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  • katiecarlyon

How do I work with the diagnosis of Borderline Personality Disorder/Emotionally Unstable Personality Disorder?

I have worked with many people who are diagnosed with Borderline personality disorder (BPD)/ Emotionally unstable personality disorder (EUPD).

This was not by choice. I didn't go into my career thinking I am going to work with people with this diagnosis.

It was my choice to work in the criminal justice system, and I learnt very quickly that many of the women and men I worked with were given the diagnosis of BPD/EUPD.

Some felt happy.

Some were not so happy.

Some felt indifferent.

I also learnt very quickly that they were not their diagnosis. It goes a lot deeper then being 'BPD' or 'emotionally unstable'.

So how do I work with the diagnosis?

Here's the thing - I don't.

I work with you.  

As a counsellor I am here to explore you.

I am here to help you work through

  • The traumas you have endured.

  • The bereavements you have been through.

  • The anxiety you experience.

  • The addiction you have been battling.

  • The abusive relationship you have fought to leave.

  • The guilt, shame and worthlessness you have been carrying.

Having a diagnosis does not take away what you have been through or currently going through.

  • It does not wipe away your history.

  • It does not wipe away the emotions you are feeling.

  • It does not wipe away your triggers.

  • It does not wipe away your responses.

  • It does not wipe away your memory.

Working with you

  • I help you to validate how you are feeling.

  • I help you to explore the normal trauma responses you experience.

  • I help you to recognise your behaviours are a response from your perception of a situation which has caused you to go into fight or flight from high levels of anxiety.

  • I help you to work through all the sad, traumatising and distressing experiences of your life.

That is how I work with Borderline personality disorder/emotionally unstable personality disorder.

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