BPD Diaries: Stories and Science

What if your emotional pain was invisible , even to the people closest to you?In this episode, we explore Quiet BPD: the presentation of Borderline Personality Disorder where the storm rages entirely on the inside. No outbursts. No visible chaos. Just a carefully maintained exterior while everything underneath is burning.We cover what Quiet BPD actually is (and what the research says), why it's so often misdiagnosed as depression, anxiety, or even autism, and what daily life looks like for people who've learned to turn their pain inward rather than outward.If you've ever felt like you were performing "fine" while privately falling apart, this episode was made for you.Topics covered: internalizing vs. externalizing BPD, shame & self-blame, misdiagnosis, treatment options including DBT & IFS, advice for loved onesYour struggle is valid , whether it's loud or quiet.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT, Schema Therapy, and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes: Book:⁠The Complete Guide to Quiet BPD by Paul Fabunni Meredith⁠Centres for Health and Healing Ontario. (2025). Living with Quiet BPD: Signs, Triggers, and Coping Strategies. Retrieved from: https://cfhh.ca/blog/living-with-quiet-bpd-signs-triggers-coping-strategies/Higgins, H. M. (2025). The Quiet Borderline Personality Disorder: Understanding and Thriving with Internalized EUPD/BPD. Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey Replication. Biological psychiatry, 62(6), 553-564. https://doi.org/10.1016/j.biopsych.2006.09.019 Lo, I. (2021). The struggles of quiet BPD. Retrieved from: https://www.psychologytoday.com/us/blog/living-emotional-intensity/202107/the-struggles-quiet-bpd Millon, T. (2011). Disorders of personality: Introducing a DSM/ICD spectrum from normal to abnormal. John Wiley & Sons.  Stoffers-Winterling, J. M., Storebø, O. J., Kongerslev, M. T., Faltinsen, E., Todorovac, A., Jørgensen, M. S., ... & Simonsen, E. (2022). Psychotherapies for borderline personality disorder: a focused systematic review and meta-analysis. The British Journal of Psychiatry, 221(3), 538-552. doi:10.1192/bjp.2021.204 Wolf, K., Scharoba, J., Noack, R., Keller, A., & Weidner, K. (2023). Subtypes of borderline personality disorder in a day-clinic setting—Clinical and therapeutic differences. Personality Disorders: Theory, Research, and Treatment, 14(5), 555.

Nearly 1 in 3 people with Borderline Personality Disorder (BPD) will also experience an eating disorder at some point in their lives. But this connection goes far deeper than food, weight, or appearance.In this episode, we explore the powerful and often misunderstood relationship between BPD and eating disorders, including anorexia, bulimia, and binge eating disorder.Why do these conditions so often occur together? What role do emotion dysregulation, impulsivity, identity disturbance, and chronic emptiness play in disordered eating? And what does current research say about the most effective ways to support recovery?🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT, Schema Therapy, and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Cassioli, E., Rossi, E., D'Anna, G., Martelli, M., Hazzard, V. M., Crosby, R. D., ... & Castellini, G. (2022). A 1‐year follow‐up study of the longitudinal interplay between emotion dysregulation and childhood trauma in the treatment of anorexia nervosa. International Journal of Eating Disorders, 55(1), 98-107. https://doi.org/10.1002/eat.23647 Chen, E. Y., Brown, M. Z., Harned, M. S., & Linehan, M. M. (2009). A comparison of borderline personality disorder with and without eating disorders. Psychiatry research, 170(1), 86-90. https://doi.org/10.1016/j.psychres.2009.03.006 Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. Guilford Press. Federici, A., & Wisniewski, L. (2013). An intensive DBT program for patients with multidiagnostic eating disorder presentations: A case series analysis. International Journal of Eating Disorders, 46(4), 322-331. https://doi.org/10.1002/eat.22112Digital Object Identifier (DOI) Khosravi, M. (2020). Eating disorders among patients with borderline personality disorder: understanding the prevalence and psychopathology. Journal of Eating Disorders, 8(1), 38. https://doi.org/10.1186/s40337-020-00314-3 Racine, S. E., & Wildes, J. E. (2015). Emotion dysregulation and anorexia nervosa: An exploration of the role of childhood abuse. International Journal of Eating Disorders, 48(1), 55-58.  https://doi.org/10.1002/eat.22364Digital Object Identifier (DOI) Sansone, R. A., & Sansone, L. A. (2010). Borderline personality and eating disorders: A chaotic crossroads. In Treatment of eating disorders (pp. 217-232). Academic Press. https://doi.org/10.1016/B978-0-12-375668-8.10013-0Crisis & Support Resources:National Eating Disorders Association (NEDA) Helpline: 1-800-931-2237Crisis Text Line: Text HOME to 741741

