Understanding the Risks Associated with Borderline Personality Disorder: Dispelling Myths and Promoting Safety

Borderline Personality Disorder (BPD) is often surrounded by misconceptions and stigma, with one of the most common being that individuals with BPD are inherently dangerous. This article aims to debunk this myth and provide a more accurate understanding of the risks associated with BPD. It is crucial to recognize that most people with BPD are not dangerous; however, certain behaviors and symptoms can be challenging and, in some cases, pose risks to themselves or others.


Impulsive Behaviors and Potential Risks in BPD

Impulsive behaviors are a core aspect of Borderline Personality Disorder (BPD), which can sometimes lead to potential risks for the individual and others. Understanding these behaviors and their possible consequences is essential to support better and manage the challenges that individuals with BPD face. In this section, we will delve deeper into the impulsive behaviors associated with BPD and the risks they may pose.

  1. Substance abuse: Individuals with BPD may turn to drugs or alcohol to cope with emotional pain, impulsively using these substances without considering the potential harm. Substance abuse can lead to addiction, physical health problems, strained relationships, and an increased risk of engaging in other risky behaviors.
  2. Reckless driving: Impulsivity can manifest as reckless driving, putting the individual with BPD and others on the road at risk. This may include speeding, ignoring traffic signs, or driving under the influence of drugs or alcohol.
  3. Self-harm: People with BPD may engage in self-harm to cope with intense emotions, impulsively inflicting injury on themselves without considering the long-term consequences. Self-harm can lead to serious physical injuries, scarring, and an increased risk of accidental death.
  4. Suicidal behaviors: Suicidal ideation and attempts are more prevalent among individuals with BPD due to impulsivity and emotional pain. These behaviors can be life-threatening and require immediate intervention and support from mental health professionals.
  5. Risky sexual behaviors: Impulsivity may lead individuals with BPD to engage in risky sexual behaviors, such as unprotected sex or multiple partners. These behaviors can result in unintended pregnancies, sexually transmitted infections, and emotional distress.

It is important to recognize that not every individual with BPD will engage in all these impulsive behaviors, and the severity and frequency of these behaviors can vary widely. However, by understanding the potential risks associated with impulsivity in BPD, we can better support individuals in managing these challenges and implementing appropriate coping strategies.


Effective treatment, such as Dialectical Behavior Therapy (DBT) or Mentalization-Based Therapy (MBT), can help individuals with BPD manage their impulsivity, develop healthier coping mechanisms, and reduce the associated risks. Additionally, support from loved ones and mental health professionals is essential in helping individuals with BPD navigate the complexities of their disorder and build a healthier, more stable life.


Emotional Dysregulation and Aggression

Emotional dysregulation is a prominent feature of Borderline Personality Disorder (BPD), often leading to intense and rapidly shifting emotions. This emotional instability can sometimes result in aggression or hostility, directed at oneself or others. This section will explore the link between emotional dysregulation and aggression in BPD and discuss ways to manage these symptoms.

  1. Intense emotions and aggression: Individuals with BPD often experience emotions more intensely than others, making it difficult to control their reactions. These intense emotions can lead to outbursts of anger or aggression, which can harm relationships and the individual's overall well-being.
  2. Fear of abandonment: Fear of abandonment is a key aspect of BPD, leading individuals to interpret even minor slights or misunderstandings as evidence of rejection. This fear can trigger aggressive responses as a means of self-protection or an attempt to regain control over the situation.
  3. Emotional vulnerability and stress: People with BPD are emotionally vulnerable and may have difficulty tolerating stress. When faced with challenging situations, their emotional reactions can quickly escalate, sometimes resulting in aggression or hostility.
  4. Misinterpretation of others' intentions: Due to their emotional sensitivity, individuals with BPD may misinterpret others' intentions, perceiving them as threatening or malicious. This perception can lead to defensive aggression, further straining interpersonal relationships.


Managing emotional dysregulation and aggression in BPD requires a multifaceted approach that includes professional treatment, self-help strategies, and support from loved ones. Some effective strategies include:

  1. Therapy: Dialectical Behavior Therapy (DBT) and Mentalization-Based Therapy (MBT) are evidence-based treatments that help individuals with BPD learn to manage their emotions and reduce aggressive behaviors.
  2. Mindfulness practices: Developing mindfulness skills, such as meditation and deep breathing exercises, can help individuals with BPD become more aware of their emotions and respond healthier.
  3. Emotional regulation techniques: Learning to identify emotional triggers and implementing coping strategies, such as journaling, exercising, or seeking support from friends, can help manage emotional dysregulation and reduce the likelihood of aggressive outbursts.
  4. Establishing boundaries: Clear communication and setting boundaries with loved ones can help individuals with BPD feel more secure in their relationships and reduce the potential for aggression.
  5. Support from loved ones: Emotional support from friends and family members is crucial in helping individuals with BPD manage their emotions and reduce aggression. Encourage open communication and offer reassurance to help them feel understood and supported.

By understanding the relationship between emotional dysregulation and aggression in BPD, we can better support individuals in managing these challenges and fostering healthier relationships. With appropriate treatment and support, people with BPD can learn to regulate their emotions and minimize aggressive behaviors, ultimately improving their overall quality of life.


