Identifying what causes borderline personality disorder (BPD) is as difficult as understanding the creation of the personality itself. In this podcast episode, our expert describes BPD as instability in four key areas: interpersonal relationships, emotions, behavior, and cognition/sense of self. The treatment complexities of this disorder can be intimidating for clinicians.
We’ll explore a variety of questions about BPD, such as whether a certain psychiatric history make someone more vulnerable to this disorder. Are issues with attachment at a young age to blame? What is the relationship, if any, to trauma?
As director of the Gunderson Personality Disorders Institute
at McLean Hospital, psychiatrist and psychotherapist Dr. Choi-Kain is an expert in one of the best known treatments for BPD, dialectical behavioral therapy. She works internationally to expand teaching efforts on BPD and its evidence-based treatments, developing resources for training clinicians seeking direction and for patients in need of informed care. With her mentor, John Gunderson, Dr. Choi-Kain developed a training program for general psychiatric management for BPD
and has been expanding on its applications.
Describing the challenges of working with these patients on emotional regulation, Dr. Choi-Kain said, “The steps forward are necessarily messy for everyone involved, but the right treatment provides a clearer understanding of why the patient reacts the way they do and what it does to the people around them.”