bpd.fyi

A patient-run resource on Borderline Personality Disorder, treatment self-advocacy, and lived experience with low-dose buprenorphine.

About this site

Borderline Personality Disorder is one of the most painful and misunderstood conditions in mental health. People with BPD experience intense emotional pain, unstable relationships, chronic emptiness, and often recurring suicidality, because of how their nervous system processes emotional and social signals.

bpd.fyi is for people with BPD who want to understand, evaluate, and self-advocate around potential treatment options, especially when standard approaches haven’t helped. This site documents how low-dose buprenorphine significantly reduced and stabilized my own interpersonal and mood-related BPD symptoms, alongside the reasoning, research context, and limitations of that experience.

This site does not provide medical advice or individualized treatment guidance.

Starting buprenorphine regulated me enough to actually work with my doctors. Suicidal ideation I'd had for over a decade stopped quickly after starting and from that stability, I was able to investigate my physical health. It turned out I had undiagnosed celiac disease. Even after discontinuing, my SI didn't come back. When I take it now, I barely feel my BPD symptoms at all and I don't have side effects. My life is genuinely calm now in a way I didn't think was possible.

— Jesse, BPD

I was prescribed low-dose Buprenorphine for my chronic pain, but it’s had a profoundly positive impact on my life far beyond pain management. My suicidal depression vanished practically overnight, the mental pain I had been feeling was erased much like the physical pain it was prescribed for. I also stopped struggling with derealization and my dissociation is significantly reduced, and my BPD symptoms are mostly gone now, only really noticeable these days if I get overwhelmed. Buprenorphine lets me actually be there for my spouse and kids, and enables me to enjoy life in a way that I used to think wasn’t possible.

— Lily, BPD

Taking ultra-low-dose buprenorphine improved my dissociation and depression immensely, in ways that other treatments had failed at. I started to enjoy things again. I started to see a whole person in the mirror, where before I had only seen a collection of features. I started to feel more present in my day-to-day life in ways I hadn't experienced before.

— Victoria, DID

Explore

Treatment →

What BPD is, how buprenorphine works, dosing considerations, safety information, and what patients should know before talking to a clinician.

My Experience →

A personal account of what changed and what didn't after starting low-dose buprenorphine.

Research →

Selected papers on buprenorphine, BPD, the endogenous opioid system, and related conditions, with plain-language summaries.

Resources →

Clinical guides and reference materials for primary care clinicians and prescribers considering this treatment option.

Posts →

Longer writing on related topics, including co-occurring conditions and emerging research threads.

Clinicians, researchers, and educators interested in this work should use the Contact page. Have a question first? Check the FAQ.