Part of the reason BPD stigma is so bad is due to psychiatry. It is an internal stigmatization that is based on the lack of response to medication. Psychiatry would love it if all people fit nicely on axis 1, where medication is the first treatment option. Psychotherapy is too hard and time consuming.

Academic papers on BPD are filled with the female stereotype. Eg. The substance abusing, sex addicted, cutter who is an emergency department frequent flyer.

A lot of this has to dealt with from within the profession.

It is easy to blame and write people off if they don't improve.