For many people with Borderline Personality Disorder, night isn’t peaceful.It’s when the abandonment dreams start.When shame replays.When the nervous system refuses to power down.Sleep isn’t just rest, it’s emotional regulation, impulse control, and survival.In this episode, we talk about sleep and BPD, from vivid nightmares and insomnia to the emotional hangover that lingers the next day, and how to be better at sleep.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT, Schema Therapy, and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:George, K. C., Kebejian, L., Ruth, L. J., Miller, C. W., & Himelhoch, S. (2016). Meta-analysis of the efficacy and safety of prazosin versus placebo for the treatment of nightmares and sleep disturbances in adults with posttraumatic stress disorder. Journal of Trauma & Dissociation, 17(4), 494-510. https://doi.org/10.1080/15299732.2016.1141150Gieselmann, A., Ait Aoudia, M., Carr, M., Germain, A., Gorzka, R., Holzinger, B., ... & Pietrowsky, R. (2019). Aetiology and treatment of nightmare disorder: State of the art and future perspectives. Journal of sleep research, 28(4), e12820.  https://doi.org/10.1111/jsr.12820Selby, E. A. (2013). Chronic sleep disturbances and borderline personality disorder symptoms. Journal of consulting and clinical psychology, 81(5), 941. van Trigt, S., van der Zweerde, T., van Someren, E. J., van Straten, A., & van Marle, H. J. (2025). A theoretical perspective on the role of sleep in borderline personality disorder: From causative factor to treatment target. Sleep Medicine Reviews, 81, 102089. 10.1016/j.smrv.2025.102089 https://doi.org/10.1037/a0033201Walker, M. (2017). Why we sleep: Unlocking the power of sleep and dreams. Simon and Schuster.Winsper, C., Lereya, S. T., Marwaha, S., Thompson, A., Eyden, J., & Singh, S. P. (2016). The aetiological and psychopathological validity of borderline personality disorder in youth: A systematic review and meta-analysis. Clinical psychology review, 44, 13-24. https://doi.org/10.1016/j.cpr.2015.12.001

What does recovery from Borderline Personality Disorder actually look like?For years, Borderline Personality Disorder was considered chronic and untreatable.And if you've ever searched for "BPD recovery," you've probably seen two extreme narratives: the hopeless one that says you'll never change, and the oversimplified one that says DBT will fix everything overnight. Neither tells the full storyIn this episode, we dive into the messy, non-linear, and deeply human reality of recovery. We explore what the research actually says, and what recovery feels like from the inside.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT, Schema Therapy, and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. American journal of Psychiatry, 166(12), 1355-1364.https://doi.org/10.1176/appi.ajp.2009.0904053Davidson, R. J., & McEwen, B. S. (2012). Social influences on neuroplasticity: stress and interventions to promote well-being. Nature neuroscience, 15(5), 689-695. https://doi.org/10.1038/nn.3093Gunderson, J. G., Stout, R. L., McGlashan, T. H., Shea, M. T., Morey, L. C., Grilo, C. M., ... & Skodol, A. E. (2011). Ten-year course of borderline personality disorder: psychopathology and function from the Collaborative Longitudinal Personality Disorders study. Archives of general psychiatry, 68(8), 827-837. doi:10.1001/archgenpsychiatry.2011.37Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford press.Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., ... & Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of general psychiatry, 63(7), 757-766. doi:10.1001/archpsyc.63.7.757Ng, F. Y., Bourke, M. E., & Grenyer, B. F. (2016). Recovery from borderline personality disorder: A systematic review of the perspectives of consumers, clinicians, family and carers. PloS one, 11(8), e0160515. https://doi.org/10.1371/journal.pone.0160515Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2010). The 10‐year course of psychosocial functioning among patients with borderline personality disorder and axis II comparison subjects. Acta Psychiatrica Scandinavica, 122(2), 103-109. https://doi.org/10.1111/j.1600-0447.2010.01543.x

Have you spent years stabilizing your BPD, only to feel like you're unraveling again in your 40s or 50s? What if it's not your therapy failing, it's your hormones? In a medical blind spot affecting so many, perimenopause and menopause can dramatically amplify BPD symptoms, yet almost no one is talking about it.In this episode, we look into one of the most critical and overlooked intersections in women's mental health: Borderline Personality Disorder through perimenopause and menopause. This isn't about hot flashes, this is about your brain chemistry undergoing its most significant shift since adolescence, colliding with the emotional dysregulation at the heart of BPD.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Barth, C., Villringer, A., & Sacher, J. (2015). Sex hormones affect neurotransmitters and shape the adult female brain during hormonal transition periods. Frontiers in neuroscience, 9, 37. https://doi.org/10.3389/fnins.2015.00037Behrman, S., & Crockett, C. (2024). Severe mental illness and the perimenopause. BJPsych Bulletin, 48(6), 364–370. doi:10.1192/bjb.2023.89Cohen, L. S., Soares, C. N., Vitonis, A. F., Otto, M. W., & Harlow, B. L. (2006). Risk for new onset of depression during the menopausal transition: the Harvard study of moods and cycles. Archives of general psychiatry, 63(4), 385-390. doi:10.1001/archpsyc.63.4.385 Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’s theory. Psychological bulletin, 135(3), 495. https://doi.org/10.1037/a0015616Gordon, J. L., Rubinow, D. R., Eisenlohr-Moul, T. A., Xia, K., Schmidt, P. J., & Girdler, S. S. (2018). Efficacy of transdermal estradiol and micronized progesterone in the prevention of depressive symptoms in the menopause transition: a randomized clinical trial. JAMA psychiatry, 75(2), 149-157.  Gunter, J. (2021). The menopause manifesto: own your health with facts and feminism.  Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford press. Maki, P. M., Kornstein, S. G., Joffe, H., Bromberger, J. T., Freeman, E. W., Athappilly, G., ... & Soares, C. N. (2018). Guidelines for the evaluation and treatment of perimenopausal depression: summary and recommendations. Menopause, 25(10), 1069-1085.DOI: 10.1097/GME.0000000000001174 Toffoletto, S., Lanzenberger, R., Gingnell, M., Sundström-Poromaa, I., & Comasco, E. (2014). Emotional and cognitive functional imaging of estrogen and progesterone effects in the female human brain: a systematic review. Psychoneuroendocrinology, 50, 28-52. https://doi.org/10.1016/j.psyneuen.2014.07.025Resources: The North American Menopause Society (NAMS): www.menopause.org The International Menopause Society: www.imsociety.orgMenopause Mastery: https://mlrb.net/menopause-bpd/

