In this episode, we explore what it means to receive a BPD diagnosis later in life. Why it happens so often, what the latest research tells us about BPD across the lifespan, and why healing is never too late.

Whether you're newly diagnosed, still searching for answers, or supporting someone you love, this one's for you.

It's never too late to be understood.

🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com and let’s keep the conversation going.

🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out Empowered Heroes Meditations on ⁠⁠⁠⁠Spotify.

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:

📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org

📚 Referenced Research Includes:

Broadbear, J. H., Bhagwandas, M. G., Crowley, S., Cheney, L., & Rao, S. (2025). Exploring the Pathways to Diagnosis for Men With Borderline Personality Disorder: A Qualitative Study. International Journal of Mental Health Nursing, 34(1). https://doi.org/10.1111/inm.13413

Ekiz, E., van Alphen, S. P., Ouwens, M. A., & Videler, A. C. (2026). Managing Emotional Intensity Difficulties in Older Adults With Personality Disorders: A Proof-of-Concept Study. Journal of Clinical Psychology. https://doi.org/10.1002/jclp.70090

Hill, R. (2005). End-of-life care for the patient with borderline personality disorder. Journal of Hospice & Palliative Nursing, 7(3), 150–161.

Jo, R., Broadbear, J. H., Hope, J., & Rao, S. (2023). Late manifestation of borderline personality disorder: Characterization of an under-recognized phenomenon. Personality and Mental Health, 17(2), 165–175. https://doi.org/10.1002/pmh.1571

Khasho, D. A., Van Alphen, S. P. J., Heijnen-Kohl, S. M. J., Ouwens, M. A., Arntz, A., & Videler, A. C. (2019). The effectiveness of individual schema therapy in older adults with borderline personality disorder: Protocol of a multiple-baseline study. Contemporary Clinical Trials Communications, 14, 100330. https://doi.org/10.1016/j.conctc.2019.100330

Kjaer, J. N., Biskin, R., Vestergaard, C. H., & Munk-Jorgensen, P. (2015). A nationwide study of mortality in patients with borderline personality disorder. European Psychiatry, 30(S1), 1–1. doi:10.1016/S0924-9338(15)30162-0

Lynch, T. R., et al. (2007). Dialectical behavior therapy for depressed older adults: A randomized pilot study. American Journal of Geriatric Psychiatry, 15(5), 383–393.

Rexand-Galais, F., Pithon, L., & Le Goff, J. (2021). Assessment of borderline personality disorder in geriatric institutions. Frontiers in Psychology, 12, 629571. https://doi.org/10.3389/fpsyg.2021.629571

Stiles, C., Batchelor, R., Gumley, A., & Gajwani, R. (2023). Experiences of stigma and discrimination in borderline personality disorder: A systematic review and qualitative meta-synthesis. Journal of Personality Disorders, 37(2), 177–194. https://doi.org/10.1521/pedi.2023.37.2.177

Videler, A. C., et al. (2020). Schema therapy for personality disorders in older adults. Aging & Mental Health, 24(1), 119–126.

Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2005). The McLean Study of Adult Development (MSAD): Overview and implications of the first six years of prospective follow-up. Journal of Personality Disorders, 19(5), 505–523. https://doi.org/10.1521/pedi.2005.19.5.505

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What if your emotional pain was invisible , even to the people closest to you?

In this episode, we explore Quiet BPD: the presentation of Borderline Personality Disorder where the storm rages entirely on the inside. No outbursts. No visible chaos. Just a carefully maintained exterior while everything underneath is burning.

We cover what Quiet BPD actually is (and what the research says), why it's so often misdiagnosed as depression, anxiety, or even autism, and what daily life looks like for people who've learned to turn their pain inward rather than outward.

If you've ever felt like you were performing "fine" while privately falling apart, this episode was made for you.

Topics covered: internalizing vs. externalizing BPD, shame & self-blame, misdiagnosis, treatment options including DBT & IFS, advice for loved ones

Your struggle is valid , whether it's loud or quiet.

🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com and let’s keep the conversation going.

🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out Empowered Heroes Meditations on ⁠⁠⁠⁠Spotify.

