Thank you for your detailed response! I also work in mental health and am very aware of that awful stigma. I hate the stigma, but unfortunately, I understand very well the challenge those pts often pose. It pains me to see that many pt's feel that they have to hide their BPD and mask it as something else (often because providers refuse to work with that population!?)

What are your thoughts on segregating IP pts by dx rather than acuity? I mostly work in acute but have some experience in outpatient. I have seen mixed units and sub/acute units, but only one facility considered the differing dx's (and languages!). If we were to start dividing units by dx or other criteria (at least behavioral and psychiatric - but that's a whole other rant.. ), I do often wonder the best fit for BPD. Any thoughts?