Why does everything feel so much harder the week before your period? For many people with Borderline Personality Disorder, the days before menstruation feel brutal. But this isn’t “just PMS.”If your BPD symptoms seem to sync perfectly with your menstrual cycle, you're not imagining it. This is real, it's biological, and it has a name. In this episode, we explore the often-overlooked connection between BPD, the menstrual cycle, PMS, and Premenstrual Exacerbation (PME). We unpack the science and share personal stories.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Dubey, N., Hoffman, J. F., Schuebel, K., Yuan, Q., Martinez, P. E., Nieman, L. K., ... & Goldman, D. (2017). The ESC/E (Z) complex, an effector of response to ovarian steroids, manifests an intrinsic difference in cells from women with premenstrual dysphoric disorder. Molecular psychiatry, 22(8), 1172-1184. https://doi.org/10.1038/mp.2016.229Eisenlohr-Moul, T. A., Schmalenberger, K. M., Owens, S. A., Peters, J. R., Dawson, D. N., & Girdler, S. S. (2018). Perimenstrual exacerbation of symptoms in borderline personality disorder: evidence from multilevel models and the Carolina Premenstrual Assessment Scoring System. Psychological Medicine, 48(12), 2085-2095. doi:10.1017/S0033291718001253Hantsoo, L., & Epperson, C. N. (2015). Premenstrual dysphoric disorder: epidemiology and treatment. Current psychiatry reports, 17(11), 87. https://doi.org/10.1007/s11920-015-0628-3Linehan, M. M. (2025). DBT skills training manual. Guilford Publications.Marjoribanks, J., Brown, J., O'Brien, P. M. S., & Wyatt, K. (2013). Selective serotonin reuptake inhibitors for premenstrual syndrome. Cochrane Database of Systematic Reviews, (6). https://doi.org/10.1002/14651858.CD001396.pub3Yen, J. Y., Wang, P. W., Su, C. H., Liu, T. L., Long, C. Y., & Ko, C. H. (2018). Estrogen levels, emotion regulation, and emotional symptoms of women with premenstrual dysphoric disorder: The moderating effect of estrogen receptor 1α polymorphism. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 82, 216-223. https://doi.org/10.1016/j.pnpbp.2017.11.013Yonkers, K. A., & White, K. (1992). Premenstrual exacerbation of depression: one process or two?. The Journal of clinical psychiatry, 53(8), 289-292. PMID: 1500406.The International Association for Premenstrual Disorders (IAPMD) : https://www.iapmd.org/pmdd?gad_source=1&gad_campaignid=23263234694&gbraid=0AAAAADiCO_rEBChLKw_ciQ6FWaXXP7Hsk&gclid=Cj0KCQiAm9fLBhCQARIsAJoNOcsYFvNRS7luuwgBOogkT-se_5N3LA8F6xjAFeyhJ4A-nSf-xv-AXBIaAqy0EALw_wcB

Feeling empty, disconnected, or raw? You open Instagram, post something carefully crafted, and for a moment, the likes make you feel seen. Then, the algorithm shifts. An ex appears. A friend's post feels like a dig. Or worse: silence. Your post gets three likes. That piece of yourself vanishes into the digital void.What happens next? The chest tightness. The spiral. The urge to delete everything or post something even more raw to force a connection.If this cycle is your reality, you're not being "too sensitive." You're navigating a world not built for the BPD brain.In this episode, we break down why social media often feels like psychological warfare. We explore:The Digital Dopamine Trap: Why our brains are uniquely wired for this struggle and how platforms become our "interpersonal regulation machines."Research Deep Dives: How a single ignored message can trigger self-harm urges, and why we post/delete/edit in a cycle of emotional survival.The Specific Minefields: The agony of asynchronous texts, the catastrophic impact of ghosting, and the "block/unblock" spiral.Actionable Strategies: How to conduct a "digital symptom audit," engineer your environment, build "analog anchors," and create a crisis plan for online triggers.This isn't about deleting your apps. It’s about understanding the hooks and learning to build a digital life that serves you, not your symptoms. 🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Howard, K. P., & Cheavens, J. S. (2023). Interpersonal emotion regulation in the context of social networks: A focus on borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 14(2), 182.Ooi, J., Michael, J., Lemola, S., Butterfill, S., Siew, C. S., & Walasek, L. (2020). Interpersonal functioning in borderline personality disorder traits: a social media perspective. Scientific reports, 10(1), 1068. https://doi.org/10.1038/s41598-020-58001-xGoreis, A., Chang, D., Klinger, D., Zesch, H. E., Pfeffer, B., Oehlke, S. M., ... & Kothgassner, O. D. (2025). Impact of social media on triggering nonsuicidal self-injury in adolescents: a comparative ambulatory assessment study. Borderline Personality Disorder and Emotion Dysregulation, 12(1), 4. https://doi.org/10.1186/s40479-025-00280-9Hu, A., Yuan, R., Chen, R., & Liu, M. J. (2024). A glamorous but highly stressful job: The role of social media-afforded status in micro-celebrity stress coping. Technological Forecasting and Social Change, 209, 123791. https://doi.org/10.1016/j.techfore.2024.123791The Center for Humane Technology (humanetech.com) for understanding app design.

