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The BPD Devaluation Phase: When the Savior Becomes the Enemy
A woman looking at a mirror, seeing a distorted reflection of herself. Annie Wright trauma therapy

LAST UPDATED: APRIL 2026

SUMMARY

The shift from the idealization phase to the devaluation phase in a relationship with a partner who has Borderline Personality Disorder is often sudden and disorienting. This article explores the neurobiology behind that shift, why the partner who once felt like a “savior” can seem to become the “enemy” overnight, and how to protect your own nervous system and sense of reality while it’s happening.

Last reviewed: July 2026 by Annie Wright, LMFT · Editorial Policy

DISCLAIMER: The content of this post is for psychoeducational and informational purposes only and does not constitute therapy, clinical advice, or a therapist-client relationship. For full details, please read our Medical Disclaimer. If you are in crisis, please call or text 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room.

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QUICK ANSWER · UPDATED JUNE 2026

The devaluation phase describes a period, sometimes seen in relationships where a partner has Borderline Personality Disorder, when someone who was once idealized becomes the target of sustained criticism, contempt, or emotional withdrawal, often without a clear external trigger. Clinicians connect this to splitting, a defense mechanism involving all-or-nothing perception, in which a partner who felt “all good” can come to feel “all bad” the moment they fail to provide perfect attunement or unintentionally trigger a fear of abandonment. The shift can feel sudden and disorienting because it often arrives without a cause that matches its size. In my work with driven women, the hardest part isn’t the criticism itself. It’s that the new narrative can start to feel truer than their own memory of themselves.


In short: The devaluation phase in relationships affected by BPD dynamics is a sudden, disorienting shift often driven by splitting, the all-or-nothing defense that can convert a previously idealized partner into the perceived source of all harm, sometimes with no proportionate trigger.


Who I Am and Why I Know This

I’ve spent more than 15,000 clinical hours with partners living through what devaluation cycles can look like in relationships marked by Borderline Personality Disorder, and the whiplash of it’s one of the more acute forms of relational trauma I see in my practice. The splitting defense often discussed alongside BPD devaluation is described in the DSM-5-TR criteria for Borderline Personality Disorder (American Psychiatric Association, 2022).

What Does the Fall From Grace Actually Feel Like?

Keisha’s 39 years old, a hospital pharmacy director, and she’s telling me this story with her hands wrapped around a Yeti mug of coffee that’s gone cold on my office table. It’s a Tuesday in late January, and outside the window behind her, the sky’s the flat gray that stays that way in New England for weeks at a time. For the first eight months of her relationship, she says, she felt like she was living inside a spotlight that never dimmed. Her partner told her she was the most brilliant, most steady woman he’d ever been with. He remembered her coffee order, noticed when she was tired before she said so, and made her feel, in her words, “finally, completely seen.”

Then the light changed. It started small: a comment about her tone on the phone, a sigh when she stayed late at the hospital during a formulary crisis. Within a few weeks, the small comments became something else entirely. “I went from being ‘the most brilliant woman he’d ever met’ to being ‘arrogant’ and ‘condescending’ in about a month,” Keisha tells me, and her voice doesn’t waver, which is somehow worse than if it had. “I was cold. I was selfish. He accused me of doing things on purpose that I don’t even remember doing at all.” She spent whole weekends trying to explain herself, apologizing for things she couldn’t name, reaching for the man who had once made her feel unimpeachable. She hadn’t changed. She’d simply crossed an invisible line from the idealization phase into the devaluation phase, and she had no idea the line existed until she was standing on the other side of it.

Sitting with Keisha that first session, I felt the particular sinking I’ve come to recognize in this work. Not surprise, exactly. Recognition. I’ve watched dozens of ambitious, competent women arrive in my office describing the same inexplicable free fall, and the confusion is almost always the same: how do you reconcile the person who adored you with the person now dismantling you, when it seems to be the same person, in the same week, using the same voice?

For driven, competent women, the devaluation phase in a relationship shaped by BPD dynamics is a uniquely disorienting experience. You’re used to receiving feedback based on facts and performance. When you’re suddenly met with a barrage of accusations that contradict everything your partner said about you three weeks earlier, your first instinct is to try to fix it. That instinct is closely related to people-pleasing as a trauma response. You believe that if you communicate more clearly, or try a little harder, you can restore things to what they were.

