Obviously, all of that is easier said than done. BPD has kind of a specific neurochemical cascade that isn't like other disorders. Once the chain reaction starts, it is hard to reverse. It usually just needs time to die down. It can seem like Bipolar, but the swings don't go one way... essentially several parts of the mind are pulled in several directions in that the activations in the brain are not "polar" but scattered. This is why treatments for Bipolar will not work. >Koenigsberg found that when people with BPD attempted to control and reduce their reactions to disturbing emotional scenes, the anterior cingulate cortex and intraparetical sulci areas of the brain that are active in healthy people under the same conditions remained inactive in the BPD patients. >“This research shows that BPD patients are not able to use those parts of the brain that healthy people use to help regulate their emotions,” said Dr. Koenigsberg. The main point of interest is that BPD sufferers cannot self regulate. The only way to achieve regulation is through controlling the environment and establish healthy physical and emotional patterns that reinforce "normal" set points. Structure. Routine. These are imperative for BPD sufferers because it will give them the neural reprogramming needed to start self regulating... but it takes years. Also, old age in all people results in less less neurochemical storms, so symptoms generally lessen with age.