If you have borderline personality disorder (BPD), you may find it difficult to find a standard treatment plan. The treatment plan for many patients with BPD will be personalized, because few of these people have only one disease. Most people affected by BPD have other diseases called comorbidities. Studies have shown that physical and mental comorbidities are more common in patients with borderline personality disorder.
What are comorbidities?
Comorbidity refers to the simultaneous presence of two or more diseases or conditions in the same person. Some of the most common comorbidities that occur with BPD are depression, anxiety, and post-traumatic stress disorder.People who suffer from both BPD and depression will be referred to as “comorbid depression and BPD”.
Although by definition, coexisting diseases must exist at the same time, it is also possible that one disease or disease occurs before the other. For example, someone may develop PTSD in childhood and then BPD in adolescence. Or, both situations may happen at the same time, but one may end, while the other will continue or worsen.
As long as the symptoms of these two diseases overlap in time, they are considered to be comorbid.
Why is there a problem with comorbidities
Comorbidities can cause problems, especially if you have BPD. Other diseases, such as depression or anxiety, are easier to recognize and easier to get regular treatment. Many people are not correctly diagnosed with BPD because other diseases “hide” the symptoms of BPD. This means that the symptoms of personality disorder have not been treated and checked.
Although depression and anxiety can be treated with drugs, the US Food and Drug Administration (FDA) has not yet approved drugs for the treatment of BPD. However, there are several different drugs that are commonly used “off the label” (not approved by the FDA) to treat BPD symptoms.
If BPD is not recognized, your disease may not be diagnosed and treated for months or even years, making you feel worse and endangering your health.
Regardless of the comorbidities, BPD needs to be addressed as a unique and unique disease. Although other diseases can be treated and managed with medication, BPD usually requires a more in-depth approach. Many forms of psychotherapy have shown significant positive effects in clinical research, especially dialectical behavior therapy.
Treatment is an important part of managing BPD. Find a therapist who understands comorbidities and specializes in BPD, and develops an effective treatment plan for you. In some cases of comorbidities, you may need multiple doctors and therapists to deal with all aspects of BPD and other diseases. In this case, it is important that all your healthcare providers know about other aspects of your treatment. If there are any changes to your treatment plan or medication regimen, make sure everyone in your medical team knows about it.
Clear communication between all healthcare providers can prevent misunderstandings or confusion that could interrupt your recovery. Keeping communication between all parties open will ensure that your treatment moves forward appropriately.
Although comorbidities can make BPD more difficult to diagnose and manage, understanding other diseases and how they affect BPD is critical to developing an effective treatment plan.
If you are not sure whether you have other diseases or think you are at risk of developing comorbidities, please consult your doctor or therapist for evaluation.