Borderline personality disorder has historically been difficult to treat. That may be because we've thought of it as just one thing, while new research argues that the reality is more complex, writes GrantHBrennerMD
Those in the Non-Labile group have different environmental influences, with lower rates of childhood trauma. They may benefit from a focus on reducing impulsive actions through building. Awareness of this smaller, less stereotypical subset is important as the treatment approach may be very different.
With relatively low abandonment-avoidant behaviors, like excessive texting, acting"needy," and being unable to tolerate rejection or being apart, people in this class may have learned instead to shut down when threatened by separation, a form of"" that predisposes to certain forms of trauma and depression.
2. This group is the most similar in many ways to classic clinical ideas of BPD, and most matches media depictions. Loving hard, getting stuck in “bad relationships”, raging and suffering the consequences, often with limited capacity not only to self-regulate and make better choices, but also limited ability to reflect on one’s own contributions without feeling blames, rather than being able to step back and use feedback for growth.
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