Borderline personality disorder is a mental illness that severely impacts a person’s ability to regulate their emotions. This loss of emotional control can increase impulsivity, affect how a person feels about themselves, and
negatively impact their relationships with others. Effective treatments are available to manage the symptoms of borderline personality disorder. A licensed mental health professional—such as a psychiatrist, psychologist, or clinical social worker—who is experienced in diagnosing and treating mental disorders can diagnose borderline personality disorder based on a thorough interview and a discussion about symptoms. A careful and thorough medical exam also can help rule out other possible causes of symptoms. In diagnosing the illness, providers will discuss a person’s symptoms and ask about family medical
histories, including histories of mental illness. Borderline personality disorder is usually diagnosed in late adolescence or early adulthood. Occasionally, a person younger than age 18 may be diagnosed with borderline personality disorder if symptoms are significant and last at least a year. What other illnesses can co-occur with borderline personality disorder? Borderline personality disorder often occurs with other mental illnesses, such as post-traumatic
stress disorder (PTSD). These co-occurring disorders can make it harder to diagnose and treat borderline personality disorder, especially if symptoms of other illnesses overlap with symptoms of the disorder. For example, a person with borderline personality disorder also may be more likely to experience symptoms of major
depression, PTSD, bipolar disorder,
anxiety disorders,
substance abuse, or
eating disorders. Treatments and TherapiesJoin a StudyHealth Hotlines
Learn MoreBorderline personality disorder (BPD) can cause a wide range of symptoms, which can be broadly grouped into 4 main areas. The 4 areas are: Each of
these areas is described in more detail below. If you have BPD, you may experience a range of often intense negative emotions, such as:
You may have severe mood swings over a short space of time. It's common for people with BPD to feel suicidal with despair, and then feel reasonably positive a few hours later. Some people feel better in the morning and some in the evening. The pattern varies, but the key sign is that your moods swing in unpredictable ways. If you have suicidal thoughts:
If you've been diagnosed with BPD, tell someone you trust about your condition. Give this person the contact details of your care team and ask him or her to contact the team if they become concerned about your behaviour. Disturbed patterns of thinkingDifferent types of thoughts can affect people with BPD, including:
These types of beliefs may be psychotic and a sign you're becoming more unwell. It's important to get help if you're struggling with delusions. Impulsive behaviourIf you have BPD, there are 2 main types of impulses you may find extremely difficult to control:
Unstable relationshipsIf you have BPD, you may feel that other people abandon you when you most need them, or that they get too close and smother you. When people fear abandonment, it can lead to feelings of intense anxiety and anger. You may make frantic efforts to prevent being left alone, such as:
Alternatively, you may feel others are smothering, controlling or crowding you, which also provokes intense fear and anger. You may then respond by acting in ways to make people go away, such as emotionally withdrawing, rejecting them or using verbal abuse. These 2 patterns may result in an unstable "love-hate" relationship with certain people. Many people with BPD seem to be stuck with a very rigid "black-white" view of relationships. Either a relationship is perfect and that person is wonderful, or the relationship is doomed and that person is terrible. People with BPD seem unable or unwilling to accept any sort of "grey area" in their personal life and relationships. For many people with BPD, emotional relationships (including relationships with professional carers) involve "go away/please don't go" states of mind, which is confusing for them and their partners. Sadly, this can often lead to break-ups. What is a borderline personality person like?People with borderline personality disorder may experience intense mood swings and feel uncertainty about how they see themselves. Their feelings for others can change quickly, and swing from extreme closeness to extreme dislike. These changing feelings can lead to unstable relationships and emotional pain.
What triggers a person with borderline personality disorder?Separations, disagreements, and rejections—real or perceived—are the most common triggers for symptoms. A person with BPD is highly sensitive to abandonment and being alone, which brings about intense feelings of anger, fear, suicidal thoughts and self-harm, and very impulsive decisions.
Can you have BPD and not know it?But what makes the condition even harder is that many people who live with Borderline Personality Disorder don't even know they have it. BPD is one of the most commonly misdiagnosed mental health conditions. It's so misdiagnosed, in fact, that there isn't even an accurate prevalence rate for the condition.
How can I tell if my partner has BPD?Signs and Symptoms. Intense fear of rejection, separation, or abandonment.. Rapid changes between thinking someone is perfect to believing they are evil.. Risky behaviors including unsafe sex, gambling, drug use, or accumulating credit card debt.. Threats of suicide or self-harm.. Difficulty empathizing with other people.. |