Here’s the claim I want to make carefully, because precision matters in a topic this sensitive: understanding the devaluation phase means recognizing that, in many cases, it isn’t a response to your actual behavior. Researchers who study Borderline Personality Disorder describe it as connected to a defense mechanism triggered by fear of abandonment and difficulty tolerating the ordinary complexity of intimacy. That’s a pattern documented in the clinical literature on BPD as a diagnostic category. It isn’t a verdict on any specific person’s character, and it doesn’t mean every partner with BPD will devalue every person they love, every time, forever.

What Is the Devaluation Phase?

DEFINITION DEVALUATION

A phase sometimes described in the BPD relationship cycle, marked by a shift in perception where a partner who was seen as the “all-good” savior comes to be seen as the “all-bad” source of harm. This phase can involve intense criticism, emotional withdrawal, and at times emotional or verbal abuse.

In plain terms: The pedestal cracks, and the person who once thought you were flawless starts to experience you as the source of their pain.

Think of the idealization phase like a photograph taken in perfect light. Every angle flatters. Nothing casts a shadow. What clinicians describe in the devaluation phase is what happens when ordinary daylight returns and the photograph can no longer hold up against it. The idealization was often built on a fantasy of perfection, and fantasies of perfection are, by definition, unsustainable. No human being can anticipate another person’s needs with total accuracy, indefinitely. Eventually, someone makes a mistake, sets a boundary, or simply has a bad day. In a securely attached relationship, that’s a normal part of building real intimacy. In a relationship affected by significant BPD traits, it can register as a rupture. One that researchers trace back to relational trauma rooted in a person’s earliest attachments, not to any failure on your part.

When a partner with significant BPD traits perceives you as having failed to be perfect, their underlying fear of abandonment can be activated. Some interpret an ordinary imperfection not as a normal human trait but as an intentional withdrawal of love. To protect against the anticipated pain of being abandoned, they may attack first. Devaluing you can function, at a psychological level, as a way of justifying their own emotional withdrawal and regaining a felt sense of control over a relationship that suddenly feels unsafe to them.

Keisha described this to me almost exactly, three sessions in. “It was like watching someone set a fire to keep from freezing,” she said. “I kept trying to explain the temperature was fine. He wasn’t cold. He was terrified. Those aren’t the same thing, but from where I was standing, they felt identical.”

What Is Happening in the Brain During the Split?

DEFINITION SPLITTING (ALL-BAD)

A defense mechanism, described by clinicians including Otto Kernberg, MD, in which a person struggles to hold a complex, mixed-feelings view of someone they’re close to. During devaluation, the “all-bad” perception can take over, with positive traits or memories becoming difficult to access in the moment.

In plain terms: In that moment, their brain may genuinely struggle to locate the memory of loving you. You can feel, to them, entirely like the threat.

To understand why devaluation can feel so sudden and so total, it helps to look at what clinicians and researchers describe happening neurobiologically during a split. Otto Kernberg, MD, the psychiatrist whose decades of work on borderline and narcissistic personality organization shaped much of how the field understands splitting, described it as a primitive defense that develops when a young child can’t yet integrate loving and hating feelings toward the same caregiver into one coherent picture. I think about Kernberg’s framing often in session, because it reframes something that can otherwise look like manipulation as something closer to an unfinished developmental task. In a securely developed brain, the prefrontal cortex supports what clinicians call object constancy: the capacity to know that someone still loves you even while you’re angry with them, and to hold someone’s good and difficult qualities together as one whole person.

In the nervous system of someone with significant BPD traits, particularly under high emotional stress, that integration can collapse. Researchers describe an amygdala-driven override in which object constancy becomes temporarily unavailable, and the partner is perceived, in that moment, as wholly “bad.” The positive memories associated with you don’t feel dismissed. They can become genuinely inaccessible to conscious awareness. This isn’t a decision to be cruel. In that moment, their brain may be registering you, factually, as a threat.

