pdocs are beginning to understand more and more about BPD and it is becoming less stigmatized. There is a bio side to it and a social side. Many BPD's have been very abused. If pdoc doesn't want to treat, it is the wrong one. The hospital setting is probably not the right place for a group, since DBT is noted as the best treatment for BPD. It is better to have the group in the clinical setting since the goal is to stay away from the hospital, even with self harm. It is better to learn ways to stop the self harm. There is a cognitive way to figure out what starts the inner emotions that fuels the energy for self harm. In the end, the BPD has to try to work her way out of her own emotional mind without running to others to solve the problem. DBT group leaders do not suffer the burn out problems, as much, since they practice DBT (dialectical behavior therapy) with each other in a meeting each week. Hope this helps.