26
Feb 2025
Helpful conversations starters for someone who has Borderline Personality Disorder

Living with Borderline Personality Disorder is difficult . For those around them who love and care for them it can also be difficult . Here are some questions to support and facilitate change for someone living with BPD . These questions can help you and your loved one living with BPD explore what going on for them and help with insights into their own, behaviours, reactions and triggers . This can help with brainstorming ideas to help them and you navigate their thoughts emotions and feelings . It is possible to create a healthy and connected relationship through exploration and understanding . People living with BPD can and do have sustainable, rewarding  and happy relationships and you as their loved one can help them get there ! Best of luck !

 

 

 

  1. Building Rapport & Trust

Since individuals with BPD often struggle with trust and fear of abandonment, establishing a safe and validating environment is crucial.

  • “What do you wish people understood about you?”
  • “What makes you feel safe in relationships?”
  • “How do you feel about being here today?”
  1. Exploring Emotional Regulation

People with BPD experience intense emotions. Helping them recognize and manage these feelings is key.

  • “What emotions feel the hardest for you to handle?”
  • “Can you describe a time when you felt overwhelmed? What did you do?”
  • “How do you usually express anger or sadness?”
  • “What helps you calm down when emotions feel out of control?”
  1. Understanding Relationships & Attachment

BPD is often characterized by unstable relationships and fear of abandonment.

  • “What patterns have you noticed in your relationships?”
  • “When you feel someone pulling away, how do you typically respond?”
  • “What makes you feel abandoned or rejected?”
  • “What do you need in a relationship to feel secure?”

 

 

  1. Identifying Coping Strategies

Encourage self-awareness about coping mechanisms, both helpful and harmful.

  • “What are some ways you try to cope when you’re feeling distressed?”
  • “Have you noticed any coping strategies that work well for you?”
  • “Are there any unhealthy habits you’d like to change?”
  1. Encouraging Self-Compassion

Many individuals with BPD struggle with self-worth and self-criticism.

  • “What are some things you like about yourself?”
  • “If a friend were in your situation, what would you say to comfort them?”
  • “What would it look like if you were kind to yourself?”
  1. Addressing Impulsivity & Self-Destructive Behaviors

Impulsivity is common in BPD, and asking about it in a nonjudgmental way can open up dialogue.

  • “When you act on impulse, what’s going through your mind?”
  • “Do you ever feel like your emotions control your actions?”
  • “What happens right before you engage in self-destructive behaviors?”
  • “What could help you pause in those moments?”
  1. Helping Them Develop Future Goals

Focusing on hope and progress can empower them.

  • “What kind of life do you want to build for yourself?”
  • “What would change if you felt more in control of your emotions?”
  • “What’s one small step you can take toward the life you want?”