BPD Living With BPD How to Manage Finances With BPD By Erin Johnston, LCSW Erin Johnston, LCSW Erin Johnston, LCSW is a therapist, counselor, coach, and mediator with a private practice in Chicago, Illinois. Learn about our editorial process Updated on November 11, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Carly Snyder, MD Medically reviewed by Carly Snyder, MD Facebook LinkedIn Twitter Carly Snyder, MD is a reproductive and perinatal psychiatrist who combines traditional psychiatry with integrative medicine-based treatments. Learn about our Medical Review Board Print Bruce Ayres / Getty Images It's not unusual for people diagnosed with borderline personality disorder (BPD) to struggle with financial issues. The challenges you face may be made worse by a chronic lack of money. Creditors may even be calling, which can feel like verification of your worst thoughts about yourself. Personal Finance Problems BPD can cause all sorts of problems that can harm your finances, including: Impulsive behaviors like excessive spending: One of the diagnostic criteria for BPD is impulsive behavior that is potentially self-damaging. Many people with BPD spend money excessively, triggering emotional reactions and worsening symptoms. Alcohol and drug use may also result in cash flow issues: If you struggle with BPD, you may be tempted to self-medicate or soothe your symptoms with drugs or alcohol. While these substances have many harmful physical effects, they also can be very expensive. Impulsive desires to self-soothe can lead to overspending. Medical and mental health costs: Medical and mental health treatment can be expensive. In addition to the cost of treatment for borderline personality disorder, many of those with BPD also experience other medical or mental health issues that require medical intervention and result in additional costs. This is a sad reality but it does not mean that anyone should cut corners when it comes to health. It may seem difficult, but ignoring your financial situation only makes it worse. Addressing your finances honestly is a first step to improve your situation. There are no quick fixes, but consistent changes can produce great results. Put Together a Budget Budgets do not have to be complicated; you don't need special software programs or ledgers. A simple piece of paper will work just fine. It is important to be realistic in your planning and not set yourself up to fail. Confront Your Bills Stop piling the bills up or sticking them unopened in a drawer. Open the bills to find out what is due and the terms of payment. Lifestyle Choices It may be necessary for you to make some lifestyle changes. If substance use or spending habits are keeping you from getting ahead or preventing you from breaking even, then making some changes can impact your finances. A couple of places to start are to quit smoking if you're a smoker and quit drinking. Communicate With Treatment Providers If medical and treatment costs are an issue for you, discuss the issue with your providers. Medical costs can often be negotiated down or lower-cost medications can be prescribed. Some therapists operate on a sliding scale, meaning the treatment may be cheaper based on your financial situation. Borderline personality disorder can make managing money difficult, but with continual therapy and a focus on managing your finances, you can create a solid foundation. 2 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Cheema MK, Macqueen GM, Hassel S. Assessing personal financial management in patients with bipolar disorder and its relation to impulsivity and response inhibition. Cogn Neuropsychiatry. 2015;20(5):424-37. DOI:10.1080/13546805.2015.1076722 Strakowski SM, DelBello MP, Fleck DE, Arndt S. The impact of substance abuse on the course of bipolar disorder. Biological psychiatry. 2000 Sep;48(6):477-85. doi:10.1016/S0006-3223(00)00900-8 By Erin Johnston, LCSW Erin Johnston, LCSW is a therapist, counselor, coach, and mediator with a private practice in Chicago, Illinois. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for BPD Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.