsive behaviors, experience chronic feelings of emptiness, and struggle with a distorted self-image. Additionally, they may have intense anger and transient stress-related paranoia or dissociation. These unique characteristics require specialized treatment approaches tailored to address the emotional and interpersonal challenges specific to BPD.
Can BPD be cured? Borderline Personality Disorder (BPD) is not typically described as being “cured” in the traditional sense, but it is highly treatable. A significant majority of people with BPD have dramatic amelioration of their symptoms and are able to live satisfying lives with adequate treatment. Psychotherapy, most notably Dialectical Behavioral Therapy (DBT), assists individuals in learning to manage their emotions, regulate their affective state, and develop healthier relationships. With treatment, most people with BPD feel better over time and can learn to cope more effectively with their emotions, symptoms, and struggles. It’s also crucial that BPD be seen as something manageable rather than a life sentence, with a focus on recovery and improvement.
How can I support a loved one with BPD? The first step in helping a loved one with borderline personality disorder is to educate oneself on the disorder in order to fully grasp what they are going through. Steps include encouraging them to get borderline personality disorder treatment. Be patient, open to listening without judgment, and validating their feelings. It is important to establish healthy boundaries in order to protect your well-being and foster a balanced relationship. Stay calm during emotional outbursts and encourage engagement in well-being-promoting activities. Lastly, make sure to take care of your own mental and physical health so you can be a supportive presence.
Is medication necessary for treating BPD? Medications in the management of borderline personality disorder should never be the first line of treatment, but some symptoms may require them. Therapy is usually the most effective line of treatment with BPD, often dialectical behavior therapy. Medications can be prescribed to target issues such as depression, anxiety, and mood swings. Antidepressants, mood stabilizers, or antipsychotic medications help stabilize mood and reduce symptoms but most often are components of a more all-encompassing plan for the treatment of the disorder.

Personalized Treatment for BPD Will Help Your Loved One Get Better
Personalized and multidisciplinary treatment is necessary for effective borderline personality disorder treatment. Combining therapy, such as dialectical behavior therapy (DBT), with medication when needed, provides a comprehensive approach to addressing the emotional and behavioral challenges of BPD. We will help your loved one develop coping skills, improve relationships, and achieve a more stable and fulfilling life. Help them end the emotional pain and get their life back. Schedule a free consultation or call our hotline at (509) 348-4077.
Sources:
- https://www.ncbi.nlm.nih.gov/
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