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Borderline Personality Disorder: Gender Differences

There is evidence for gender differences in BPD, though it is unclear whether this is based on biological differences or differences in the societal and cultural environment. Some of the gender differences for men and women include:

1. Prevalence: BPD is more commonly diagnosed in women compared to men. Studies suggest that about 75% of individuals diagnosed with BPD are women. However, it is important to note that this gender difference may be influenced by various factors, including differences in help-seeking behaviors and diagnostic biases.

2. Symptom Expression: Men and women with BPD may exhibit some variations in symptom presentation. For example, women with BPD tend to display more internalizing symptoms such as self-harm behaviours. Men with BPD may exhibit more externalizing symptoms such as aggression, and risk-taking behaviors.

3. Comorbidities: BPD is often accompanied by other mental health conditions. Studies suggest that women with BPD are more likely to have comorbid conditions such as depression, anxiety disorders, and eating disorders. In contrast, men with BPD may been shown to have higher rates of comorbid substance use disorders and antisocial personality disorder.

4. Trauma and Abuse: Both men and women with BPD often have a history of trauma and abuse. However, women with BPD are more likely to report experiences of sexual abuse, while men with BPD may be more likely to report experiences of physical abuse or neglect.

5. Treatment Seeking: Women with BPD are generally more likely to seek treatment and engage in therapy compared to men. Men with BPD may face additional barriers to seeking help due to societal expectations of masculinity, stigma, and reluctance to express vulnerability.

It is important to remember that these gender differences are generalizations and may not apply to every individual with BPD. Each person's experience with BPD is unique, and the impact of gender may vary across individuals.

If you are experiencing symptoms of BPD and want to find out how therapy can help you, please book a consultation with Dr. Terrighena on (852) 2521 4668 or

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