Understanding Borderline Personality Disorder in Men

Diagnosing BPD in men can be challenging. Here’s what you need to know about effective treatment strategies for male BPD sufferers.

Borderline personality disorder (BPD) is a complex mental health condition marked by intense emotional instability, impulsive behavior, and unstable relationships. While people of any gender can be diagnosed with BPD, men with this disorder face unique challenges and are often misunderstood and underdiagnosed. Misconceptions and gender biases can obscure the realities faced by men with BPD, leading to misunderstandings and inadequate support. Below we delve into BPD in men — highlighting the unique symptoms, diagnostic challenges, and treatment strategies for men with this condition. 

Symptoms of borderline personality disorder in men

For people of all genders, BPD is diagnosed based on meeting at least five of the nine criteria and symptoms listed in the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5). These symptoms include: 

• Emotional instability
• Impulsive behavior
• Unstable relationships
• Chronic feelings of emptiness
• Intense fear of abandonment
• Self-harm and suicidal thoughts
• Dissociative symptoms

Diagnosing borderline personality disorder in men

While BPD symptoms are similar regardless of gender, men’s symptoms might be less recognized or misattributed due to societal expectations and stigma, which often discourage men from expressing emotions or seeking help. For instance, some men with BPD may exhibit more externalizing symptoms — such as aggression, substance abuse, or narcissistic or antisocial behavior — rather than the internalizing symptoms often seen in women. Also, healthcare providers might be less likely to identify these symptoms as indicators of BPD in men, instead attributing them to mood disorders, bipolar disorder, or substance abuse issues. This misattribution and lack of recognition contribute to delays in accurate diagnosis and treatment, exacerbating the underlying issues for male BPD sufferers.

Borderline personality disorder treatment and management for men

Effectively treating male BPD involves a multifaceted approach tailored to address the specific needs and challenges faced by male patients. Treatment alongside a mental health professional typically includes psychotherapy as the cornerstone, including cognitive behavioral therapy (CBT) or dialectical behavior therapy (DBT). Medication may also be prescribed to manage symptoms such as mood swings or impulsivity, though it is usually used in conjunction with therapy rather than as a standalone treatment. 

Coping strategies help men with borderline personality disorder (BPD)

Developing effective coping strategies and engaging in self-help practices are essential for managing symptoms and enhancing emotional regulation, mental health, and overall well-being.

1. Create a structured routine

Establishing a consistent daily schedule can create stability and help manage time effectively. Men with BPD can benefit from having predictable routines that reduce uncertainty and stress. Setting achievable short-term goals is another crucial aspect, as it provides a sense of accomplishment and direction, helping to build self-esteem and motivation.

2. Practice mindfulness and relaxation techniques

Incorporating mindfulness and relaxation techniques into daily life can significantly benefit men with BPD. Practicing mindfulness meditation enhances emotional awareness and reduces stress by promoting a non-judgmental awareness of the present moment. Deep breathing exercises are also valuable, as they can help calm the mind and body during moments of emotional upheaval, providing an immediate tool to manage intense emotions.

3. Foster a healthy lifestyle

Maintaining a healthy lifestyle is essential for managing symptoms of BPD. Regular exercise improves mood and reduces symptoms of anxiety and depression through the release of endorphins. A balanced diet supports overall physical and mental health, ensuring that the body and brain receive the necessary nutrients to function optimally. Adequate sleep is also crucial, as sufficient rest improves mood stability and cognitive function, helping to manage emotional regulation more effectively.

4. Build supportive networks

Building supportive networks is vital for men with BPD. Engaging in regular therapy sessions provides professional guidance and helps develop coping skills necessary for managing the disorder. Support groups offer the opportunity to connect with others who understand the challenges of BPD, providing mutual support and reducing feelings of isolation.

5. Develop emotional awareness

Developing emotional awareness is key to managing BPD symptoms. Keeping a journal to track emotions, triggers, and coping strategies helps in understanding patterns and responses, leading to better self-awareness and control over emotional reactions. Practicing self-compassion is equally important, as it counters self-criticism and promotes self-acceptance, fostering a more positive self-image.

How Charlie Health can help

If borderline personality disorder (BPD) is affecting your mental health, Charlie Health is here to help. Charlie Health’s virtual Intensive Outpatient Program (IOP) provides mental health treatment for dealing with serious mental health conditions, including personality disorders, anxiety, depression, and more. Our expert clinicians incorporate evidence-based therapies into individual counseling, family therapy, and group sessions. With this kind of holistic online therapy, managing your mental health is possible. Fill out the form below or give us a call to start healing today.