Borderline Personality Disorder (BPD) is a mental health condition characterised by intense emotional experiences, unstable relationships, and difficulty regulating reactions. Common symptoms include:

• Intense fear of abandonment, real or imagined

• Unstable and intense interpersonal relationships

• Rapidly shifting self-image or sense of identity

• Impulsive behaviours (e.g., spending, substance use, risky decisions)

• Self-harm or suicidal thoughts

• Extreme mood swings lasting hours to days

• Chronic feelings of emptiness

• Explosive or disproportionate anger

• Dissociation or feelings of unreality under stress

If you recognise these patterns in yourself, know that BPD is treatable, and with the right support, recovery is possible.

BPD can qualify as a disability under the Alberta Human Rights Act if it substantially limits a person's ability to work or engage in daily activities. Depending on your situation, you may qualify for a Disability Tax Credit due to your BPD. A formal diagnosis from a registered psychologist or psychiatrist is typically required, so we recommend speaking with your doctor or a disability advocate for personalised guidance.

Studies show that therapy, particularly Dialectical Behaviour Therapy (DBT), is considered a highly effective treatment for BPD. It can help you develop skills to manage overwhelming emotions, improve communication in relationships, reduce self-destructive behaviours, and build a more stable sense of self. Many people with BPD experience significant improvement and go on to live deeply fulfilling lives with the right treatment.

There's not just one best type of therapist for BPD. What matters most is that they are trained in evidence-based approaches like DBT, CBT, or Schema Therapy, and that they have direct experience working with people with BPD. Look for a registered psychologist, provisional psychologist, or a certified counsellor with demonstrated BPD experience.

It’s also important to make sure you feel comfortable with whichever therapist you choose, as a strong therapeutic relationship built on trust and mutual respect is also essential to meaningful progress.

BPD remission means that symptoms have reduced to a level where they no longer significantly impair daily functioning or relationships. Remission often looks like greater emotional stability, healthier relationships, a more consistent sense of identity, and a marked reduction in impulsive or self-destructive behaviours.

Many health benefit plans in Alberta cover therapy for BPD when provided by a registered psychologist, registered social worker, or certified counsellor. Coverage amounts and eligible credentials vary by provider, so we recommend checking your plan's mental health benefits before booking. Our administrative team is happy to help you understand what to ask your insurer.