Work can be a lifeline or a psychological minefield when you live with Borderline Personality Disorder.In this episode, we discuss what it’s really like to navigate career, ambition, burnout, and identity with BPD. We talk about why so many of us become high achievers at constant risk of implosion - overworking to outrun shame, masking emotional pain behind professionalism, and collapsing the moment we’re off the clock.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Comtois, K. A., Kerbrat, A. H., Atkins, D. C., Harned, M. S., & Elwood, L. (2010). Recovery from disability for individuals with borderline personality disorder: a feasibility trial of DBT-ACES. Psychiatric Services, 61(11), 1106-1111. doi: 10.1176/ps.2010.61.11.1106.Skodol, A. E., Gunderson, J. G., McGlashan, T. H., Dyck, I. R., Stout, R. L., Bender, D. S., ... & Oldham, J. M. (2002). Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. American journal of psychiatry, 159(2), 276-283.

Are people with Borderline Personality Disorder (BPD) "antisocial"? In this episode, we dive deep into the complex, often misunderstood relationship between BPD and Antisocial Personality Disorder (ASPD).We go beyond the online stereotypes and fear-mongering to explore the science, the diagnostic lines, and the sobering overlaps. We break down the crucial differences and the emotional experience. We also tackle why these disorders are so frequently confused, the dangerous dynamics of BPD/ASPD relationships, and the painful reality of trauma bonding.This isn't about creating villains or victims. It's about compassion, critical thinking, and understanding the spectrum of human struggle. Whether you're challenging stigma, grappling with a difficult diagnosis, or simply seeking clarity, this episode provides the nuanced conversation this topic desperately needs.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787Buchheim, A., Roth, G., Schiepek, G., Pogarell, O., & Karch, S. (2013). Neurobiology of borderline personality disorder (BPD) and antisocial personality disorder (APD). Swiss Archives of Neurology and Psychiatry, 164(4), 115-122.Chow, R. T. S., Yu, R., Geddes, J. R., & Fazel, S. (2025). Personality disorders, violence and antisocial behaviour: updated systematic review and meta-regression analysis. The British Journal of Psychiatry, 227(1), 481–491. doi:10.1192/bjp.2024.226Chun, S., Harris, A., Carrion, M., Rojas, E., Stark, S., Lejuez, C., Lechner, W. V., & Bornovalova, M. A. (2017). A psychometric investigation of gender differences and common processes across borderline and antisocial personality disorders. Journal of Abnormal Psychology, 126(1), 76–88.Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. The lancet, 364(9432), 453-461.Özel, B., Karakaya, E., Köksal, F. et al. Gender bias of antisocial and borderline personality disorders among psychiatrists. Arch Womens Ment Health 28, 563–571 (2025). https://doi.org/10.1007/s00737-024-01519-0Raine, A. (2018). Antisocial personality as a neurodevelopmental disorder. Annual review of clinical psychology, 14(1), 259-289. https://doi.org/10.1146/annurev-clinpsy-050817-084819Stoffers-Winterling, J. M., Storebø, O. J., Kongerslev, M. T., Faltinsen, E., Todorovac, A., Jørgensen, M. S., ... & Simonsen, E. (2022). Psychotherapies for borderline personality disorder: a focused systematic review and meta-analysis. The British Journal of Psychiatry, 221(3), 538-552. doi:10.1192/bjp.2021.204https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/10/work-offndrs-persnlty-disorder-oct15.pdfhttps://assets.publishing.service.gov.uk/media/619e6dbb8fa8f5037e8ccb2c/6.5151_HMPPS_Working_with_Offenders_with_Personality_Disorder_accessible_version_.pdfhttps://www.ebsco.com/research-starters/law/borderline-personality-disorder-and-crime#research-starter-title

To all the beautiful, complex hearts tuning in:Wherever you are, whatever this day looks like for you, we are so grateful to have you as part of the BPD Diaries family. Your presence, your courage, and your stories mean the world to us. Thank you for allowing us to be a small part of your journey.We’re thinking of you, and we’re sending you so much warmth.From our hearts to yours, Merry Christmas. Be incredibly kind to yourselves today.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com  and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.orgMusic credit:We Wish You a Merry Christmas by Twin Musicom is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ Artist: http://www.twinmusicom.org/

