Gender transition is a significant process, requiring at times great fortitude, resilience and determination. For people with Borderline Personality Disorder (BPD), there are extra challenges that complicate the process. This is a complex question, and there is much more to the issue than what I can put in this post.
Gender transition requires significant changes within relationships. The support of family and friends is very important in gender transition, and relationships can be challenged and threatened by the process. People with borderline personality may have difficulty maintaining stable relationships, and consequently lack support for transition. Employers, colleagues and even health professionals usually require the cultivation of warm relationships to offer support to the transitioning person.
A strong fear of abandonment is common among people with BPD, and this is often heightened by gender transition. Abandonment is, unfortunately, a common experience among people who are in transition. This combination of increased risk of abandonment in the setting of great fear of abandonment can be very challenging.
Mood changes such as anxiety and depression are common in both gender dysphoria and BPD. Sometimes mood problems can be the biggest threat to transition.
Finally, the fluctuations in self-awareness and feelings of emptiness or uncertainty about one's own emotional world can make negotiating such a significant transition in identity expression difficult.
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