Borderline Personality Disorder

Borderline Personality Disorder (BPD) is a condition characterized by difficulties regulating emotion. This means that people who experience BPD feel emotions intensely and for extended periods of time, and it is harder for them to return to a stable baseline after an emotionally triggering event.

If you have borderline personality disorder (BPD), you probably feel like you’re on a rollercoaster—and not just because of your unstable emotions or relationships, but also the wavering sense of who you are. Your self-image, goals, and even your likes and dislikes may change frequently in ways that feel confusing and unclear.

Symptoms

Symptoms of borderline personality disorder (BPD) usually appear in the late teenage years or early adulthood. A troubling event or stressful experience can trigger symptoms or make them worse. Over time, symptoms usually decrease and may go away completely.

The most common signs of BPD include:

• Frantic efforts to avoid real or imagined abandonment by friends and family.
• Unstable personal relationships that alternate between idealization (“I’m so in love!”) and devaluation (“I hate her”). This is also sometimes known as “splitting.”
• Distorted and unstable self-image, which affects moods, values, opinions, goals and relationships.
• Impulsive behaviors that can have dangerous outcomes, such as excessive spending, unsafe sex, reckless driving, or misuse or overuse of substances.
• Self-harming behavior including suicidal threats or attempts.
• Periods of intense depressed mood, irritability or anxiety lasting a few hours to a few days.
• Chronic feelings of boredom or emptiness.
• Inappropriate, intense or uncontrollable anger—often followed by shame and guilt.
• Dissociative feelings—disconnecting from your thoughts or sense of identity or “out of body” type of feelings—and stress-related paranoid thoughts. Severe cases of stress can also lead to brief psychotic episodes.

Borderline personality disorder (BPD) can be treated. Many people with BPD manage the condition and lead fulfilling lives, but effective treatment takes time, patience & commitment. Treatment may include psychotherapy (talk therapy), medications or both.