Have you ever been called “too dramatic,” “too emotional,” or “attention-seeking”? These labels are hurtful, oversimplified, and often point to a deeper, misunderstood struggle. In this episode, we explore the complex and often confused relationship between Borderline Personality Disorder (BPD) and Histrionic Personality Disorder (HPD).We go beyond the stereotypes to unpack the science and the stories. What’s the real difference between a core fear of abandonment and a desperate need to be seen? Is "histrionic" just a gendered, modern version of "hysteria"? How can two disorders look so similar on the outside yet feel so different on the inside?🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:DELİGÖZ, A., & KARAAZİZ, M. (2025). A Review of Common Therapeutic Approaches in the Clinical Intervention of Histrionic Personality Disorder. ISPEC International Journal of Social Sciences & Humanities, 9(2), 140–156. https://doi.org/10.5281/zenodo.15773941Hujing, C.L., Yalch, M.M. (2024). Histrionic Personality Disorder. In: Shackelford, T.K. (eds) Encyclopedia of Sexual Psychology and Behavior. Springer, Cham. https://doi.org/10.1007/978-3-031-08956-5_2502-1 Liu, Y., Chen, C., Zhou, Y., Zhang, N., & Liu, S. (2024). Twenty years of research on borderline personality disorder: a scientometric analysis of hotspots, bursts, and research trends. Frontiers in Psychiatry, 15. https://doi.org/10.3389/fpsyt.2024.1361535Novais, F., Araújo, A., & Godinho, P. (2015). Historical roots of histrionic personality disorder. Frontiers in psychology, 6, 1463.https://doi.org/10.3389/fpsyg.2015.01463

"Tis the season to be... triggered? If the "most wonderful time of the year" feels more like an emotional pressure cooker, you are not alone. In this episode, we break down exactly why the holidays are so dysregulating for those with BPD, from attachment activation to sensory overload, and arm you with a practical toolkit to not just survive, but find small moments of peace.You're not alone this Christmas. ❤️🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org

Have you ever wondered, "Do I have BPD or Bipolar Disorder?" You're not alone. This is one of the most common and consequential mix-ups in mental health, leading to years of wrong treatments and unnecessary suffering. In this episode, we're cutting through the confusion.We break down the science and the stories behind Borderline Personality Disorder and Bipolar Disorder, explaining why they look so similar but are fundamentally different.Quick note: we had some technical difficulties while recording, so a few parts of the audio aren’t as clear as usual. Thanks for your patience and understanding 🙏🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Baratta, L.G., Maibach, H. (eds) The Misdiagnosis Casebook in Clinical Medicine. Springer, Cham. https://doi.org/10.1007/978-3-031-28296-6_62 https://eprints.worc.ac.uk/12476/ Paris, J., & Black, D. W. (2015). Borderline personality disorder and bipolar disorder: what is the difference and why does it matter?. The Journal of nervous and mental disease, 203(1), 3-7. DOI: 10.1097/NMD.0000000000000225Parker, G., Bayes, A., McClure, G., del Moral, Y. R. R., & Stevenson, J. (2016). Clinical status of comorbid bipolar disorder and borderline personality disorder. British Journal of Psychiatry, 209(3), 209–215. doi:10.1192/bjp.bp.115.177998Phillips, M. L., & Kupfer, D. J. (2013). Bipolar disorder diagnosis: challenges and future directions. The Lancet, 381(9878), 1663-1671.Ruggero, C. J., Zimmerman, M., Chelminski, I., & Young, D. (2010). Borderline personality disorder and the misdiagnosis of bipolar disorder. Journal of psychiatric research, 44(6), 405-408. https://doi.org/10.1016/j.jpsychires.2009.09.011Skodol, A. E., Gunderson, J. G., Shea, M. T., McGlashan, T. H., Morey, L. C., Sanislow, C. A., ... & Stout, R. L. (2005). The collaborative longitudinal personality disorders study (CLPS): Overview and implications. Journal of personality disorders, 19(5), 487-504. https://doi.org/10.1521/pedi.2005.19.5.487Tickle, E.V. (2022) Borderline personality disorder among individuals with bipolar disorder: Prevalence, correlates, and experiences of the comorbid diagnosis. PhD thesis, University of Worcester. https://www.psychiatrictimes.com/view/borderpolar-patients-borderline-personality-disorder-and-bipolar-disorderZimmerman, M., & Morgan, T. A. (2013). The relationship between borderline personality disorder and bipolar disorder. Dialogues in clinical neuroscience, 15(2), 155-169. https://doi.org/10.31887/DCNS.2013.15.2/mzimmerman Zimmerman, M.D. (2019). Borderpolar: Patients with Borderline Personality Disorder and Bipolar Disorder. Psychiatric Times, [online] 36(12). Available at: https://www.psychiatrictimes.com/view/borderpolar-patients-borderline-personality-disorder-and-bipolar-disorder.https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/clinical-status-of-comorbid-bipolar-disorder-and-borderline-personality-disorder/B338C67D84E514C87949AEA6885E546E

