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Clinical resource

BPD Parent

Having a parent with Borderline Personality Disorder (BPD) presents unique challenges, as individuals with BPD often grapple with intense emotional fluctuations

Clinically reviewed byDr. Sarah Boss, MD
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Quick Summary

  • Borderline personality disorder can involve intense emotions, impulsivity, unstable relationships, identity difficulties, and a strong fear of abandonment.
  • Growing up with a parent who has BPD may affect trust, boundaries, emotional regulation, relationships, and later parenting patterns.
  • Helpful approaches include setting consistent boundaries, seeking support, learning about BPD, practicing self-care, planning for crises, and considering therapy.

Having a parent with Borderline Personality Disorder (BPD) presents unique challenges, as individuals with BPD often grapple with intense emotional fluctuations, difficulty maintaining stable relationships, and impulsive behaviors. 

Estimates of BPD prevalence vary. Women are more often diagnosed in clinical settings, but this does not establish a higher prevalence among women in the general population. Individuals with BPD often have other mental health conditions, such as depression, anxiety, or substance abuse. This mental health condition can significantly impact the parent-child dynamic, leading to strained relationships and emotional turbulence within the family.

THE BALANCE describes private residential mental health treatment in Mallorca and Zurich, with each program dedicated to one client. Assessment guides an individualized plan and the appropriate level of care. Private accommodation is not inpatient hospital treatment, and outcomes vary.

Borderline Personality Disorder is a mental health condition that affects the way a person thinks, feels, and relates to others. It is characterized by difficulties in regulating emotions and forming stable relationships. People with BPD often experience intense mood swings, self-image issues, and struggles with self-worth [1].

The causes of BPD are not fully understood. Research has identified possible risk factors and associated features, but none alone explains or predicts the disorder:

Biological Factors: Having a close relative with BPD may increase risk, but does not mean you will develop it. Differences in brain areas involved in emotions and impulse control have been observed; whether these precede BPD or result from it remains unclear.

Environmental Factors: Childhood trauma, neglect and unstable or invalidating relationships are associated with increased risk. These experiences do not inevitably lead to BPD, and some people with BPD have no such history.

Neurotransmitter Research: Neurotransmitter systems have been studied, but BPD should not be described as a proven chemical imbalance.

Emotional Sensitivity: Intense emotions and difficulty regulating them are features of BPD, not established independent causes [2].

Growing up with a parent who has BPD can be challenging. The examples below cannot identify or diagnose BPD: many are nonspecific and can occur for other reasons. Diagnosis requires assessment by a qualified mental health professional. These features are not specific to mothers or fathers, and experiences vary between families. 

The following are possible experiences, not a diagnostic checklist:

Possible Experiences With A Mother Who Has BPD

When your mother has Borderline Personality Disorder, navigating relationships and establishing boundaries can pose significant challenges.

Intense Mood Swings: BPD can involve intense, rapidly changing emotions, including anger, sadness and anxiety. A mother with BPD may experience these changes, but their severity and frequency vary; mood changes alone do not establish the diagnosis.

Fear of Abandonment: Individuals with BPD often fear abandonment and may go to great lengths to avoid it. A borderline mother might become overly dependent on her children, seeking constant reassurance and attention.

Unstable Relationships: Borderline mothers may struggle with maintaining stable relationships. Their intense emotions and fear of abandonment can lead to frequent conflicts and dramatic ups and downs in family dynamics.

Impulsive Behavior: Acting on impulses without considering the consequences is another common trait. Impulsivity may involve potentially harmful spending, substance use, unsafe sex or dangerous driving. Job changes or lifestyle shifts alone do not indicate BPD.

Emotional Dysregulation: Difficulty in regulating emotions is a key feature of BPD. A borderline mother may experience emotional outbursts disproportionate to the situation, making the household environment unpredictable.

Idealization and Devaluation: Individuals with BPD may idealize others one moment and devalue them the next. A borderline mother might have unrealistic expectations, quickly switching between viewing her children as perfect and seeing them as disappointments [1].

