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Use of medication and DBT, CBT, and some other modalities have proven helpful.Borderlines need structure, and a combination of knowing that they’re cared about and firm boundaries communicated calmly. Studies have shown that some people recover on their own, some improve with weekly therapy, and some require hospitalization.People who have a first-degree relative with BPD are five times more likely to develop BPD themselves.Research has shown brain changes in the ability to regulate emotions. Unlike narcissists, who often avoid therapy, borderlines usually welcome it; however, before recent treatment innovations, its effectiveness had been questioned.
Giving in to them and giving them control does not make them feel more safe, but the opposite. BPD affects women more than men and about two percent of the U. They may use alcohol, food, or drugs or other addiction to try to self-medicate their pain, but it only exacerbates it.
The person with BPD may appear to be the underdog in the relationship, while his or her partner is the steady, needless and caretaking top dog. A codependent who also yearns for love and fears abandonment can become the perfect caretaker for someone with BPD (whom they sense won’t leave).
In fact, both are codependent and it’s hard for either of them to leave. The codependent is easily seduced and carried away by romance and the person with BPD’s extreme openness and vulnerability.
Long-term treatment is required for maximum results, with symptom relief increasingly improving.
A 10-year study showed substantial remission after 10 years.