Some treatments for BPD focus on addressing these problems in thinking.

Instead, it tends to occur when a person is experiencing stress.

These paranoid thoughts are transient, usually lasting a few days or weeks.

Young woman sitting on sofa, looking at distressed man at table

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Research suggests that 87% of people with borderline personality disorder experience paranoid ideation.

People with BPD may believe that others have hostile intent toward them.

They may see signs of this that reinforce this belief all around them.

Because of this, they may feel suspicious and distrustful of others.

The next day, they may think their partner is evil, hateful, and contemptuous.

This can harm their potential to hold lastinginterpersonal relationshipsand how they can interact with others.

Dissociation

Another problematic pattern of thinking that occurs in BPD is dissociation.

Instead, it tends to emerge during times of stress.

This distance can cause people to take more risks since they do not feel connected to the situation.

BPD Treatments

Historically, BPD was regarded as very challenging to treat.

Psychotherapy is the most commonly recommended treatment, but medications are also sometimes prescribed.

Medications

Medications are typically prescribed to manage specific symptoms of BPD.

They are often used alongside psychotherapy rather than as a stand-alone treatment.

Mood stabilizers, antidepressants, anti-anxiety medications, and antipsychotics are a few types that may be used.

If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat988for support and assistance from a trained counselor.

If you or a loved one are in immediate danger, call 911.

For more mental health resources, see ourNational Helpline Database.

The Takeaway

People with BPD often experience distorted thinking such as paranoid ideation and dissociation.

Psychotherapy and medication can help people with BPD address negative thought patterns and develop effective coping skills.

If you suspect that you’re experiencing this kind of BPD symptom, talk to your doctor.

They can evaluate your symptoms and refer you to a mental health professional.