Possible Experiences With A Father Who Has BPD

Anger and Hostility: Some people with BPD experience intense anger or difficulty controlling it. A father with BPD may have distressing outbursts, but this is not universal or specific to fathers.

Identity Disturbance: People with BPD may have an unstable self-image, and their interests or values may change quickly. This is not specific to fathers, and changes in career, hobbies or beliefs alone do not indicate BPD.

Lack of Emotional Boundaries: Some families experience difficulties with emotional boundaries, over-involvement or emotional distance. These experiences are not specific to fathers or diagnostic of BPD. Support should address the child’s own experiences and needs rather than assume an effect from the parent’s diagnosis.

Suicidal Thoughts or Self-Harm: While not universal, some individuals with BPD may experience thoughts of self-harm or suicidal ideation. A father with BPD may exhibit risky behaviors or talk openly about self-harm, impacting the emotional well-being of the family.

Cyclical Relationships: People with BPD may experience unstable relationships and shifts between intense closeness and dislike. This is not specific to mothers or fathers and does not describe every family [1].

Growing up with a parent who has BPD can have a profound impact on an individual’s life. The experiences during childhood can shape one’s emotional well-being, relationships, and parenting style. 

The following are possible difficulties, not inevitable outcomes. Much of the research concerns small observational samples of mothers and children, so it cannot establish causation or be assumed to describe fathers, every family, or lifelong outcomes. A parent’s diagnosis alone does not establish abuse or determine their child’s future.

Effects In Early Childhood

Emotional Turmoil: Some children experience emotional turbulence when a parent’s symptoms affect caregiving. The degree of difficulty varies with symptoms, treatment, family circumstances and available support.

Insecurity and Fear: Some young children of mothers with BPD have shown more fear-of-abandonment themes in research assessments. This does not establish that every child feels rejected or that a parent’s symptoms directly cause these feelings.

Difficulty Establishing Trust: Some young children of mothers with BPD have shown more negative expectations of caregiving relationships in research assessments. These findings do not establish lifelong difficulties trusting others or a single cause.

Role Reversal: Some children may feel responsible for caring for a parent. Research has identified more role-reversal themes in stories told by some young children of mothers with BPD, but this does not establish inevitable developmental harm. Children should not be responsible for a parent’s treatment or crises.

Identity Confusion: Research in some young children of mothers with BPD has identified differences in representations of themselves and relationships. It does not establish that changes in a parent’s beliefs or interests cause identity confusion [3].

Effects On Adolescents & Young Adults

Difficulty with Boundaries: If boundaries or family responsibilities feel difficult, seek support suited to your age and circumstances. Research in young children cannot by itself establish how boundaries or identity develop in adolescence.

Impaired Social Relationships: Observational research has associated maternal BPD symptoms with difficulties in adolescent interpersonal functioning. It does not establish that modeling a parent’s relationships causes these difficulties or that every adolescent will experience them.

Emotional Dysregulation: Children of parents with BPD may struggle with emotional regulation themselves. Observed associations do not establish that exposure to a parent’s mood changes is the cause; inherited characteristics and wider circumstances may also matter.

Risk of Mental Health Issues: Studies of children of mothers with BPD have found increased mental health difficulties in some samples. These findings do not predict an individual child’s outcome or establish a single cause.

Reflecting On Adult Relationships

Fear of Abandonment: If fear of abandonment affects your relationships, consider discussing it with a therapist. Your parent’s diagnosis alone does not establish that you will experience this difficulty.

Pattern of Unstable Relationships: If you notice distressing relationship patterns, you can explore them with a therapist. Research cited here does not establish that adult children repeat their parents’ relationship patterns.

Challenges with Intimacy: If intimacy or trust is difficult for you, support can focus on your experiences and current needs rather than assuming a cause from your parent’s diagnosis.

Your Parenting

Impact on Parenting Style: You can reflect on which experiences from your upbringing you want to retain or approach differently as a parent. Having a parent with BPD does not determine your parenting style.

