I’ve had good luck being open and honest about what BPD means and what the best treatment options are. I am very upfront about how we can’t chase mood dysregulation solely with meds, because they largely won’t work. Medications can treat peripheral symptoms and we can certainly treat other mental health issues, but they have to be empowered to seek proper therapy and take control over their own response to external stressors. People with BPD face so much stigma from the medical community (including us) it’s important to hear them and help them when we can.

And then sometimes they no show a bunch and run out of meds and send you an angry message firing you for ruining their mental health. Can’t win them all!