My Borderline Life

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Low Functioning Borderline Personality Disorder

The General Rule: The higher the person’s functioning level, the easier they are to help in psychotherapy. Borderline Personality Disorder becomes very serious at the lowest level of functioning. This is the group that finds it hard to form stable relationships, show up for work everyday, come to therapy regularly, and manage their adult responsibilities. They have trouble maintaining themselves between psychotherapy sessions and often feel quite desperate.

Members of the low functioning group of people with BPD are more likely to threaten to commit suicide, cut themselves, develop severe eating disorders, and abuse alcohol and drugs. They have a much higher rate of suicide than higher functioning people with BPD. Some may decompensate and briefly become psychotic and may need to be hospitalized for a few days. However, unlike the clients with psychotic illnesses, they usually reconstitute and stop having psychotic symptoms fairly quickly.