Focus on Emotional Well-Being: If you have parenting concerns, discuss your children’s needs and your own support needs with a qualified professional.

Breaking the Cycle: Seeking support does not mean that dysfunction is inevitable. Assessment should consider the needs of dependent children, and family members can seek support for themselves [2].

Dealing with a parent with Borderline Personality Disorder can be challenging and emotionally taxing. The suggestions below should be adapted to your age and safety. You are not responsible for treating your parent or managing their crises. If you are under 18 and feel unsafe, tell a trusted adult outside the situation, such as a teacher, school counselor or healthcare professional. Abuse or threats require support regardless of whether a parent has a diagnosis.

Establish Boundaries

Consider boundaries that fit your age, circumstances and safety. NICE recommends informing families and carers about local support groups where available [2]. You can also seek help for your own needs. Possible approaches include:

  • Express your needs and limits calmly and assertively.
  • Maintain boundaries where it is safe to do so; seek support rather than confronting someone if this could put you at risk.

Seek Support

Coping with a parent with BPD can be isolating. It’s essential to build a support system to help you navigate the challenges.

  • Share your experiences and feelings with people you trust.
  • Individual or group therapy can provide a safe space to explore your emotions and develop coping strategies.

Educate Yourself

Knowledge is power. Understanding BPD can help you make sense of your parent’s behavior and reduce feelings of confusion or frustration. 

  • Educate yourself about BPD through articles and books written by mental health professionals.
  • Connecting with others who share similar experiences can provide valuable insights and coping strategies.

Practice Self-Care

Caring for your well-being is crucial when dealing with the challenges of a parent with BPD. Make self-care a priority:

  • Engage in activities that bring you joy and relaxation.
  • Identify and practice healthy ways to cope with stress, such as mindfulness or exercise.

Respond, Don’t React

Parents with BPD may exhibit intense emotions and behaviors. It’s essential to respond thoughtfully rather than react impulsively.

  • Take a moment to collect your thoughts before engaging in a conversation.
  • Express your feelings and needs without placing blame.

Be Mindful of Communication

Communication can be a significant source of tension [1]. Implement effective communication strategies:

  • Pick a calm and appropriate time to discuss important matters.
  • Clearly express your thoughts and concerns in a straightforward manner.

Acknowledge Your Feelings

Living with a parent with BPD can evoke a range of emotions, including anger, sadness, and confusion. It’s crucial to acknowledge and process these feelings:

  • Write down your emotions as a way of processing and reflecting.
  • A therapist can assist you in navigating complex emotions and provide coping strategies.

Develop a Safety Plan

Plan with a trusted adult or mental health professional whom to contact and where to go during a crisis. For imminent suicide risk, serious self-injury or immediate danger, seek emergency help now: in the United States, call 911 or go to an emergency department. For suicidal thoughts or emotional crisis in the United States, call or text 988. Outside the United States, use your local emergency or crisis service. Do not rely on a routine appointment or try to manage immediate danger alone.

  • Know where you can go to feel secure during difficult moments.
  • Reach out to friends, family, or mental health professionals for assistance.

Be Patient and Practice Empathy

Patience and understanding may help, but you are not responsible for your parent’s recovery and do not have to tolerate abuse or unsafe contact. Keep the following in mind:

  • Recognize that BPD is a mental health condition, and your parent may be battling internal challenges.
  • Celebrate small victories and positive changes in your parent’s behavior.

Growing up with a parent who has BPD can leave lasting emotional scars. Navigating the complexities of BPD and parenting requires a delicate balance of understanding, communication, and the implementation of effective coping strategies.

Support and treatment may help with distress related to your upbringing. Treatment should address your own assessed needs; having a parent with BPD does not mean you have BPD or need a particular therapy.

Acknowledge and Understand the Impact

Before embarking on the healing process, it’s essential to acknowledge and understand the impact of having a BPD parent. Recognize that the challenges you faced may have affected your emotional well-being and interpersonal relationships.

