Medication in Borderline Personality Disorder (BPD) 💊 Medications can be helpful in BPD BUT Key is helpful for what ? 👇 Borderline Personality Disorder (BPD) can be conceptualised as a combination of: 1. Neurodevelopmental changes resulting from allostatic load (such as trauma or other 'inconsistencies' in early experiences) leading to heightened emotional responses, emotional dysregualtion etc. 2. Personality development, where emotional regulation and behavioural patterns consolidate alongside neurodevelopmental changes. These have consolidated at a time of upheaval which means the default behaviours are safety / fear / mistrust driven. When we use medication we are primarily addressing 1 👇 helping to stabilise the heightened salience / amygdala activation so that the patient can better engage in the process of changing 2. Why is this important? A heightened amygdala and overactive salience network can make behavioural change challenging. 🚨 Emotional dysregulat...