This is the part I want to slow down and say clearly, because it’s the piece that changes how you respond. The devaluation can feel so absolute, and your attempts to reason with your partner can fail so completely, because you’re appealing to the prefrontal cortex (logic, memory, context) while the response is coming from somewhere closer to the amygdala (threat detection and survival). Logic offered in that state can be misread as an attack, which entrenches the “all-bad” perception further. It’s a dynamic closely related to the freeze response in trauma, where the thinking brain goes quiet and the survival brain takes the wheel.

RESEARCH EVIDENCE

Peer-reviewed findings that inform this clinical framework:

  • Attachment anxiety correlates with BPD traits at r = 0.48, per a 2020 meta-analysis (PMID: 31918217)
  • Pooled current generalized anxiety disorder prevalence in BPD outpatient and community samples: 30.6% (95% CI: 21.9%-41.1%), per a 2023 systematic review (PMID: 37392720)
  • Pooled ecological momentary assessment compliance rate across 18 BPD studies: 79%, per a 2022 review (PMID: 36920466)
  • Antipsychotic medications showed a small but statistically significant improvement in psychosocial functioning across N=1,012 patients in 6 randomized controlled trials, per a 2024 meta-analysis (PMID: 39309544)
  • The largest neuropsychological deficits identified in BPD research cluster in long-term spatial memory and inhibition domains, per a 2024 review (PMID: 39173987)

How Does Devaluation Land Differently in Driven Women?

Driven women are often hit especially hard by the devaluation phase because it targets the very core of an identity they’ve spent years constructing. You’ve built what I’ve come to think of as the fortress of competence: a reputation, earned over years, for integrity and care. When a partner suddenly accuses you of being selfish, manipulative, or incompetent, the cognitive dissonance can be profound. Not annoying. Profound, in the sense of destabilizing something load-bearing.

Your first instinct is usually to gather evidence. You pull up old texts. You recount the timeline. You believe that if you can just make him see the facts clearly enough, he’ll snap out of it. When that doesn’t work, and it usually doesn’t, you may start to internalize the criticism instead. You wonder, at 2am, if you really are as flawed as he claims. That kind of self-doubt is uniquely destabilizing for a woman who has spent her career trusting her own judgment, and it can erode the healthy self-worth she’s worked hard to build.

Keisha, six weeks into our work together, described the toll this way. “I run a pharmacy department with forty-two people under me,” she said. “I catch dosing errors before they happen. I don’t miss things. And I was lying awake at three in the morning trying to figure out if I was actually a bad person, based on what a man told me while he was, by his own admission the next morning, ‘not in his right mind.’” There’s a particular kind of vertigo in being excellent at your job and unable to trust your own read on your own relationship, and I see it in driven women again and again.

The devaluation phase often triggers a desperate need to “fix” the relationship, which can mean contorting yourself to anticipate triggers before they happen. You become hypervigilant: tracking his mood, adjusting your tone, scanning for the shift before it lands. That constant state of high alert takes a real somatic toll, which is part of why driven women can’t rest even when the crisis of the week has technically passed. Exhaustion. Anxiety that doesn’t have an obvious edge to it. A kind of burnout that looks, from the outside, like nothing happened.

What Is It Like to Live as the “Enemy”?

The lived experience of the devaluation phase is often described as walking on eggshells. You never know which version of your partner is coming through the door. A seemingly harmless comment can trigger a rage response, while a genuine misstep gets waved off entirely. The unpredictability itself becomes the mechanism. It keeps you off balance and entirely focused on managing someone else’s internal state instead of your own.

During this phase, some partners with significant BPD traits engage in gaslighting, denying things you clearly remember them saying or doing. Many driven women describe this as feeling like the villain the moment they stand up for themselves. Projection can show up too. If he’s being emotionally distant, you might get accused of withdrawing. If he’s being critical, you might get accused of attacking him.

The most disorienting part of devaluation, in my experience, is the loss of shared reality. You stop feeling like two people building a relationship together and start feeling like two people occupying entirely different universes. Your reality tends to be anchored in facts and shared history. His reality, in the grip of a split, can be anchored entirely in his current emotional state. When his emotions shift, his version of events shifts with them, and you’re left standing in the gap between the two, trying to figure out which one is true.

