Mokie makes a good point that it is not just about the diagnosis and the meds. My wife was diagnosed just over three years ago. While meds made an immediate improvement, they are certainly not a cure. I have observed her do and say things that are inappropriate, all the while with a look of horror on her face. She has told me, "I knew when I said it it was not appropriate, but I could not stop myself." This lack of control scares the heck out of her. She will say/do something in front of friends or family and then hide from them for months out of embarrassment.

A guy rolls a stop sign and gets stopped by the police.

He tells the cop, "hey, I slowed down, what's the difference?"

The cop pulls out his nightstick, starts beating the guy on the head and asked him, "OK, do you want me to stop or slow down?"

I think this is a perfect anology of BPD. Meds and coucelling can slow it down, but you cannot stop it. As much as I hate what my wife's BPD does to me, I hate what it does to her more.