BPD and Self-Destructive Behaviors

Self-destructive behaviors are common in individuals with Borderline Personality Disorder (BPD) and can manifest in various forms, including self-harm, substance abuse, and reckless decision-making. Understanding these behaviors is crucial in providing appropriate support and treatment for those affected by BPD. In this section, we will explore the reasons behind self-destructive behaviors in BPD and suggest strategies for managing and reducing them.

  1. Coping with emotional pain: For some individuals with BPD, self-destructive behaviors may serve as a way to cope with emotional pain, providing temporary relief from overwhelming emotions. However, these behaviors ultimately cause more harm than good, leading to a cycle of emotional distress and self-destructive actions.
  2. Difficulty regulating emotions: As mentioned earlier, emotional dysregulation is a core feature of BPD. The inability to effectively regulate emotions can lead to impulsive decisions and self-destructive behaviors, as individuals may struggle to find healthy ways to manage their emotional state.
  3. Low self-esteem and self-worth: People with BPD often have a negative self-image and struggle with feelings of worthlessness. This can lead to self-destructive behaviors, as they may believe they deserve to suffer or punish themselves for perceived failures.
  4. Fear of abandonment: The fear of abandonment in BPD can also contribute to self-destructive behaviors. Individuals may engage in these behaviors as a way to seek attention or reassurance from others or in an attempt to manipulate relationships.

To help individuals with BPD manage and reduce self-destructive behaviors, the following strategies can be employed:

  1. Seek professional help: Professional treatment, such as Dialectical Behavior Therapy (DBT) or Mentalization-Based Therapy (MBT), can be instrumental in teaching individuals with BPD healthier ways to cope with emotions and address self-destructive behaviors.
  2. Develop coping skills: Learning healthy coping mechanisms, such as practicing mindfulness, engaging in creative outlets, or seeking support from friends and family, can provide alternative ways to manage emotional distress and reduce the reliance on self-destructive behaviors.
  3. Build self-esteem: Encouraging individuals with BPD to participate in activities that foster self-esteem and self-worth can help reduce the tendency toward self-destructive behaviors. This might include pursuing hobbies, setting attainable goals, or volunteering.
  4. Establish a support network: A strong support network can be crucial for individuals with BPD. Encourage them to build connections with understanding friends, family members, or support groups to help navigate challenging emotions and offer guidance during difficult times.
  5. Create a safety plan: Developing a safety plan with specific steps to follow during moments of crisis can help individuals with BPD manage urges to engage in self-destructive behaviors. This plan may include contacting a trusted friend or mental health professional, practicing calming techniques, or utilizing distraction strategies.

By understanding the reasons behind self-destructive behaviors in BPD and implementing effective strategies, individuals can learn to manage their emotions and reduce their reliance on harmful coping mechanisms. With the right support and treatment, those with BPD can build healthier habits and improve their overall well-being.


Reducing Risks and Promoting Safety

To minimize the risks associated with BPD, providing support and appropriate treatment is crucial. Some strategies for reducing risks and promoting safety include:

  1. Engaging in therapy: Evidence-based treatments, such as Dialectical Behavior Therapy (DBT) and Mentalization-Based Therapy (MBT), have proven effective in managing BPD symptoms, including impulsivity and emotional dysregulation.
  2. Creating a safety plan: Developing a safety plan with a mental health professional can help individuals with BPD recognize triggers, develop coping strategies, and identify sources of support during crises.
  3. Encouraging open communication: Open and honest communication with loved ones and mental health professionals is essential in managing BPD symptoms and addressing any potential risks.


While it is important to recognize the potential risks associated with BPD, it is equally crucial to dispel the myth that individuals with BPD are inherently dangerous. By understanding the challenges individuals with BPD face, providing appropriate treatment, and offering support, we can help them manage their symptoms and lead healthier, more fulfilling lives.

Grouport Offers BPD Group Supports Online & DBT Skills Group Online

Grouport Therapy delivers online Dialectical Behavior Therapy (DBT) group support for individuals grappling with Borderline Personality Disorder (BPD). Our virtual group sessions guide members in integrating diverse psychotherapy methods, including DBT, into their routines, empowering them to communicate and articulate themselves more effectively.


This therapeutic approach bolsters self-awareness and emotional management by employing mindfulness and acceptance, curbing destructive behaviors, and fostering better interpersonal bonds.

A certified therapist leads weekly remote group meetings, allowing members to participate from their own homes. Based on participant feedback, 70% observed considerable improvements within 8 weeks.


You don't have to tackle these difficulties singlehandedly. Register for one of our courses today and commence your journey towards impactful, lasting personal growth and renewed hope. Join our supportive community and collaborate in pursuit of a brighter future.


Facilitated by a therapist-instructor, this online group imparts essential new techniques to substitute behaviors and emotions that create friction in your daily life and relationships. Due to licensing constraints, our online DBT group therapy sessions are limited to Florida, New York, and New Jersey residents. We encourage you to explore our dialectical behavior therapy skills group if you reside outside these states. Our dialectical behavior skills groups kick off with intensive DBT Core Principles modules, which will help you begin to transform your mental health.

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