Borderline Personality Disorder

What is Borderline Personality Disorder?

Borderline Personality Disorder (BPD) is a mental health condition marked by instability in moods, self-image, relationships, and behavior. These intense shifts can affect daily functioning, work, and personal relationships.

According to the National Institute of Mental Health, BPD often begins in early adulthood and can improve over time with appropriate treatment and support. Many with BPD also experience depression.

Common Symptoms of BPD

Symptoms can vary, but often include:

• Intense and unstable relationships
• Rapid changes in self-identity or self-image
• Impulsive and risky behaviors
• Self-harm or suicidal thoughts
• Intense mood swings
• Chronic feelings of emptiness
• Difficulty controlling anger
• Feeling disconnected or “numb” under stress

Causes and Risk Factors

The exact cause of BPD is unknown. Contributing factors may include:

• Genetic predisposition
• Brain structure and function differences
• History of trauma, abuse, or neglect
• Environmental and social factors

Some people with BPD struggle with substance use disorders.

How BPD is Diagnosed

A licensed mental health professional conducts a comprehensive evaluation, including:

• Clinical interviews
• Symptom history
• Medical and personal background

Diagnosis is made based on criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Treatment and Management Options

Mental Wellness Center does not provide diagnosis or treatment for BPD. Local mental health providers may offer:

• Dialectical Behavior Therapy (DBT) – A therapy designed specifically for BPD, focusing
  on emotional regulation, distress tolerance, mindfulness, and interpersonal
  effectiveness
• Other therapies – Schema-focused therapy, Cognitive Behavioral Therapy (CBT), or
  mentalization-based therapy
• Medication – Prescribed by a qualified clinician to address specific symptoms or co-
  occurring conditions
• Peer and family support – Group programs for skill-building and mutual
  encouragement

BPD Resources in Santa Barbara

We connect individuals and families to:

• Licensed therapists and psychiatrists experienced in treating BPD
• DBT and skills-training groups
• Peer and family support networks
• Crisis services and community mental health programs

Explore our mental health services directory to find local mental health specialists.

How Mental Wellness Center Can Help

• Offer referrals to local providers and support groups
• Facilitate community programs to promote understanding and reduce stigma

Learn more about Mental Wellness Center’s mission to promote mental health for all.

We’re here for you.

Contact us to learn more or make an appointment. We may refer you to an educational group, a support group or one of our external partners.

To learn more about a specific mental health disorder,
go to: www.nami.org/About-Mental-Illness.

CALL (805) 884-8440  Se habla Español

EMAIL  info@mentalwellnesscenter.org

VISIT US 617 Garden Street, Santa Barbara, CA 93101

Frequently Asked Questions

Q: Can people with BPD get better?
Yes. Many people experience symptom improvement and increased stability with evidence-based treatment and support.

Q: Is BPD the same as bipolar disorder?
No. While both involve mood changes, bipolar disorder is defined by distinct episodes of mania/hypomania and depression, whereas BPD involves pervasive instability in mood, self-image, and relationships.

Q: What is the most effective treatment for BPD?
Dialectical Behavior Therapy (DBT) is widely considered the most effective, though other therapies can help.

Q: Can BPD be diagnosed in teenagers?
Yes, but diagnosis in adolescents is made carefully, considering developmental changes.

Q: Does Mental Wellness Center treat BPD?
No. We provide education and connect individuals with local providers and support services.

Q: Where can I find help for BPD in Santa Barbara?
Visit our Find Help directory, Support Groups page, or contact us for referrals to local providers.