1. The History of BPD
How did BPD become a psychiatric diagnosis?
Learn More →Research · Transparency · Accountability
Examining the evidence.
Advancing diagnostic accountability.
A clinician-informed initiative examining borderline personality disorder classification, its clinical consequences, and the case for diagnostic reform.
Our Position
We call on the American Psychiatric Association to remove BPD as a diagnostic category from the DSM and commit to an evidence-based, humane approach to the understanding and treatment of the consequences of trauma.
Explore the Evidence
In-depth, accessible information on the history, science, and real-world impact of the BPD diagnosisand what comes next.
2. Diagnostic Reliability
Do clinicians agree? What do the studies show?
Learn More →3. The Nine DSM Criteria
Are the criteria well-defined, measurable, and valid?
Learn More →4. Childhood Trauma
Are trauma responses being classified as personality pathology?
Learn More →5. Neurobiology
What does brain research actually tell us?
Learn More →6. Stigma and Diagnostic Harm
How does the diagnosis affect treatment, equity, and outcomes?
Learn More →7. What Would Replace BPD?
Evidence-based alternatives and recommendations for diagnostic reform.
Learn More →8. Personal Stories & Impact
Lived experiences, clinical perspectives, and the real-world consequences of misdiagnosis.
Learn More →Evidence you can examine
Original sources. Clear limitations. Open acknowledgment of conflicting findings.
Our Research Standards →Support diagnostic accountability.
Read the petition and the changes we are asking the American Psychiatric Association to consider.
Read & Sign the Petition →