  • Take time to reflect on your experiences and emotions.
  • Learn about the effects of BPD on individuals raised by someone with this disorder.

Individual Therapy

Individual therapy is a valuable tool for healing from the effects of a BPD parent. A licensed therapist can provide personalized support and guidance.

Cognitive-Behavioral Therapy (CBT): CBT can help you identify and change negative thought patterns and behaviors.

Dialectical Behavior Therapy (DBT): DBT teaches emotion-regulation, distress-tolerance and relationship skills and is used to treat BPD. Whether DBT or selected skills are appropriate for you depends on your own difficulties, not your parent’s diagnosis [1].

Group Therapy

Group therapy may offer support and opportunities to learn coping skills. Its suitability depends on your own needs, the group’s purpose and the clinician’s assessment; having a parent with BPD does not establish that group therapy will help you.

  • Group therapy provides a space for validation, as others can relate to your struggles.
  • Learn from others who have faced similar challenges and discover effective coping mechanisms.

Trauma-Informed Therapy

Some people have experienced trauma, but a parent’s BPD diagnosis alone does not establish trauma or PTSD. Trauma-informed care emphasizes safety and choice; specific trauma-focused treatment should follow assessment.

  • NICE recommends Eye Movement Desensitization and Reprocessing (EMDR) for adults with PTSD or clinically important PTSD symptoms presenting more than 3 months after non-combat-related trauma, and says to consider it between 1 and 3 months when preferred. Suitability requires clinical assessment.
  • Discuss treatment options and their evidence with a qualified clinician; no particular approach is established as necessary simply because your parent has BPD.

Meditation Practices And Hobbies

Support for your own well-being may include counseling [1]. Choose self-care activities that feel helpful, without treating them as a requirement for recovery or a substitute for needed treatment.

  • Meditation may help some people manage stress, but can also increase distress. Stop or adapt the practice and seek professional advice if it worsens anxiety or other symptoms; it should not replace needed treatment.
  • Hobbies and activities help you engage in activities that bring you joy and relaxation.

Acceptance and Forgiveness

You can choose whether acceptance or forgiveness has a place in your recovery. Forgiveness and reconciliation are not required, and neither should mean accepting abuse or giving up boundaries.

Therapeutic Writing: If it feels helpful, try journaling to reflect on your emotions; stop or seek support if it increases distress.

Mindfulness Practices: If helpful, use mindfulness to focus on the present; adapt or stop practices that increase distress.

Celebrate Personal Growth

Recognize and celebrate your personal growth and achievements.

  • Establish realistic goals for your healing journey.
  • Acknowledge and reward yourself for progress, no matter how small.

THE BALANCE offers private residential accommodation alongside assessment-led care. The setting and amenities do not establish clinical superiority or guarantee improvement.

Holistic Therapies Tailored for You

At our luxury treatment center, we prioritize a holistic approach, recognizing that mental health encompasses various facets of one’s life. Each resident receives a personalized treatment plan crafted by experienced professionals.

Depending on assessment and practitioner availability, care may include Cognitive-Behavioral Therapy (CBT) or DBT-informed principles and skills. DBT-informed work is not the same as a comprehensive Dialectical Behavior Therapy (DBT) program.

Comfort and Privacy

THE BALANCE describes private residential accommodation dedicated to one client. The residence and privacy arrangements are confirmed individually; comfortable accommodation does not guarantee a restful stay or treatment benefit.

Care includes private clinical appointments and agreed information-sharing arrangements. Confidentiality remains subject to applicable clinical, legal and safety responsibilities.

Expert Team of Professionals

Our luxury treatment center boasts a team of experienced and compassionate professionals dedicated to guiding residents through their healing journey. Our team includes psychiatrists, psychologists, and holistic wellness experts working collaboratively to address diverse aspects of mental health.

The clinical team, support arrangements and escalation pathways are agreed according to assessed needs. The residence is not an emergency department or inpatient psychiatric hospital and does not provide continuous hospital-level observation.

