We want to see an increase in NHS funding for Borderline Personality Disorder treatment. Mental health services across the UK need more funding to improve services offered to patients diagnosed with Borderline Personality Disorder.
Inequalities in borderline personality disorder diagnosis and treatment means that some people are more likely to have worsening mental health, and less likely to get effective support.
Lack of funding has led to a ‘postcode lottery’ of treatment – in some areas of the UK patients can receive much needed ongoing psychiatric care, and in others they are offered just 12 weeks of psychotherapy (usually DBT or CBT, which are not appropriate in many cases), with a long waiting list that can stretch into several years in some areas.
Borderline Personality Disorder is a serious, debilitating medical condition. It is characterised by a pattern of instability of interpersonal relationships, self-image and affects, and by marked impulsivity. It carries a large risk of suicide.
Impulsive behaviour is characterised by a tendency towards conflict with others, outbursts of anger or violence, difficulty in maintaining jobs or projects that offer no immediate reward, putting themselves in dangerous or reckless situations, and an instability of moods and emotions.
Borderline behaviour is characterised by severe disturbances of self-image, a tendency to form unstable relationships, extreme efforts to avoid abandonment or rejection, and threats or acts of self-harm (including suicide).
Estimates of the prevalence of BPD varies, but is widely believed to be less than 2% of the UK adult population. Borderline Personality Disorder is estimated to be present in approximately 20% of in-patients in psychiatric wards, and between 10 and 20% of mental health patients receiving support outside of hospitals.
BPD can be a seriously disabling condition and often takes a huge toll on the individual. Suicide is a particular risk in BPD, with up to one in 10 people with BPD committing suicide. The impact of the disorder on the individual is often exacerbated by presence of comorbid conditions such as affective disorders and substance misuse. The prevalence of BPD is particularly high in the prison population; in England and Wales it is estimated to be 23% among male remand prisoners, 14% among sentenced male prisoners and 20% among female prisoners.
People with BPD use mental health services at higher rates than people from other mental health diagnostic groups, except for people with schizophrenia. They tend to make heavy demands on services, having frequent contact with mental health and social services, accident and emergency departments, GPs and the criminal justice system, and are likely to be high-cost, persistent, and intensive users of mental health services.
It is essential that more funding is allocated to services across the UK supporting people living with Borderline Personality Disorder.
We are petitioning to the UK government to ask for more funding for BPD patients. Sign the petition here