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Mindfulness for Borderline Personality Disorder: How It Works, Techniques, & Effectiveness

Published: November 21, 2022 Updated: January 9, 2023
Published: 11/21/2022 Updated: 01/09/2023
Headshot of Heather Rashal, LMHC
Written by:

Heather Rashal

LMHC
Headshot of Rajy Abulhosn, MD
Reviewed by:

Rajy Abulhosn

MD
  • What Is Mindfulness?Definition
  • What BPD Symptoms Can Mindfulness Help With?Symptoms
  • Mindfulness Techniques & Practices For Borderline Personality DisorderTechniques
  • Benefits of Mindfulness on BPD SymptomsBenefits
  • Who Can Help Me Develop Mindfulness Techniques For BPD?Help
  • Final Thoughts on Mindfulness for BPDConclusion
  • Additional ResourcesResources
  • Mindfulness For BPD InfographicsInfographics
Headshot of Heather Rashal, LMHC
Written by:

Heather Rashal

LMHC
Headshot of Rajy Abulhosn, MD
Reviewed by:

Rajy Abulhosn

MD

With symptoms like mood instability and poor self-image, someone with borderline personality disorder (BPD) can spiral into impulsivity, damaging relationships, and self-harm. Mindfulness is a tool to help them slow down, catch a breath, find relief, and observe emotions before reacting.(FN1) In short, mindfulness teaches coping mechanisms for emotional situations.

Find a supportive therapist that specializes in treating BPD with mindfulness. BetterHelp has over 20,000 licensed therapists who provide convenient and affordable online therapy. BetterHelp starts at $60 per week. Complete a brief questionnaire and get matched with the right therapist for you.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by BetterHelp

Visit BetterHelp

What Is Mindfulness?

Mindfulness is centered on the present moment. It’s about observing experiences, emotions, and thoughts from a neutral perspective. The present-centered awareness can be achieved through meditation, walking, eating, yoga, or even coloring. Most commonly, the breath is used as an anchor, providing connection to the here-and-now.2

When we slow down and notice our breathing, allowing ourselves to be curious, we allow our thoughts to settle. As we notice our thoughts, we can choose to engage or let them go. By letting go of thoughts and returning attention to the experience of mindful breathing, we regain autonomy over our thoughts and feelings. We’re no longer driven by our emotions and can choose what to think about.

What BPD Symptoms Can Mindfulness Help With?

Borderline personality disorder is defined by emotional instability and insecurity, but mindfulness can help someone with BPD get perspective on how to react to these internal and external symptoms of BPD. When they remember to take a breath and observe the present moment before reacting or responding, they can objectively view their emotions and thoughts about the situation first.3, 4, 5

4 Mindfulness Techniques & Practices For Borderline Personality Disorder

Mindfulness is versatile; its methods can be employed as needed to assist in deescalating intense situations. Techniques like Five Things, mindful walking, observing your thoughts, and practicing affirmations can be used on a more regular basis for subtle, long-term shifts in emotional management.

If you forget to use these techniques, be kind to yourself. Self-criticism is a negative technique and will only make symptoms worse.

Here are four mindfulness techniques for BPD:

1. Five Things Grounding Technique

When you feel flooded by emotions or thoughts, take a moment to focus on your senses. This technique is most useful for deescalation. If you’re feeling highly reactive, anxious, angry, or some other intense emotion, use Five Things to help ground you and find stability.

Here are the five steps of Five Things:

  1. Find five things you can see. Name them.
  2. Find four things you can touch. Touch them.
  3. Find three things you can hear. Listen.
  4. Find two things you can smell. Smell them.
  5. Find one thing you can taste. Taste it.

Identifying the need to employ this technique can be difficult when emotions overtake you. Find a way to remind yourself of this exercise like putting a note on your phone or a sticky note somewhere you’ll see it regularly.

2. Mindful Walking

Sometimes, creating physical space can be a more tangible way to approach emotional scenarios. Start with a deep breath and notice your body objectively, allowing it to exist as only a collection of muscles, organs, and tissue. Think about the muscles you will activate to take that first step. Will you start on your right or left leg? When you are ready, intentionally take a step.

Start slowly and notice the details during your walking meditation. Feel the way your clothes move and how your feet feel inside your shoes. Notice your breathing as you walk, too. Practice scanning your body and being aware of everything that goes into each movement. Notice what sounds you hear either as a result of your steps or in the environment around you.

This activity requires your entire body and all of your attention. If you notice your mind wandering while you walk, there is no need to judge or criticize. That’s your mind doing exactly what it is intended to do. Gently bring your attention back to the experience of walking.

3. Observe Your Thoughts

Another way to practice mindfulness is to notice your thinking and differentiate it from yourself: “Watch” but don’t engage. There’s no need to follow thoughts, see where they go, or interact with them at all. Simply notice judgments, anxieties, daydreams, and plans as they float by. If a thought triggers an emotion, notice that it occurred, don’t engage, and watch it fade away.

Finding objectivity drains the power from thoughts and emotions, allowing them to simply be a function of your mind. They are not in control. Practice this method of mindfulness on a regular basis, preferably when calm. If emotions are high and thoughts are racing, it may be important to practice one of the more grounding exercises first.

4. Repeat Affirmations

As you practice differentiating between yourself and your thoughts and emotions, you can also start to mindfully choose what to think about. If you have the choice, picking something positive can be helpful. In mindful dialogue, people are invited to think before speaking: Is it true? Is it helpful? Is it inspiring? Is it necessary? Is it kind?