Both/And: They May Be Terrified, and Their Cruelty Is Still Real

One of the hardest hurdles in surviving the devaluation phase is holding two things that both feel true at once: your partner’s psychological pain, and the damage of what they’re doing to you. Once you understand the neurobiology of splitting and the terror of abandonment underneath it, empathy tends to get triggered automatically. You may feel an urge to comfort him, to reassure him that you aren’t the enemy he currently believes you are.

This is where the Both/And framework matters most. Both things can be true at the same time. Your partner may be struggling with a genuine, neurobiologically rooted difficulty tolerating intimacy and object constancy. AND the way that difficulty gets managed, through intense criticism or emotional withdrawal, can be genuinely harmful to you. His internal terror doesn’t cancel out the external damage. You’re allowed to hold compassion for what’s happening inside him while refusing to accept how he’s treating you.

Jada’s 44, an architect, and she spent nearly two years inside the devaluation phase with a partner who had significant BPD traits. For a long stretch of that time, she believed that if she could just prove her love consistently enough, the cycle would stop on its own. It didn’t. In our work together, she learned to hold the Both/And out loud, not just as an idea but as something she could say to herself in the moment. “I know his brain splits, and I know he genuinely experiences me as a threat when that happens,” she told me one afternoon, turning a chipped ceramic mug in her hands. “I know he’s running from something old and real. And I know his constant criticism has been wearing away at my self-esteem for two years, and I deserve a partner who can see my flaws without turning me into a monster for having them.” She said the last part quietly, like she was still getting used to how it sounded out loud.

The Systemic Lens: Why We Reach for Our Own Blame First

The cultural narrative around relationships often, without meaning to, encourages the person on the receiving end of devaluation to internalize it. We’re taught that relationships require compromise, that “it takes two to tango,” and that we should always examine our own part in a conflict. When a partner accuses you of being the problem, the people around you often reinforce the idea that you should reflect and try harder.

Of course you reach for your own part in it first. You’ve been taught your whole life that a good partner looks inward before pointing outward. But this systemic script fails to distinguish between normal relational friction and a pattern shaped by significant psychological difficulty. In a securely functioning relationship, both people take responsibility for their actions and work together toward repair. When devaluation is driven by significant BPD dynamics, it typically isn’t a response to a specific, resolvable issue. Trying to negotiate calmly with someone mid-split can feel like trying to reason with a weather system.

The concept of emotional abuse is also frequently minimized or misunderstood, in part because it leaves no visible mark. Because there are no bruises, the depth of the psychological injury often goes unrecognized by the people around you. You might be told that “all couples fight” or that you’re “being too sensitive.” Surviving devaluation means, in part, rejecting those minimizing scripts and taking your own experience seriously, on its own terms. Some clinicians describe the cumulative effect of this kind of experience using the term narcissistic abuse syndrome, though that term remains debated within the field and isn’t a formal diagnosis.

The systemic lens also has to include how the mental health field itself sometimes fails partners in this position. Not every therapist is trained in the specific dynamics of Cluster B personality patterns, and well-meaning clinicians can inadvertently suggest that the partner needs to be more “validating” or more “patient” during a crisis. That suggestion can land as another form of gaslighting, because it reinforces the belief that you’re responsible for managing someone else’s dysregulation. Marsha Linehan, PhD, the psychologist who developed Dialectical Behavior Therapy after years of working directly with suicidal and self-harming clients with BPD, built her entire treatment model around the idea that people need both radical acceptance and active skill-building, not blame directed at either party. I return to that framing constantly, because it’s the corrective to a cultural habit of assigning fault instead of naming a pattern that needs treatment.

You’re not the one who needs to be more patient here. Your nervous system has already been doing overtime. Jada told me something similar in one of our later sessions, once she’d had some distance from her own two years in this pattern. “Everyone kept asking me what I could do differently,” she said. “Nobody asked what he was actually doing about it.” That question, more than any framework I could have given her, is the one I think most partners need permission to ask out loud.

How Do You Survive the Devaluation Phase?

