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Borderline Personality Disorder and Addiction

As many as one in five American adults deal with a mental illness each year. If not you, then someone you know has probably faced some type of mental health concern. Borderline personality disorder (BPD) is a diagnosis that has been largely misunderstood and can be especially difficult for both individuals and families to experience. Furthermore, when borderline personality disorder and addiction are co-occurring, treatment becomes all the more challenging. 

Do you need to know more about a borderline personality disorder treatment program? Call us today at 269.280.4673. 

What Is Borderline Personality Disorder? 

People who have borderline personality disorder may act impulsively, have extreme mood swings and an intense fear of abandonment. Their self-image and the way they view those close to them often changes, which makes relationships challenging. Without treatment, people with this condition may even harm themselves, threaten or attempt suicide and sometimes complete suicide. 

People who struggle with BPD may use drugs or alcohol to medicate the difficult emotions associated with their condition. While only 2.7% of the US population has BPD, as many as 78% of that population go on to be diagnosed with a substance use disorder in combination with BPD. 

Unfortunately, the co-occurrence of BPD and an addiction can make recovery more challenging. People with BPD often get discouraged with traditional addiction treatment, and may be more likely to give up, get sidetracked with conflicts or relapse. For these reasons, quality treatment programs that treat both disorders at the same time are absolutely imperative, and may be life-saving. 

What Symptoms Should I Look For? 

If you suspect that you or someone you love might have borderline personality disorder, you need to be on the lookout for these symptoms: 

  • Intense fears of abandonment that lead to distress and acting out, in an irrational attempt to avoid intense emotional pain, often followed by embarrassment about those moments later on 
  • Relationships with big ups and downs, in which your colleagues, friends or partners are highly valued one moment and regarded as bad in another moment 
  • An unstable sense of self, not feeling sure who you really are 
  • Impulsive or potentially destructive behavior that may or may not include self-harm 
  • Suicidal threats and gestures or self-mutilating behavior 
  • Difficulty regulating intense emotions 
  • Fleeting moments or days of feeling emotionally numb, paranoid or dissociative 

A key experience that many people with BPD describe is that constantly experiencing such big emotions feels overwhelming, exhausting and sometimes embarrassing. Borderline personality disorder may also follow trauma experiences. For these reasons, it’s a good idea to seek treatment sooner rather than later. 

Borderline Personality Disorder and Addiction — A Challenging Combination 

It’s very tempting to want to avoid such difficult and strong emotions, and that may be why, as stated before, up to 78% of BPD-diagnosed patients also struggle with substance use at some point in their lives. A borderline personality disorder and alcohol use is challenging to treat, as is a borderline personality disorder and drug use. 

Substance use may mask difficult emotions for a little while, but it can also lead to regrets and a cycle of feeling abandoned, traumatized or in greater pain than before. Substance use disorders like alcoholism and drug addiction may cause some brief physical release, or they may serve as a way to self-harm. Either way, the long-term effects of substance use eventually take a toll on physical, emotional and financial health if left untreated. 

Substance use can also make symptoms of BPD appear worse than they would be without the addition of toxins. Alcohol abuse is a very good example of this. If acting impulsively is already a concern, adding alcohol can fuel the fire. Alcohol lowers inhibitions, can increase feelings of dissociation or numbness and can increase impulsivity. Many people who struggle with BPD experience crises or engage in devastating levels of self-harm when under the influence. Substance use and BPD do not mix well together. 

Not all addictions are addictions to drugs or alcohol. Process addictions are psychological addictions to behaviors or non-addictive substances. Some common process addictions that may co-occur with (and ultimately worsen) BPD include gambling addiction, shopping addiction, eating or food addiction, sex addiction and even shoplifting addiction. 

Treatment for Borderline Personality Disorder and Addiction 

You may feel hopeless about your future, and you may question your ability to feel better. However, there is hope. Borderline personality disorder is treatable, and people who deal with it go on to live much happier lives when they have the right treatment. Dialectical Behavior Therapy is one treatment modality that has changed thousands of lives. 

If you struggle with both a mental health concern and an addiction, you need specialty recovery treatment for co-occurring disorders. These specialty programs work to treat two or more things at once: the addiction and the borderline personality disorder symptoms. By treating all issues under the same roof, you stand a better chance of feeling better faster and remaining healthy longer. 

Remember that recovery from both borderline personality disorder and addiction isn’t a smooth path. You may have periods where you feel great, only to experience a setback in your progress. This doesn’t mean that you’ve failed—it just means you need further help or extra support. 

Seek Help Today 

Skywood Recovery offers specialized treatment for co-occurring disorders that is led by licensed mental health providers and physicians. The staff at Skywood works to resolve past traumas and build better futures for all patients. Skywood offers individualized care for each person. Therefore, your treatment plan is unique and catered to your needs. To learn more, call us today at 269.280.4673.