Dialectical Behavior Therapy: Dialectical Dilemmas and BPD

The lives of people with Borderline Personality Disorder (BPD) can appear contradictory and chaotic. They are frequently highly emotional and have difficulty regulating the expression of their emotions, which leads them to feel out-of-control. However, they often don’t trust their emotional responses and have high, unattainable expectations for themselves. At one moment, they may be desperate for help and want to give up, while at others they are seemingly skilled and capable. Often, people with BPD experience constant stress with immediate and extreme emotional reactions, but they hold back the expression of grief and sadness.

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