Patients with borderline personality disorder can usually gradually adapt to normal life through systematic treatment and long-term psychological intervention. The core symptoms of borderline personality disorder include emotional instability, interpersonal conflict, and self-identity confusion. However, through comprehensive management methods such as medication assisted treatment, dialectical behavior therapy, family support, social function training, and recurrence prevention, most patients can significantly improve their social function. The key to achieving a normal life for patients with borderline personality disorder is continuous psychological therapy. Dialectical behavior therapy is an internationally recognized and effective intervention method that helps patients learn emotional regulation skills, establish boundaries in interpersonal communication, and develop pain tolerance. Although drug therapy cannot cure the disease, it can alleviate comorbid symptoms such as depression and anxiety. Commonly used drugs include antidepressants and mood stabilizers. Social function training enhances patients' work and social skills through role-playing, vocational rehabilitation, and other methods, reducing interpersonal relationship breakdowns caused by impulsive behavior. Family therapy can improve communication patterns among family members and reduce the emotional stimulation of the environment on patients. Establishing a regular daily routine and a stable social support network is particularly important for preventing symptom recurrence.
Some critically ill patients may have long-term functional impairment, especially prone to self injury or aggressive behavior under stress events. These patients require more intensive treatment plans, such as structured therapy in a hospital setting or crisis intervention. Combining complex cases of substance abuse or eating disorders requires multidisciplinary team collaboration to develop personalized plans. During the period of symptom fluctuations, there may be a temporary decrease in work ability, and short-term life goals need to be adjusted. A very small number of patients may have limited social function recovery due to poor treatment compliance or severe comorbidities of mental illness. Patients with borderline personality disorder need to adhere to a long-term treatment plan, undergo regular psychological follow-up, and avoid stimulation from psychoactive substances such as alcohol to maintain a normal life. Cultivating expressive art hobbies such as painting and writing can help with emotional release, while regular exercise can improve emotional regulation abilities. Establish a support system that includes family, friends, and therapists to seek professional assistance in a timely manner during crises. Learn to recognize physical signals before emotional outbursts and adopt coping strategies such as deep breathing in advance. Society should reduce the stigmatization of borderline personality disorders and provide inclusive workplace and social environments.
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