Yes, it is possible for a person with Borderline Personality Disorder (BPD) who is in therapy to still experience splitting behaviors, especially during times of stress or emotional distress. Splitting is a defense mechanism commonly associated with BPD, where a person sees things as either all good or all bad, with little room for shades of gray or ambivalence. This can apply to people, relationships, or even the person's own self-image.
Even with therapy and treatment, individuals with BPD may still struggle with intense emotions and have difficulty regulating their reactions in certain situations. While therapy can be highly beneficial and may help individuals develop coping skills and emotional regulation, progress might be gradual, and setbacks can occur.
Several factors can contribute to the continued presence of splitting behaviors despite being in therapy:
Complexity of BPD: Borderline Personality Disorder is a complex and deeply ingrained condition that can take time and effort to address effectively in therapy.
Emotional triggers: Stressful events or situations can trigger intense emotional reactions, making it more challenging for someone with BPD to maintain emotional balance and avoid splitting behaviors.
Underlying core beliefs: Deep-rooted negative core beliefs about oneself, others, or the world can fuel splitting tendencies, and working through these beliefs may take time.
Interpersonal challenges: BPD often involves difficulties in managing interpersonal relationships. Even with therapy, navigating close relationships can be challenging, leading to occasional splitting.
Coping mechanisms: Splitting might serve as a coping mechanism to deal with overwhelming emotions or to protect oneself from perceived threats or rejection.
It's essential to remember that progress in therapy is not always linear, and setbacks are normal parts of the recovery process. With consistent therapy, individuals with BPD can develop better emotional regulation, healthier coping mechanisms, and more stable relationships. Patience, understanding, and continued support from mental health professionals, as well as friends and family, are crucial in helping someone with BPD work towards improved emotional well-being and more stable relationships.