That is true @anthony but there is a stigmatization out there as therapists frequently want to keep away from BPD if they can help it. Some other Axis II disorders are well known for having positive outcomes in treatment, whereas BPD is seen as a difficult type of person to treat. In my experience and research, BPD is often referred to as the 'worst' because you can't 'lock them away' as they do with many other Axis II disordered here, but many don't know how to help and when they don't know how to help they trigger off with some pretty difficult to handle responses. I am meaning no disrespect to those with BPD, I just wish that effective treatment was available. To me, if the treatment by and large isn't effective then those 'who be the powers that are' don't have a proper understanding of the root cause. Thus we come back to square one. Is it because they are not seeing the complex nature of trauma that may be involved with some BPD patients?Axis II disorders, when accurate and correctly diagnosed, are just scary.