The way personality disorders are described and diagnosed in the UK is beginning to change. We welcome this move and have already adopted a more understanding and person-centred approach.

In the past, people were often given specific labels, such as ‘borderline’ or ‘antisocial’ personality disorder. While these terms are still sometimes used, professionals are gradually moving away from fixed categories.

Instead, the newer approach looks at personality difficulties as something that exists on a spectrum. It focuses on how much someone is struggling, rather than trying to fit their experiences into a single label. You might hear professionals talk about mild, moderate, or severe difficulties, and describe the kinds of challenges you’re facing, such as managing emotions, relationships, or sense of self.

This change is happening because many people felt that the old system didn’t fully reflect their experiences. Some found the labels confusing, limiting, or even stigmatising. The newer approach aims to be more flexible, more accurate and more focused on what support someone might need.

It’s important to know that this change is still ongoing. Although our clinicians are using this new language, you may continue to hear both old and new terms used across different services.

Most importantly, whatever words are used, your experiences are valid and support is available. With the right help, many people find ways to better understand themselves, manage difficulties, and build meaningful lives.