On social media, ‘narcissist’ has become a slur for anyone who hurts us. But what happens when this label gets weaponized against people with Borderline Personality Disorder (BPD), a condition often defined by deep empathy, self-criticism, and a fear of abandonment?In this episode we dive into one of the most painful and misunderstood dynamics: the relationship between BPD and narcissism. We explore how someone can be both a victim of profound psychological abuse and be accused of being the perpetrator.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.).Carnes, P. (2019). The betrayal bond: Breaking free of exploitive relationships. Health Communications IncorporatedCaligor, E., Levy, K. N., & Yeomans, F. E. (2015). Narcissistic personality disorder: Diagnostic and clinical challenges. American Journal of Psychiatry, 172(5), 415-422. https://doi.org/10.1176/appi.ajp.2014.1406072Lis, S., & Bohus, M. (2013). Social interaction in borderline personality disorder. Current psychiatry reports, 15(2), 338. https://doi.org/10.1007/s11920-012-0338-zRonningstam, E. (2016). Pathological narcissism and narcissistic personality disorder: Recent research and clinical implications. Current Behavioral Neuroscience Reports, 3(1), 34-42. https://doi.org/10.1007/s40473-016-0060-y

When we talk about Borderline Personality Disorder, we talk about a checklist. But what happens when that checklist was written with a very specific person in mind? What happens when your culture teaches you to express pain in a way that medicine doesn't recognize?In this episode, we pull back the curtain on how BPD is shaped and perceived across different cultures.Whether you’re a clinician, someone living with BPD, or someone who loves them, this episode will challenge how you think about diagnosis, identity, and emotional suffering.Trigger Warning: This episode mentions sensitive topics. Listener discretion is advised.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Munson, K. A., Janney, C. A., Goodwin, K., & Nagalla, M. (2022). Cultural representations of borderline personality disorder. Frontiers in Sociology, 7, 832497. https://doi.org/10.3389/fsoc.2022.832497Venta, A., et al. (2024). Racial and ethnic differences in borderline personality disorder features in a high-risk sample of justice-involved young adults. Law and Human Behavior. https://doi.org/10.1037/lhb0000557https://www.psychologytoday.com/us/blog/5-types-people-who-can-ruin-your-life/202102/borderline-and-narcissistic-personalityhttps://www.verywellmind.com/narcissistic-personality-disorder-425426https://paloaltou.edu/resources/business-of-practice-blog/cross-cultural-manifestations-of-borderline-personality-disorder

Is it possible to be a good parent when you have Borderline Personality Disorder? Parenthood is hard enough, but what happens when you add Borderline Personality Disorder into the mix?We unpack what the research really says about parenting with BPD, from emotional dysregulation, shame, and attachment challenges, to the incredible empathy, protectiveness, and determination many parents with BPD bring to their families.Trigger Warning: This episode contains a frank discussion of addiction, substance abuse, and other sensitive topics. Listener discretion is advised.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com ⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Barnow, S., Spitzer, C., Grabe, H. J., Kessler, C., & Freyberger, H. J. (2006). Individual characteristics, familial experience, and psychopathology in children of mothers with borderline personality disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 45(8), 965-972. https://doi.org/10.1097/01.chi.0000222790.41853.b9Eyden, J., Winsper, C., Wolke, D., Broome, M. R., & MacCallum, F. (2016). A systematic review of the parenting and outcomes experienced by offspring of mothers with borderline personality pathology: Potential mechanisms and clinical implications. Clinical psychology review, 47, 85-105. https://doi.org/10.1016/j.cpr.2016.04.002Fonagy, P., Luyten, P., & Strathearn, L. (2011). Borderline personality disorder, mentalization, and the neurobiology of attachment. Infant mental health journal, 32(1), 47-69. https://doi.org/10.1002/imhj.20283Kasiviswanathan, K., Lee, J., Rao, S. et al. (2025). Navigating parenthood in people living with borderline personality disorder: a meta-ethnography. bord personal disord emot dysregul 12, 22 https://doi.org/10.1186/s40479-025-00291-6Lumsden, V., Kerr, S., & Feigenbaum, J. (2018). ‘It makes me not worthy to be a father from time to time’: the experiences of fathers with a diagnosis of borderline personality disorder. Journal of Family Studies, 24(2), 109-125.https://doi.org/10.1080/13229400.2015.1108859Newman, L. K., Stevenson, C. S., Bergman, L. R., & Boyce, P. (2007). Borderline personality disorder, mother–infant interaction and parenting perceptions: preliminary findings. Australian & New Zealand Journal of Psychiatry, 41(7), 598-605. https://doi.org/10.1080/00048670701392833Nijssens, L., Luyten, P., & Bales, D. L. (2013). Mentalization-based treatment for parents (MBT-P) with borderline personality disorder and their infants. In Minding the child (pp. 79-97). Routledge. Petfield, L., Startup, H., Droscher, H., & Cartwright-Hatton, S. (2015). Parenting in mothers with borderline personality disorder and impact on child outcomes. BMJ Ment Health, 18(3), 67-75. https://doi.org/10.1136/eb-2015-102163Stepp, S. D., Whalen, D. J., Pilkonis, P. A., Hipwell, A. E., & Levine, M. D. (2012). Children of mothers with borderline personality disorder: identifying parenting behaviors as potential targets for intervention. Personality Disorders: Theory, Research, and Treatment, 3(1), 76. doi:10.1037/a0023081.https://belongingnetwork.com/wp-content/uploads/2024/11/Belonging-Network_Trauma_informed_parenting_guide.pdfhttps://nes.scot.nhs.uk/media/lonfkldb/its-all-about-relationships-trauma-informed-care-and-nes-parenting-sept-2024.pdfhttps://www.oneeducation.co.uk/wp-content/uploads/2024/09/Chapter-2.3-Attachment-and-trauma-aware-approaches.pdf

