Investigating The Challenges In Treatment Of Individuals With Borderline Personality Disorder: A Clinician’s Perspective

Abstract

This study examines the experiences of clinical psychologists working with individuals diagnosed with Borderline Personality Disorder (BPD) in Pakistan. BPD is a complex and

emotionally intense condition, often causing instability in relationships, identity, and mood. The study uses a qualitative, phenomenological approach to interview five practicing psychologists in Lahore, each with at least three years of experience. The findings reveal that clinicians often face emotional challenges such as helplessness, burnout, and countertransference. They struggle with maintaining therapeutic boundaries, managing crises, and navigating treatment resistance. Despite these challenges, many clinicians find meaning in their work through mindful practice, peer support, supervision, and a commitment to helping clients build healthier lives. The research underscores the need for greater institutional support, specialized training, and culturally relevant interventions.