If you notice self-deprecating or distrusting thoughts repeating, try to choose thoughts that are encouraging, uplifting, and rational instead. Select a mantra or affirmation like, “I can choose to be kind to myself (and others).” Repeat this mantra silently (or out loud). Doing so not only strengthens its meaning, but it also provides an anchor to help get through a moment of insecurity.

Learn Mindfulness & Meditation

Learn the art of mindful living with over 2,000 mindful practices to train your brain. Stress less, sleep better, and deal with anxiety. Mindfulness.com has 4.5+ stars on both major app stores. Free 7-Day Trial

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Benefits of Mindfulness on BPD Symptoms

The first benefit of mindfulness for BPD is that it’s free. It also pairs well with other well-being efforts like therapy. Plus, it can be done anywhere at any time; however, reading about mindfulness isn’t enough to build a strong foundation. Fortunately, there are apps and videos available online to help you learn.

Mindfulness can also have immediate results. When you take an intentional deep breath or notice your senses, you can physically feel your body settle. It’s important to remember that the long-term benefits of mindfulness take time, and it won’t make BPD go away, but it can help make it more manageable.

Who Can Help Me Develop Mindfulness Techniques For BPD?

Many therapists employ mindfulness techniques in their counseling, particularly for clients with BPD. Some of them may not even realize that their treatment methods are mindful because it’s been embedded in theories like cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT).6

A healthy relationship between a client with BPD and their therapist is critical. It can be helpful to look for therapists who have specific experience working with someone with BPD, although all types of mental health clinicians can technically treat it.

How to Find a Therapist

You can consult with your primary care provider or a trusted loved one for a referral, or you use an online therapist directory to search for profiles that list expertise with BPD and/or personality disorders.7, 8

Final Thoughts on Mindfulness for BPD

Take a deep breath, feel your thoughts slow down, and invest your attention into the experience of breathing. This resource is here whenever you need it. Consider the use of mindfulness in addition to therapy for BPD or general mental health maintenance. If you’re curious, consider looking into guided meditations and/or seeking out a mental health professional.

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for marketing by the companies mentioned below.

Learn Mindfulness & Meditation Techniques

Mindfulness.com – Change your life by practicing mindfulness. In a few minutes a day, you can start developing mindfulness and meditation skills. Free Trial

Online Therapy 

BetterHelp – Get support and guidance from a licensed therapist. BetterHelp has over 20,000 therapists who provide convenient and affordable online therapy.  Complete a brief questionnaire and get matched with the right therapist for you. Get Started

Virtual Psychiatry

Talkiatry – Get help from a real doctor that takes your insurance. Talkiatry offers medication management and online visits with top-rated psychiatrists. Take the online assessment and have your first appointment within a week. Free Assessment

Choosing Therapy Directory 

You can search for therapists by specialty, experience, insurance, or price, and location. Find a therapist today.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by Mindfulness.com, BetterHelp, and Talkiatry.

Mindfulness For BPD Infographics

Benefits of Mindfulness on BPD Symptoms Mindfulness Techniques and Practices For Borderline Personality Disorder What BPD Symptoms Can Mindfulness Help With

8 sources

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • What is Mindfulness? (2020). Retrieved June 21, 2021 from https://www.mindful.org/what-is-mindfulness/

  • Smith, J, Newman, K, Suttie, J, et al. (2017) The State of Mindfulness Science. Greater Good Magazine. Retrieved June 21, 2021 from https://greatergood.berkeley.edu/article/item/the_state_of_mindfulness_science

  • National Institute of Mental Health (2017). Borderline Personality Disorder. Retrieved June 21, 2021 from https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/

  • Mercedes Perez-Rodrigues, M, Bulbena-Cabré, A, Bassir Nia, A, et al. (2018). The Neurobiology of Borderline Personality Disorder. Psychiatric Clinics of North America. 2018-12-01; 41: Iss. 4: 633-650.

  • Mayo Clinic. (2019). Borderline Personality Disorder. Retrieved June 21, 2021 from https://www.mayoclinic.org/diseases-conditions/borderline-personality-disorder/symptoms-causes/syc-20370237

  • Carmona i Farrés, C, Elices, M, Soler, J, et al. (2019) Effects of mindfulness training on the default mode network in borderline personality disorder. Clin Psychol Psychother. 2019; 26: 562– 571. https://doi.org/10.1002/cpp.2382

  • American Psychiatric Association. (2018). What are Personality Disorders? Retrieved June 21, 2021 from https://www.psychiatry.org/patients-families/personality-disorders

  • New York-Presbyterian. (2021).Borderline Personality Disorder Resource Center.Retrieved June 21, 2021 from https://www.nyp.org/bpdresourcecenter

update history

We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.

  • Originally Published: July 7, 2021
    Original Author: Heather Raschal, LMHC
    Original Reviewer: Rajy Abulhosn, MD

  • Updated: November 21, 2022
    Author: No Change
    Reviewer: No Change
    Primary Changes: Updated for readability and clarity. Reviewed and added relevant resources.

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Headshot of Heather Rashal, LMHC
Written by:

Heather Rashal

LMHC
Headshot of Rajy Abulhosn, MD
Reviewed by:

Rajy Abulhosn

MD
  • What Is Mindfulness?Definition
  • What BPD Symptoms Can Mindfulness Help With?Symptoms
  • Mindfulness Techniques & Practices For Borderline Personality DisorderTechniques
  • Benefits of Mindfulness on BPD SymptomsBenefits
  • Who Can Help Me Develop Mindfulness Techniques For BPD?Help
  • Final Thoughts on Mindfulness for BPDConclusion
  • Additional ResourcesResources
  • Mindfulness For BPD InfographicsInfographics
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