
Show Notes
In this episode, we unpack the ongoing debate about the relationship between Borderline Personality Disorder (BPD) and Complex PTSD (C-PTSD). Are they truly distinct conditions, or two sides of the same coin? With so many overlapping symptoms, many clinicians and survivors wonder if BPD is better understood as a trauma disorder. Trigger Warning: We mention sensitive topics. Take care and pause if you need to. 🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at [email protected] and let’s keep the conversation going. 🎧 Looking for guided meditations made for emotional regulation, BPD, and more? Check out our YouTube channel Empowered Heroes for free meditations created with love and care: https://www.youtube.com/@Empoweredheroes Also available on Spotify at Empowered Heroes Meditations. If you’d like more support in your journey toward BPD recovery, I offer 1:1 sessions using evidence-based tools from DBT and Mindfulness to help you heal. Email me for a free 30-Minute Consultation: 📩 [email protected] or check out the website: www.bpdsupport.org *If you or someone you care about is struggling with symptoms of BPD, know that you’re not alone. Support is out there, and healing is absolutely possible.
📚 Referenced Research Includes: Barnicot, K., (2020). Who falls through the gaps BPD. Journal of Psychological Therapies [online], 5(2), pp. 148–167. Available at: https://openaccess.city.ac.uk/id/eprint/24556/ Brewer-Smyth, K. and Burgess, A.W., (2021). Neurobiology of Female Homicide Perpetrators. Journal of Interpersonal Violence [online], 36(19–20), pp. 8915–8938. Available at: https://doi.org/10.1177/0886260519860078. Cavelti, M., Thompson, K., Betts, J., Fowler, C., Luebbers, S., Cotton, S.M. and Chanen, A.M., (2021). Borderline Personality Disorder Diagnosis And Symptoms In Outpatient Youth As Risk Factors For Criminal Offenses And Interpersonal Violence. Journal of Personality Disorders [online], 23-37. Available at: doi: 10.1521/pedi_2021_35_503. Chapman, J., Jamil, R.T. and Fleisher, C., (2022). Borderline Personality Disorder. Available at: https://www.ncbi.nlm.nih.gov/books/NBK430883/ Cloitre, M., Garvert, D. W., Weiss, B., Carlson, E. B., & Bryant, R. A. (2014). Distinguishing PTSD, complex PTSD, and borderline personality disorder: A latent class analysis. European journal of psychotraumatology, 5(1), 25097. https://doi.org/10.3402/ejpt.v5.25097 Cyr, G., Godbout, N., Cloitre, M., & Bélanger, C. (2022). Distinguishing among symptoms of posttraumatic stress disorder, complex posttraumatic stress disorder, and borderline personality disorder in a community sample of women. Journal of Traumatic Stress, 35(1), 186-196. https://doi.org/10.1002/jts.22719 Felding, S. U., Mikkelsen, L. B., & Bach, B. (2021). Complex PTSD and personality disorder in ICD-11: when to assign one or two diagnoses?. Australasian Psychiatry, 29(6), 590-594. https://doi.org/10.1177/10398562211014212 Ford, J. D., & Courtois, C. A. (2021). Complex PTSD and borderline personality disorder. Borderline personality disorder and emotion dysregulation, 8(1), 16. https://doi.org/10.1186/s40479-021-00155-9 Kulkarni, J. (2017). Complex PTSD–a better description for borderline personality disorder?. Australasian Psychiatry, 25(4), 333-335.https://doi.org/10.1177/1039856217700284 Newburn, T. (2017) Criminology. 3rd Edition. Oxon: Routledge. Rooms, O. M. (2025). Complex Trauma (CPTSD) vs. BPD: Similarities, Differences & Treatment. Therapy. https://www.psychiatrictimes.com/view/on-the-reality-of-borderline-personality-disorder
More from BPD Diaries: Stories and Science with Steff
What do people with borderline personality disorder wish everyone else understood? I asked around, and here are the answers I got. In this short episode, we see that BPD is more than its symptoms. Behind the reactions are human beings trying to make sense of their experiences, build meaningful relationships, and find their way forward. Whether you live with BPD, love someone who does, or simply want to understand it better, this episode is for you.
Is Medication the Best Solution for BPD? In this episode, I sit down with Professor Joanna Moncrieff, Professor of Critical and Social Psychiatry at University College London and practising consultant psychiatrist, for a conversation that challenges some of the assumptions about mental health, psychiatric diagnosis and medication. Joanna's work has challenged the idea that psychiatric drugs work by correcting an underlying “chemical imbalance” in the brain. So what does that mean for people with BPD? Content note: This episode discusses psychiatric medication, depression, suicide, trauma and mental health diagnoses. ⚠️ This episode is for education and discussion, not medical advice. Please don't stop or change any medication without talking to your prescriber. Some medications can cause withdrawal effects if stopped suddenly. 🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at [email protected] and let’s keep the conversation going. If you’d like more support in your journey toward BPD recovery, Steff offers 1:1 sessions using evidence-based tools from DBT, Schema Therapy, and Mindfulness to help you heal. Email for a free 30-Minute Consultation: 📩 [email protected] or check out the website: www.bpdsupport.org
I Was Hospitalised Again and Again. Then I Discovered DBT What does recovery from BPD actually look like? In this deeply honest conversation, Debbie DeMarco Bennett, better known as Debbie Corso, author of Stronger Than BPD and founder of DBT Path, takes us back to the years when her life was dominated by intense emotions, chaotic relationships, suicidal thoughts and repeated psychiatric hospitalizations. Debbie talks openly about being misunderstood and misdiagnosed, the stigma surrounding BPD, her eventual diagnosis, and the moment DBT began to change the course of her life. Debbie also talks about her concerns about the potential risks of the growing reliance on AI for emotional support and why she wants to be part of shaping how we use it safely. This is a conversation about BPD, DBT, recovery, hope, lived experience, stigma, relationships, AI and what it means to build a life worth living.
Why can spending money feel like emotional relief when you have BPD? You feel empty, lonely, rejected, angry or overwhelmed. Then you see something you want. And that little voice says, "Buy it!" In this episode, I explore the complicated relationship between BPD, impulsive spending, emotional regulation and shame. I look at why spending can become a way of escaping emotional pain, filling chronic emptiness, extending a good mood or even trying to buy a different version of yourself. This episode is about understanding why the spending happens and what we can actually do about it.
What if the label everyone's afraid to give a teenager is the one thing that could save their future? Professor Joost Hutsebaut has spent a career working with young people on the edge of a diagnosis most clinicians won't touch: borderline personality disorder (BPD). In this episode, Joost explains why he wrote a paper called The Diagnosis That Should Speak Its Name, arguing it's ethically right to diagnose personality disorders in teens. We dig into where a "difficult personality" ends and a disorder begins, the real risks of stigma versus the risks of staying silent, and how his own philosophy - "make therapy simple again" - reshaped the way he practices. He also honestly answers some of the internet's most asked questions. Whether you're a clinician, a parent, or someone who's ever been told to "wait and see," this conversation reframes early diagnosis as an act of hope, not a life sentence.