What is Borderline Personality Disorder (BPD)?
- Marisa McNamara, LPC

- Sep 28
- 2 min read
Borderline Personality Disorder (BPD) is a complex mental health condition that impacts the way a person thinks, feels, and relates to others. Individuals with BPD often experience intense emotions, difficulties in relationships, and struggles with self-image. While it can feel overwhelming, BPD is treatable with the right support and therapeutic approach.
As a licensed professional counselor, I specialize in helping clients better understand their emotions, develop healthy coping skills, and build stronger relationships. Understanding what BPD is can be the first step toward healing.

Signs and Symptoms of BPD
Borderline Personality Disorder can look different for each individual, but common signs include:
Intense emotions – mood swings that may shift quickly from happiness to sadness or anger.
Fear of abandonment – extreme sensitivity to rejection or perceived disconnection.
Unstable relationships – intense but short-lived relationships that may swing between closeness and conflict.
Impulsive behaviors – engaging in risky actions such as overspending, substance use, or reckless driving.
Struggles with self-image – difficulty maintaining a consistent sense of identity or self-worth.
Chronic emptiness – feelings of being “empty” or disconnected from oneself or others.
Self-harm or suicidal thoughts – coping with overwhelming emotions through harmful behaviors.
What Causes Borderline Personality Disorder?
The exact causes of BPD are not fully understood, but research shows that a combination of genetic, environmental, and neurological factors may play a role. Childhood trauma, invalidating environments, and family history of mental health conditions are often connected to the development of BPD.
Treatment Options for BPD
The good news is that BPD is treatable. With the right therapeutic support, individuals can learn to regulate emotions, build healthier relationships, and create meaningful change in their lives. Common evidence-based treatments include:
Dialectical Behavior Therapy (DBT) – focuses on mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness.
Cognitive Behavioral Therapy (CBT) – helps identify and change negative thought patterns.
Schema Therapy – addresses deep-rooted beliefs that impact emotions and behaviors.
Medication support – may help manage symptoms such as depression, anxiety, or impulsivity.
As a therapist, I provide compassionate, evidence-based care tailored to each individual’s needs. With commitment and consistency, clients often see major improvements in their ability to manage emotions and relationships.
Living with BPD

Living with Borderline Personality Disorder can be challenging, but it does not define who you are. With therapy, support, and the right tools, many people with BPD go on to live fulfilling and balanced lives.
If you or someone you love is struggling with BPD, know that healing is possible. Reaching out for help is the first step.
Get Support For BPD
If you’re looking for therapy for Borderline Personality Disorder in or near Wichita Falls, TX, I’m here to help. I’m Marisa McNamara, LPC, and I specialize in supporting individuals facing emotional challenges, relationship struggles, and personality disorders.
Contact me today to schedule a consultation and take the first step toward healing-
(940) 500-5909!


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