Surviving the devaluation phase requires a real shift in strategy. You have to stop trying to fix the relationship and start protecting your own nervous system and your own grip on reality.

The first step is to stop JADE-ing (Justifying, Arguing, Defending, or Explaining). When a partner attacks you mid-split, resist the pull into logical debate. You can’t out-argue an amygdala. State your truth calmly, once (“I didn’t say that,” or “I’m not going to argue about this right now”), and then disengage. Leave the room. Take a walk. End the call. You’re allowed to refuse the shared delusion.

The second step is to document your reality on purpose. Gaslighting during devaluation is designed to make you doubt your own memory. Keep a journal. Save the texts. Confide in a friend or therapist who can reflect back what actually happened. You need an external anchor for what’s true when someone close to you is actively rewriting the timeline.

The third step is building a firewall around your self-esteem. Keisha named this one for herself in our ninth session, and it’s become one of the phrases I now offer other clients. “His criticism is a mirror pointed at himself,” she said. “I kept trying to read it like it was information about me.” The criticisms that surface during devaluation are frequently projections of a partner’s own internal self-loathing, not accurate feedback about your character. Use somatic exercises for trauma, grounded self-talk, and therapy to reinforce your own sense of worth from the inside, rather than waiting for it to be handed back to you.

Here’s what I want to say plainly, without overstating it. The devaluation phase, when it’s driven by significant, persistent BPD dynamics, doesn’t reliably resolve just because you love harder, communicate better, or wait longer. That doesn’t mean every relationship affected by BPD traits is doomed, and it doesn’t mean the person you’re with is incapable of change with proper treatment. It does mean that your effort alone, no matter how well-intentioned, isn’t the variable that determines whether the cycle continues. For many partners, the most honest path forward involves setting firm boundaries and, in some cases, exiting the relationship entirely while the other person does their own work, on their own timeline, ideally with a qualified clinician.

If you’re currently in the middle of this, I want to say something directly to you: you’re not imagining how hard this is, and you are not required to have already fixed it. You’re living inside a relationship pattern shaped by a serious, real psychological difficulty in someone you love, and that is genuinely hard to do well. I’d invite you to look through the resources below, or to reach out when you’re ready to talk about what reclaiming your own reality might look like.

Part of what makes this so disorienting neurologically is that the prefrontal cortex, the region responsible for logic, reasoning, and emotional regulation, can go quiet during an acute crisis. That’s why trying to reason with a dysregulated partner in the moment can be functionally impossible, because you’re addressing a part of the brain that’s temporarily offline. Instead, you’re often speaking directly to the amygdala, which interprets tone, word choice, and even body language through the lens of survival threat. When you try to explain a boundary, the amygdala doesn’t always hear “I need some space to recharge.” It can hear something closer to “I’m leaving because you’re fundamentally unlovable.”

Object constancy, the psychological capacity to hold onto a positive emotional connection to someone even while angry or physically apart from them, is often genuinely impaired in individuals with significant BPD traits. In a securely attached relationship, if your partner leaves town for the weekend, you still feel loved and connected in their absence. For someone struggling with object constancy, physical or emotional distance can feel like the relationship itself has been erased. Out of sight can genuinely mean out of mind, and the resulting panic isn’t performative. It’s one reason the “extinction burst,” the intensified pursuit that sometimes follows a boundary, can be so severe. They may be fighting not just for your attention, but for the felt sense that the relationship still exists at all.

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Keisha eventually told me something that’s stayed with me since. It was during our final session before she moved out of state for a new position, a Thursday in early spring, rain against the window the whole hour. “I used to think leaving meant I’d failed to love him well enough,” she said. “Now I think staying would have meant I never really learned to love myself at all.” She didn’t say it triumphantly. She said it like someone still doing the math. I don’t know, and I want to be honest about that, exactly where she’s landed with all of it today. What I know is that she left with her reality intact, which is not nothing.

The broader cultural narrative around mental illness also places real weight on partners. Compassion for someone with BPD matters. AND that compassion can’t come at the cost of your own safety and well-being. Real support usually means holding the person you love accountable for engaging in appropriate treatment, not endlessly adjusting your own boundaries to accommodate a pattern that isn’t improving.