Your Addiction is a Solution (And That's the Problem)It’s not about partying, it’s about survival. For someone with BPD, substance use isn't the primary problem, it's a maladaptive solution to the problem of unbearable emotional pain. In this episode, we get real about the powerful link between BPD and addiction/substance use. If you've ever felt shame about your substance use, this episode offers a path to radical self-forgiveness and explains the integrated treatments (like DBT-SUD) that can help you build a life worth living, sober.Trigger Warning: This episode contains a frank discussion of addiction, substance abuse, and other sensitive topics. Listener discretion is advised.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Bornovalova, M. A., Lejuez, C. W., Daughters, S. B., Rosenthal, M. Z., & Lynch, T. R. (2005). Impulsivity as a common process across borderline personality and substance use disorders. Clinical psychology review, 25(6), 790-812. https://doi.org/10.1016/j.cpr.2005.05.005Kienast, T., Stoffers, J., Bermpohl, F., & Lieb, K. (2014). Borderline personality disorder and comorbid addiction: epidemiology and treatment. Deutsches Ärzteblatt International, 111(16), 280. doi: 10.3238/arztebl.2014.0280Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. American Journal on Addictions, 8(4), 279-292. https://doi.org/10.1080/105504999305686Mattingley, S., Youssef, G. J., Graeme, L., Sloan, E., Manning, V., & Hall, K. (2024). Negative urgency, distress tolerance, and symptoms of substance use, eating, and borderline personality disorders in treatment‐seeking young people. Journal of Clinical Psychology, 80(2), 261-278.  https://doi.org/10.1002/jclp.23579Nabel, J., Bertele, S., Stapel, B., Scharn, N., & Kahl, K. G. (2025). Unseen dualities: underdiagnosis of substance use disorders in borderline personality disorder. Frontiers in Psychiatry, 16, 1539611. https://doi.org/10.3389/fpsyt.2025.1539611Trull, T. J., Freeman, L. K., Vebares, T. J., Choate, A. M., Helle, A. C., & Wycoff, A. M. (2018). Borderline personality disorder and substance use disorders: an updated review. Borderline personality disorder and emotion dysregulation, 5(1), 15. https://doi.org/10.1186/s40479-018-0093-9Zanarini, M. C., Frankenbur, F. R., Weingeroff, J. L., Reich, D. B., Fitzmaurice, G. M., & Weiss, R. D. (2011). The course of substance use disorders in patients with borderline personality disorder and Axis II comparison subjects: A 10‐year follow‐up study. Addiction, 106(2), 342-348. https://doi.org/10.1111/j.1360-

Psychedelics are being hailed as the next revolution in mental health. Psilocybin for depression, MDMA for PTSD, ayahuasca with DMT for trauma. But where does that leave people with Borderline Personality Disorder?In this episode we explore what the research actually shows, powerful, conflicting lived experiences, the potential risks for people with BPD, and the deep questions around ego, identity, and healing. Trigger Warning: This episode contains frank discussion of psychedelics, mental health treatment, and sensitive topics. Listener discretion is advised.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at ⁠⁠⁠⁠⁠bpddiariespodcast@gmail.com⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Brittain, N., Higgins, N., Barber, M. et al. Ethical Issues and Recommendations in Psychedelic Research and Practice: A Scoping Review. Bioethical Inquiry (2025). ⁠⁠https://doi.org/10.1007/s11673-025-10454-3⁠⁠Carhart-Harris, R. L., Erritzoe, D., Williams, T., Stone, J. M., Reed, L. J., Colasanti, A., ... & Nutt, D. J. (2012). Neural correlates of the psychedelic state as determined by fMRI studies with psilocybin. Proceedings of the National Academy of Sciences, 109(6), 2138-2143. ⁠⁠https://doi.org/10.1073/pnas.1119598109⁠⁠Gordon, A. R., Carrithers, B. M., Pagni, B. A., Kettner, H., Marrocu, A., Nayak, S., ... & Zeifman, R. J. (2024). The effect of psychedelics on individuals with a personality disorder: results from two prospective cohort studies. https://doi.org/10.21203/rs.3.rs-4203641/v2Martire, G., Sipple, D., Baron, D., Gold, M. S., Lewandowski, K. U., Dennen, C. A., ... & Blum, K. (2024). Theorizing that Psychedelic Assisted Therapy May Play a Role in the Treatment of Trauma-Induced Personality Disorders. Journal of addiction psychiatry, 8(2), 161.Mitchell, J. M., Bogenschutz, M., Lilienstein, A., Harrison, C., Kleiman, S., Parker-Guilbert, K., ... & Doblin, R. (2021). MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study. Nature medicine, 27(6), 1025-1033. https://doi.org/10.1038/s41591-021-01336-3Traynor, J. M., Roberts, D. E., Ross, S., Zeifman, R., & Choi-Kain, L. (2022). MDMA-assisted psychotherapy for borderline personality disorder. Focus, 20(4), 358-367. ⁠⁠https://doi.org/10.1176/appi.focus.20220056⁠⁠Walsh, Z., Mollaahmetoglu, O. M., Rootman, J., Golsof, S., Keeler, J., Marsh, B., ... & Morgan, C. J. (2022). Ketamine for the treatment of mental health and substance use disorders: comprehensive systematic review. BJPsych open, 8(1), e19. doi:10.1192/bjo.2021.1061Zeifman, R. J., & Wagner, A. C. (2020). Exploring the case for research on incorporating psychedelics within interventions for borderline personality disorder. Journal of Contextual Behavioral Science, 15, 1-11. ⁠⁠https://doi.org/10.1016/j.jcbs.2019.11.001⁠⁠⁠⁠https://www.sciencedaily.com/releases/2025/06/250603114816.htm⁠