Exclusive Therapeutic Amenities

THE BALANCE describes chef-prepared meals, nutrition planning, movement and restorative time within the individual residential plan. These supportive amenities do not replace indicated clinical treatment.

Personalized Aftercare Plans

Transitioning back into daily life is a crucial phase of the recovery process, and our luxury treatment center emphasizes comprehensive aftercare planning. We help residents establish a support network tailored to their individual needs.

Continuing care and handover are planned before departure. Any remote clinical support depends on agreed availability, professional registration and the client’s location; ongoing international treatment should not be assumed.

Questions

Frequently Asked Questions

Is It Possible For A Parent With BPD To Change Their Behavior?
Yes, improvement is possible with appropriate treatment. Structured psychotherapy, including DBT, may help with BPD symptoms and functioning, although responses vary and evidence for some outcomes remains uncertain. These findings do not guarantee improvement in parenting or a particular parent-child relationship.
How Can I Explain My Parent's BPD To My Friends Or Significant Other?
Open and honest communication is key. Share basic information about BPD, its symptoms, and how it may manifest in your parent’s behavior. Emphasize the importance of patience and understanding while also setting realistic expectations.
Is It Advisable To Confront Your Parent About Their BPD Diagnosis?
You do not have to confront your parent about their diagnosis. If discussion feels safe and useful, consider the timing and setting and seek a therapist’s support. If confrontation could expose you to abuse or threats, prioritize safety and seek support instead; children should involve a trusted adult.
Can A Supportive Online Community Help Me Cope With A BPD Parent?
Yes, connecting with others who share similar experiences in online support groups or communities can provide validation, understanding, and valuable insights. It’s important to choose groups that focus on constructive support and information.

Editorial evidence

Evidence & sources

Selected clinical guidelines, peer-reviewed research, and public-health sources used in this article.

01National Institute of Mental Health. (2025). Borderline Personality Disorder.
02National Institute for Health and Care Excellence. (2009). Borderline personality disorder: Recognition and management. Clinical guideline CG78. NICE guideline PDF hosted by East London NHS Foundation Trust.
03Macfie, J., & Swan, S. A. (2009). Representations of the caregiver-child relationship and of the self, and emotion regulation in the narratives of young children whose mothers have borderline personality disorder. Development and Psychopathology, 21(3), 993–1011. doi: 10.1017/S0954579409000534.
View all 11 sourcesShow fewer sources
04Leichsenring, F., Leibing, E., Kruse, J., New, A. S., & Leweke, F. (2011). Borderline personality disorder. The Lancet, 377(9759), 74–84. doi: 10.1016/S0140-6736(10)61422-5.
05World Health Organization. (2024). Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders.
06Substance Abuse and Mental Health Services Administration. (n.d.). Treatment locators.View source
07National Health Service. (n.d.). Borderline personality disorder.View source
08Storebø, O. J., Stoffers-Winterling, J. M., Völlm, B. A., Kongerslev, M. T., Mattivi, J. T., Jørgensen, M. S., Faltinsen, E., Todorovac, A., Sales, C. P., Callesen, H. E., Lieb, K., & Simonsen, E. (2020). Psychological therapies for people with borderline personality disorder. Cochrane Database of Systematic Reviews, 5, CD012955. doi: 10.1002/14651858.CD012955.pub2.View source
09Gunderson, J. G. (2011). Borderline personality disorder. New England Journal of Medicine, 364(21), 2037–2042. doi: 10.1056/NEJMcp1007358.View source
10Substance Abuse and Mental Health Services Administration. (n.d.). National helpline.View source
11National Collaborating Centre for Mental Health. (2009). Borderline personality disorder: Treatment and management. British Psychological Society & Royal College of Psychiatrists.View source
What this includes
01

Clinical context

Clear information is framed around complex and co-occurring presentations.

02

Individual factors

Assessment remains essential because needs and risks differ from person to person.

03

Next steps

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Cynthia NakhleAdmissions Manager

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