To heal from the impact of this kind of relationship, you have to learn to tell the difference between your own needs and the demands of someone else’s unmanaged pattern. That’s a real shift in how you relate to your own body. You have to move from a state of constant hypervigilance toward something closer to grounded, somatic awareness. Learning to notice the tightening in your chest or the knot in your stomach, and trusting those signals as valid information rather than overreaction, is foundational to real boundary-setting. It’s the slow work of teaching your body that it’s safe to have needs, and that you have the right to protect them regardless of how another person responds.

This kind of somatic reclamation is a daily practice, not a one-time event. It means learning to tolerate the discomfort of disappointing someone you love without rushing to manage their emotional state for them. When you stop functioning as someone else’s emotional regulator, you create space for them to face their own dysregulation directly, which is sometimes what finally moves someone toward specialized treatment. Even when that doesn’t happen, your boundaries still protect your own nervous system from further strain. You can’t control someone else’s healing. You have real authority over your own.

Diana Fosha, PhD, psychologist and founder of Accelerated Experiential Dynamic Psychotherapy, writes about how the shift from idealization to devaluation often reflects the collapse of a fragile emotional regulation system, one that could only sustain connection while the other person remained close to perfect, and that experiences ordinary disappointment as something closer to total abandonment. I think about her framing often, because it locates the collapse in the system itself rather than in either person’s character.

Elinor Greenberg, PhD, a Gestalt therapist who has written extensively on borderline and narcissistic personality styles, describes the devaluation shift as one of the most confusing experiences a partner can go through precisely because both versions of the person, the idealizing one and the devaluing one, feel completely sincere in the moment they’re happening. That distinction matters clinically. It isn’t that your partner is lying to you in either direction. It’s that the underlying capacity to hold a whole, integrated view of you isn’t yet available to them.

Setting boundaries with a partner facing significant BPD dynamics is an act of real self-respect. It’s a declaration that your life, your energy, and your peace of mind are worth protecting on their own terms, not only in service of someone else’s comfort. It’s a refusal to keep participating in a dynamic that asks for your self-erasure as the price of staying. The process is genuinely difficult and often painful. It’s also, in my experience, one of the more reliable paths back to a life grounded in reality, safety, and connection you can actually trust.

Recovery from this kind of relationship isn’t linear. There will be days when the grief feels enormous, and days when the pull back toward familiar chaos feels stronger than any boundary you’ve set. But with every boundary you hold, and every hollow apology you decline to accept, you’re rebuilding something real: your own sense of what’s true. You’re choosing reality over illusion, session after session, week after week, and you’re choosing yourself over the pull of the bond that hurt you.

It takes real courage to face the devaluation phase without absorbing the shame that comes with it. You are not a discarded object. You’re someone who lived through a genuinely disorienting psychological dynamic and is still standing. Your worth was never actually in question, even on the days it didn’t feel that way. The devaluation reflects something happening inside your partner’s internal world. It was never an accurate measure of you.

Every time you decline to absorb someone else’s projected self-doubt, you’re casting a vote for the life you’re building next. You’re telling your own nervous system that you’re safe now, and you’re telling yourself, more than anyone else, that your read on reality can be trusted again.

Moving forward usually asks for something like radical acceptance, not of mistreatment, but of what actually happened. That might mean accepting that the version of your partner you knew during idealization was real to you in the moment, and that the version in front of you now, in an active devaluation pattern, reflects something real about where he’s at too. That acceptance is painful. For many women I’ve worked with, it’s also the thing that finally interrupts the cycle and opens the door to real healing, on their own terms and their own timeline.

Healing after this kind of relationship usually means slowly rebuilding trust in your own perception, the trust that sustained devaluation can wear down. That reconstruction is possible. You deserve a life that isn’t organized around someone else’s unmanaged dysregulation.

The devaluation phase can be one of the harder chapters of a relationship to live through. For many of the women I’ve worked with, it’s also become the place where they finally learned to trust their own read on reality again, not because the relationship demanded it, but because they did.

Warmly,
Annie.

