The constant fear of getting abandoned by people you love seems like a powerful worry, right? In the world of psychiatry, the people who suffer from this condition are known to have borderline personality disorder. 

Borderline personality disorder (BPD) is a mental health disorder characterized by emotional dysregulation influencing an individual’s emotional well-being. To manage the symptoms for people struggling with BPD, clinical trials are being conducted by clinical research organizations, in search for potential treatment options. 

Let’s dive into the details of what borderline personality disorder is, identifying key symptoms, it’s causes, diagnosis strategies, and shedding light on how it is a struggle to balance emotions with BPD. 

What is Borderline Personality Disorder? 

Borderline personality disorder is a mental health challenge that makes it hard for people to control their emotions. This can cause them to do things without thinking, have trouble understanding themselves, and face challenges in relationships. People with BPD often feel very scared of being left alone and can find it tough to handle their anger and changing moods. Even though they want to be close to others, their impulsive actions and mood swings can make it difficult to keep relationships steady. 

The Key Symptoms of Borderline Personality Disorder 

  • Intense and unpredictable episodes of rage, anxiety, and sadness. 
  • Overwhelming fear of abandonment. 
  • Frequently shifting between idealizing one person and devaluing others thus creating uncertainty and difficulty in relationships. 
  • Possessing an unstable self-identity and changing personalities based on the situation.  
  • Impulsive actions, such as reckless driving, fighting, and unsafe activities. 
  • Experiencing suicidal thoughts and engaging in self-harming actions due to rejection abandonment or disappointment. 
  • Undergoing episodes of paranoia or dissociation. 
  • Experiencing hallucinations or delusions. 

Balancing Emotions 

Balancing emotions is the ability to understand, accept, and manage your emotions, as well as to express them appropriately. Emotion balancing skills can help you deal with stressful situations, maintain positive relationships, and achieve your goals. However, for people with BPD, balancing emotions can be a challenge. 

Factors that contribute to emotion dysregulation in BPD 

  • Emotional, physical, or sexual abuse, coupled with parental neglect during childhood.  
  • Unstable family environments. 
  • Environments where there is lack of emotional support. 
  • Individuals having a family history of this disorder are at an elevated risk of developing it. 
  • Chemical imbalances in the brain, particularly in those that regulate mood and emotions. 
  • Changes in specific areas in the brain that are responsible for impulse control and emotional regulation. 

Diagnosis of Borderline Personality Disorder 

Personality development is something that continues to occur during the stages of childhood and adolescence. As a result, healthcare practitioners typically refrain from diagnosing borderline personality disorder (BPD) before the age of 18. In exceptional cases, an individual under 18 may receive a BPD diagnosis if their symptoms are severe and last for at least a year. 

Diagnosing personality disorders, including BPD, can be challenging due to a lack of self-awareness among affected individuals, making it difficult for them to recognize their disruptive behavior and thought patterns. 

Individuals do seek professional help when they have anxiety or depression, due to different issues such as failed relationships or divorce, rather than the disorder itself. 

Licensed mental health professionals, including psychiatrists, psychologists, or clinical social workers, rely on the diagnostic criteria outlined in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders to diagnose BPD. To receive a diagnosis, a person must meet five or more of the following criteria:   

  • Desperate attempts to avoid abandonment. 
  • Engage in unstable relationships by idealizing one person and devaluing them afterwards. 
  • Identity disruption characterized by unstable self-image. 
  • Demonstrating impulsive behaviors such as substance abuse, or reckless driving. 
  • Manifesting suicidal behavior and thoughts along with engaging in self-mutilation. 
  • Experiencing heightened mood reactivity, including intense episodic dysphoria, irritability, or anxiety. 
  • Regularly experiencing a profound sense of emptiness. 
  • Displaying anger that is inappropriate, intense, or challenging to control. 
  • Stress-related paranoid thoughts or severe dissociative symptoms. 

How to Balance Emotions with Borderline Personality Disorder? 

Balancing emotions with borderline personality disorder (BPD) can be challenging, but there are strategies that individuals with BPD can explore with the guidance of mental health professionals. Some general strategies are: 


  • Dialectical Behavior Therapy  
  • Cognitive Behavior Therapy 
  • Cognitive Analytic Therapy 
  • Mentalization Based Therapy 


  • Antidepressants 
  • Antipsychotics 
  • Mood stabilizers 


  • Mindfulness and Meditation: So that individuals become more aware of their emotions without being overwhelmed by them.  
  • Journaling: To keep track of emotions, triggers, and coping strategies. 
  • Emotion Regulation Techniques: Learning and practicing techniques to regulate emotions, such as recognizing and challenging negative thoughts. 
  • Establishing Routine: To help manage emotional fluctuations. 
  • Building a Support System: A reliable support system can provide emotional support during challenging times. 
  • Self-Care Practices: Doing exercise, getting adequate sleep, and healthy eating, can positively impact emotional well-being. 
  • Developing Tolerance Skills: These skills help in distressing situations without resorting to impulsive behaviors. 
  • Challenge your thoughts: Changing the way you think about yourself, others, and the world can help you reduce negative emotions and increase positive ones. 
  • Express your emotions: Finding healthy and constructive ways to express your emotions can help you release them and prevent them from building up. 

Clinical Trials for Borderline Personality Disorder 

Clinical research organizations like Revive Research Institute are actively contributing to this progress by conducting clinical trials focused on BPD. These trials explore innovative therapies and interventions to enhance our understanding of the disorder and improve treatment outcomes. Participation in these trials not only contributes to the collective knowledge about BPD but also offers individuals the opportunity to access cutting-edge treatments and navigate the complexities of borderline personality disorder. 


In summary, borderline personality disorder is a complex mental health condition marked by intense emotions, unstable relationships, and a distorted self-image. Balancing your emotions with BPD can be a struggle, but it is not impossible. By learning and applying emotion regulation skills, you can improve your well-being, your relationships, and your quality of life. Remember that you are not alone, and that you deserve to be happy and healthy. The journey to emotional balance involves ongoing self-discovery and the cultivation of coping mechanisms. With proper treatment and support, those with BPD can strive towards equilibrium and lead fulfilling lives.