Medication and BPD: it’s one of the most debated, confusing, and personal topics out there. In this episode, we unpack what the research actually says about meds for BPD and what they can and can’t do.From antidepressants to mood stabilizers to the “medication merry-go-round,” we explore the science, the side effects, and our own lived experiences. Whether meds changed your life, didn’t help at all, or left you somewhere in between, this one’s for you.Trigger Warning: This episode contains frank discussion of medication, mental health treatment, and sensitive topics. Listener discretion is advised.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Bohus, M., Haaf, B., Simms, T., Limberger, M. F., Schmahl, C., Unckel, C., ... & Linehan, M. M. (2004). Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: a controlled trial. Behaviour research and therapy, 42(5), 487-499. https://doi.org/10.1016/S0005-7967(03)00174-8Crawford, M. J., Sanatinia, R., Barrett, B., Cunningham, G., Dale, O., Ganguli, P., ... & Reilly, J. G. (2018). Lamotrigine for people with borderline personality disorder: a RCT. Health Technology Assessment (Winchester, England), 22(17), 1.doi: 10.3310/hta22170Ingenhoven, T., Lafay, P., Rinne, T., Passchier, J., & Duivenvoorden, H. (2010). Effectiveness of pharmacotherapy for severe personality disorders: meta-analyses of randomized controlled trials. J Clin Psychiatry, 71(1), 14-25. 10.4088/JCP.08r04526greLieb, K., Völlm, B., Rücker, G., Timmer, A., & Stoffers, J. M. (2010). Pharmacotherapy for borderline personality disorder: Cochrane systematic review of randomised trials. The British Journal of Psychiatry, 196(1), 4-12. doi:10.1192/bjp.bp.108.062984National Institute for Health and Care Excellence (NICE). (2009). Borderline personality disorder: recognition and management. Clinical guideline [CG78]. https://www.nice.org.uk/guidance/cg78Ripoll, L. H. (2012). Clinical psychopharmacology of borderline personality disorder: an update on the available evidence in light of the Diagnostic and Statistical Manual of Mental Disorders–5. Current Opinion in Psychiatry, 25(1), 52-58. DOI: 10.1097/YCO.0b013e32834c3f19Stoffers-Winterling, J. M., Ribeiro, J. P., Kongerslev, M. T., Völlm, B. A., Mattivi, J. T., Faltinsen, E., ... & Lieb, K. (2022). Pharmacological interventions for people with borderline personality disorder. Cochrane Database of Systematic Reviews, (11). https://doi.org/10.1002/14651858.CD012956.pub2

For decades, Borderline Personality Disorder (BPD) has been painted as a “woman’s disorder.” But what happens when you’re a man, transgender, or non-binary and struggling with BPD? Does the system see you, or miss you?In this episode we explore the myths and realities of gender and BPD. We dive into the research that challenges old assumptions, explore how socialization shapes symptom expression, and highlight the devastating consequences of misdiagnosis, especially for men and gender-diverse people.BPD doesn’t care about gender, and neither should compassion. So whether you identify as male, female, trans, non-binary, or somewhere in between, your experience is real and it matters.🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com⁠⁠⁠⁠⁠ and let’s keep the conversation going.🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out  Empowered Heroes Meditations  on ⁠⁠⁠⁠Spotify.If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org📚 Referenced Research Includes:Connolly, M. D., Zervos, M. J., Barone II, C. J., Johnson, C. C., & Joseph, C. L. (2016). The mental health of transgender youth: Advances in understanding. Journal of Adolescent Health, 59(5), 489-495. https://doi.org/10.1016/j.jadohealth.2016.06.012Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., Stinson, F. S., Saha, T. D., ... & Ruan, W. J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Journal of clinical psychiatry, 69(4), 533.Johnson, D. M., Shea, M. T., Yen, S., Battle, C. L., Zlotnick, C., Sanislow, C. A., ... & Zanarini, M. C. (2003). Gender differences in borderline personality disorder: Findings from the Collaborative Longitudinal Personality Disorders Study. Comprehensive psychiatry, 44(4), 284-292. https://doi.org/10.1016/S0010-440X(03)00090-7Özel, B., Karakaya, E., Köksal, F., Altinoz, A. E., & Yilmaz-Karaman, I. G. (2025). Gender bias of antisocial and borderline personality disorders among psychiatrists. Archives of women's mental health, 28(3), 563-571. https://doi.org/10.1007/s00737-024-01519-0Sansone, R. A., & Sansone, L. A. (2011). Gender patterns in borderline personality disorder. Innovations in clinical neuroscience, 8(5), 16.