From a psychological perspective eating disorders, substance misuse and complex PTSD, are all common co-morbid disorders associated with BPD
I strongly disagree with the BPD diagnosis, working as a mental health professional, I believe it’s a very stigmatising diagnosis. The diagnosis allows psychiatrists, CPNS etc to harmfully “gatekeep” patients presenting in crisis by using bullshit terms like “positive risk taking” “it’s behavioural” and “manipulative/attention seeking”. By slapping a personality disorder diagnosis, on anyone deemed as too complex, it provides a cop out to keep admissions down
How are we still telling trauma survivors in 2020 or victims of abuse they’re the issue? Maladaptive coping strategies are a result of complex trauma, not personality! This victim blaming bullshit is exactly the same, as when Egyptian doctors cited “wandering wombs” the reason for mental illness, or when Freud used the harmful hysteria diagnosis.
The DSM listed autism as “childhood schizophrenia” until 1968 so I’m sceptical about its credibility, DSM also listed homosexuality as mental illness until 1973. Diagnosis can be helpful as it provides an explanation for behaviour. I prefer a formulation based plan. I don’t believe BPD is “trauma informed care”. I think emotional dysregulation is linked to complex trauma, Marsha Linehan has provided excellent therapeutic interventions, such as DBT skills.
The criteria for BPD is so broad it could easily apply to any female presenting in distress, clinicians can twist presenting symptoms, to easily apply this label to a patient, without realising the long term implications it will have, as it’s often a barrier to receiving appropriate follow up care.
Impulsivity, mood swings, self harm, feeling empty, anger there’s 5/9 of the criteria that any human could easily meet under distress. People forget self harm isn’t only associated with self injury.