Warmly, Annie

FREQUENTLY ASKED QUESTIONS

Q: Will my partner ever see me as good again?

A: Sometimes, yes. The cycle can repeat, and some partners split back to seeing you as the all-good savior, especially if they fear you’re leaving. This usually isn’t a return to a stable baseline. It often marks the beginning of another idealization and devaluation cycle.

Q: How do I respond when I’m accused of things I didn’t do?

A: Avoid JADE-ing (Justifying, Arguing, Defending, Explaining). State your truth calmly once (“That’s not what happened”), then disengage. It’s very difficult to win an argument with someone mid-split.

Q: Is the devaluation my fault?

A: Usually not. Devaluation is often connected to a partner’s internal fear of abandonment and difficulty with object constancy, not to your actual behavior. Even so, no article can assess any specific relationship, and a licensed clinician can help you look at your particular situation.

Q: Can therapy help someone stop the devaluation pattern?

A: Specialized treatment like Dialectical Behavior Therapy, developed by Marsha Linehan, PhD, can help some people with BPD build skills to manage emotional dysregulation and reduce splitting over time. This typically takes sustained, dedicated work, and outcomes vary by person.

Q: How do I protect my mental health during this phase?

A: Reduce reliance on your partner for validation or reality-testing. Lean on your external support system, document your experience, and focus on regulating your own nervous system rather than managing theirs.

Q: Does BPD mean someone will always devalue the people they love?

A: No. BPD exists on a spectrum, and individual outcomes vary widely, especially with treatment like DBT. This article describes a pattern some partners experience. It isn’t a prediction about any specific person’s future or a diagnosis of anyone based on someone else’s account.

  • Mason, Paul T., and Randi Kreger. Stop Walking on Eggshells: Taking Your Life Back When Someone You Care About Has Borderline Personality Disorder. New Harbinger Publications, 2020.
  • Evans, Patricia. The Verbally Abusive Relationship: How to Recognize It and How to Respond. Adams Media, 2010.
  • van der Kolk, Bessel. The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Viking, 2014.
  • Simon, George K. In Sheep’s Clothing: Understanding and Dealing with Manipulative People. Parkhurst Brothers Publishers, 2010.
  • If any of this lands close to home and you’re ready for clinical support, you can explore whether working together is the right fit.

References

Peer-Reviewed Research (Vancouver)

  1. Iwakabe S, Edlin J, Fosha D, Thoma NC, Gretton H, Joseph AJ, et al. The long-term outcome of accelerated experiential dynamic psychotherapy: 6- and 12-month follow-up results. Psychotherapy (Chic). 2022;59(3):431-446. doi:10.1037/pst0000441. PMID: 35653751.
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed., Text Revision (DSM-5-TR). Washington, DC: American Psychiatric Association Publishing; 2022.
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About the Author

Annie Wright, LMFT

LMFT · Relational Trauma Specialist · W.W. Norton Author

Helping driven women finally feel as good as their résumé looks.

Annie Wright is a licensed psychotherapist (LMFT #95719) and trauma-informed executive coach with over 15,000 clinical hours. She works with driven women, including Silicon Valley leaders, physicians, and entrepreneurs, in repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in USA Today, Forbes, Business Insider, Inc., NBC, and The Information. She is currently writing her first book with W.W. Norton.

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Clinical Experience

15,000+ direct clinical hours

Licensed in 15 U.S. Jurisdictions, including Colorado (telehealth only)

CA LMFT95719 · CO MFT.0003236 (telehealth only) · CT 003806 · DC LMFT200001447 · FL TPMF356 · ME MF8600 · MD LCM1206 · NH 1030 · NJ 37FI00254800 · TX 206391 · UT 14300323-3902 · VA 0717002589 · WA MFT.LF.70098096

Signature Frameworks

Creator of House of Life and Fixing the Foundations

Forthcoming Book

The Everything Years (W.W. Norton)

Past Leadership

Founder & former CEO, Evergreen Counseling


Featured Expert Commentary

Regular contributor to Psychology Today. Expert commentary has appeared in USA Today, Forbes, Business Insider, Inc., NBC, and The Information.


Medical Disclaimer

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