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:

📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org

📚 Referenced Research Includes:

Book:⁠The Complete Guide to Quiet BPD by Paul Fabunni Meredith⁠

Centres for Health and Healing Ontario. (2025). Living with Quiet BPD: Signs, Triggers, and Coping Strategies. Retrieved from: https://cfhh.ca/blog/living-with-quiet-bpd-signs-triggers-coping-strategies/

Higgins, H. M. (2025). The Quiet Borderline Personality Disorder: Understanding and Thriving with Internalized EUPD/BPD.

Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey Replication. Biological psychiatry, 62(6), 553-564. https://doi.org/10.1016/j.biopsych.2006.09.019

Lo, I. (2021). The struggles of quiet BPD. Retrieved from: https://www.psychologytoday.com/us/blog/living-emotional-intensity/202107/the-struggles-quiet-bpd

Millon, T. (2011). Disorders of personality: Introducing a DSM/ICD spectrum from normal to abnormal. John Wiley & Sons.

Stoffers-Winterling, J. M., Storebø, O. J., Kongerslev, M. T., Faltinsen, E., Todorovac, A., Jørgensen, M. S., ... & Simonsen, E. (2022). Psychotherapies for borderline personality disorder: a focused systematic review and meta-analysis. The British Journal of Psychiatry, 221(3), 538-552. doi:10.1192/bjp.2021.204

Wolf, K., Scharoba, J., Noack, R., Keller, A., & Weidner, K. (2023). Subtypes of borderline personality disorder in a day-clinic setting—Clinical and therapeutic differences. Personality Disorders: Theory, Research, and Treatment, 14(5), 555.

Nearly 1 in 3 people with Borderline Personality Disorder (BPD) will also experience an eating disorder at some point in their lives. But this connection goes far deeper than food, weight, or appearance.

In this episode, we explore the powerful and often misunderstood relationship between BPD and eating disorders, including anorexia, bulimia, and binge eating disorder.

Why do these conditions so often occur together? What role do emotion dysregulation, impulsivity, identity disturbance, and chronic emptiness play in disordered eating? And what does current research say about the most effective ways to support recovery?

🌱 Have questions, stories, or something you’d like us to cover? We’d love to hear from you. Email us at bpddiariespodcast@gmail.com and let’s keep the conversation going.

🎧 Looking for meditations made for emotional regulation, BPD, and more? Check out Empowered Heroes Meditations on ⁠⁠⁠⁠Spotify.

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:

📩 steff@bpdsupport.org or check out the website: www.bpdsupport.org

📚 Referenced Research Includes:

Cassioli, E., Rossi, E., D'Anna, G., Martelli, M., Hazzard, V. M., Crosby, R. D., ... & Castellini, G. (2022). A 1‐year follow‐up study of the longitudinal interplay between emotion dysregulation and childhood trauma in the treatment of anorexia nervosa. International Journal of Eating Disorders, 55(1), 98-107. https://doi.org/10.1002/eat.23647

Chen, E. Y., Brown, M. Z., Harned, M. S., & Linehan, M. M. (2009). A comparison of borderline personality disorder with and without eating disorders. Psychiatry research, 170(1), 86-90. https://doi.org/10.1016/j.psychres.2009.03.006

Fairburn, C. G. (2008). Cognitive behavior therapy and eating disorders. Guilford Press.

Federici, A., & Wisniewski, L. (2013). An intensive DBT program for patients with multidiagnostic eating disorder presentations: A case series analysis. International Journal of Eating Disorders, 46(4), 322-331. https://doi.org/10.1002/eat.22112Digital Object Identifier (DOI)

Khosravi, M. (2020). Eating disorders among patients with borderline personality disorder: understanding the prevalence and psychopathology. Journal of Eating Disorders, 8(1), 38. https://doi.org/10.1186/s40337-020-00314-3

Racine, S. E., & Wildes, J. E. (2015). Emotion dysregulation and anorexia nervosa: An exploration of the role of childhood abuse. International Journal of Eating Disorders, 48(1), 55-58. https://doi.org/10.1002/eat.22364Digital Object Identifier (DOI)

Sansone, R. A., & Sansone, L. A. (2010). Borderline personality and eating disorders: A chaotic crossroads. In Treatment of eating disorders (pp. 217-232). Academic Press. https://doi.org/10.1016/B978-0-12-375668-8.10013-0

Crisis & Support Resources:

• National Eating Disorders Association (NEDA) Helpline: 1-800-931-2237
• Crisis Text Line: Text HOME to 741741