Is Borderline Personality Disorder a Misunderstood Diagnosis?



A borderline personality disorder is a mental health condition that can cause intense mood swings, unstable relationships, and difficulty controlling emotions. People with BPD often experience feelings of emptiness, fear of abandonment, and impulsive behaviors. However, a growing movement argues that the diagnosis may be doing more harm than good.

Is BPD Stigmatized Against Certain Groups?

Critics say BPD is disproportionately applied to women, trauma survivors, and LGBTQIA+ individuals. They argue that the diagnosis reinforces stigma and prejudice rather than offering a clear path to treatment (Aves, 2023).

A Broken System? How BPD Can Affect Treatment

People with BPD often face an uphill battle when seeking mental health care.  The stereotype of BPD as a sign of someone who is "attention-seeking" or "manipulative" can lead to discrimination from mental health professionals.  This can make it challenging to get the treatment needed, including hospitalization during a suicidal crisis.

The Myth of Dependency: Why People with BPD Might Be Denied Care

Aves (2023) gives us some reasons why this may happen:

  1. One justification for withholding care is the belief that people with BPD are more likely to become dependent on treatment. 
  2. However, critics argue this is a misconception. 
  3. They point out that dependence on care can be temporary and doesn't necessarily lead to worse outcomes.  In fact, some say that supportive care can be crucial for recovery.

The Human Cost of Misdiagnosis

The limitations placed on treatment for BPD can have tragic consequences. Studies show a higher risk of suicide among people with BPD, especially after short hospital stays. Critics argue that the mental health system is failing these vulnerable individuals.

What Can Be Done?

The call to action is clear: mental health care for BPD needs an overhaul.  More research is required to understand the condition and develop effective treatments.  Additionally, mental health professionals need to be better trained to recognize and address the stigma surrounding BPD. (aves, 2023) 


 References

  • Aves, W. (2023). Dispelling myths and challenging neglect in ‘borderline personality disorder’ healthcare: a lived-experience perspective. Journal of Psychosocial Studies, 16(2), 179-192. Retrieved Jul 7, 2024, from https://doi.org/10.1332/147867323X16881441383633

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