Reasons why borderline personality disorder cannot be cured

Borderline personality disorder is not completely incurable, but it is difficult to treat and is mainly related to complex disease characteristics, high comorbidity rates, poor treatment compliance, insufficient social support, and stubborn neurobiological foundations. The core symptoms of borderline personality disorder are emotional instability, interpersonal conflict, self-identity confusion, and impulsive behavior, which are characterized by long-term and recurrent nature. The excessive activity of the amygdala in patients leads to abnormal emotional regulation, and functional defects in the prefrontal cortex affect impulse control. This neuroplastic change requires long-term intervention. During the treatment process, patients may resist establishing a therapeutic relationship due to fear of being abandoned, or interrupt the treatment plan due to emotional fluctuations. Some patients may not respond significantly to medication or psychological therapy. About 80% of patients suffer from mental disorders such as depression, anxiety, or substance abuse, and the interweaving of multiple symptoms can mask the core problem. Emotional neglect or childhood trauma experiences in the family environment can continue to affect treatment outcomes, and the lack of a stable social support system also hinders functional recovery. Traditional cognitive-behavioral therapy has limited effectiveness for some patients and requires targeted interventions such as dialectical behavioral therapy. However, insufficient professional treatment resources have resulted in many patients not receiving standardized treatment.

It is recommended to adopt a comprehensive intervention plan combining medication and psychotherapy, with a focus on cultivating emotional regulation and interpersonal communication skills. Family members need to receive professional guidance to establish a non critical support environment and help patients persist in completing at least one year of systematic treatment. Regularly conduct social function assessments and adjust plans in a timely manner, gradually improving symptoms through long-term stable treatment relationships. Maintaining a regular schedule and moderate exercise can help stabilize emotions and reduce symptom fluctuations by avoiding addictive substances such as alcohol.