- Fear of Abandonment: This core symptom can lead to difficulty trusting therapists or maintaining consistent therapeutic relationships.
- Emotional Intensity: Rapid mood swings and intense emotional reactions can make it difficult to regulate behavior or stay grounded during therapy.
- Unstable Relationships: Difficulty with interpersonal boundaries may affect how individuals interact with peers and providers in treatment settings.
- Co-occurring Disorders: BPD often overlaps with conditions like depression, anxiety, PTSD, and substance use, which can complicate diagnosis and treatment planning.
- Impulsivity and Self-Harm: Urges to self-injure or act impulsively can interfere with progress and increase the need for crisis management.
- Stigma and Misdiagnosis: BPD is often misunderstood, especially in women, leading to mislabeling or inadequate care in non-specialized settings.
- Need for Structured, Long-Term Support: Effective treatment requires a high level of consistency, skill, and time, which not all programs are equipped to provide.