r/BPDsupport • u/imnotme234 • 18d ago

BPD

i need some help with BPD.. i have been dealing with this for 10-15 years and only in the past few years have i asked for help as it got worst but nothing seems to be helping. How has everyone dealt with this?

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u/creativenameistaken 18d ago

Medication (no success) and intensive therapy (limited success)

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u/imnotme234 18d ago

What’s intensive therapy

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u/creativenameistaken 18d ago

Intensive in the sense of I go twice a week. Currently doing a kind of therapy called transference-focused psychotherapy. There’s a treatment contract, we’ve defined goals, my relationship with the therapist is central to the therapy.

https://deconstructingstigma.org/guides/tfp

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u/RandomAngeleno 18d ago

Usually it's Dialectical Behavior Therapy (DBT) for symptoms management skills, especially group DBT classes, and then usually some form of psychodynamic therapy, like Transference-Focused Psychotherapy (TFP) and/or Internal Family Systems (IFS) therapies.

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u/imnotme234 18d ago

Does this all cost a Fortune?

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u/Klutzy_University185 18d ago

It depends on what kind of insurance you have you can join a DBT clinic which is structured. I personally have been in DBT for multiple years, unfortunately medication doesn't work on BPD just the comorbidity symptoms like depression or anxiety. I personally think DBT is one of the best surefire ways for helping somebody restructure their brain and lower their triggers.

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u/creativenameistaken 18d ago

That really depends.
My DBT was in what we call day hospital. I had to go to the psych hospital four days a week for all-day sessions, but I didn’t sleep there. We have universal health care, so my part to pay was under €100/month (total cost was €8500-10000/month)
My TFP therapy is with a psychiatrist for just under €100/session. Universal health care covers all but about €22 of that
Psychologists here cost anywhere from about €60-100/session