Borderline personality disorder [BPD] is a disorder of mood and how a person interacts with others. It's the most commonly recognised personality disorder. In general, someone with a personality disorder will differ significantly from an average person in terms of how he or she thinks, perceives,
feels or relates to others. The symptoms of BPD can be grouped into 4 main areas: The symptoms of a personality disorder may range from mild to severe and usually emerge in adolescence, persisting into adulthood. The causes of BPD are unclear. BPD appears to result from a combination of genetic and environmental factors. People with BPD come from many different backgrounds, but most will have experienced some kind of trauma or neglect as children. If you're experiencing symptoms of BPD, make an appointment with a GP. They may ask about: This is to rule out other more common mental health conditions, such as depression, and to make sure there's no immediate risk to your health and wellbeing. You may also find Mind a useful website.Symptoms of borderline personality disorder [BPD]
Causes of borderline personality disorder [BPD]
When to get medical advice
Find out more about how BPD is diagnosed
Treating borderline personality disorder [BPD]
Many people with BPD can benefit from psychological or medical treatment.
Treatment may involve a range of individual and group psychological therapies [psychotherapy] carried out by trained professionals working with a community mental health team [CMHT].
Effective treatment may last more than a year.
Over time, many people with BPD overcome their symptoms and recover. Additional treatment is recommended for people whose symptoms return.
Associated mental health problems
Many people with BPD also have another mental health condition or behavioural problem, such as:
- misusing alcohol
- generalised anxiety disorder
- bipolar disorder
- depression
- misusing drugs
- an eating disorder, such as anorexia or bulimia
- another personality disorder, such as antisocial personality disorder
BPD can be a serious condition, and many people with the condition self-harm and attempt suicide.
Information:
Social care and support guide
If you:
- need help with day-to-day living because of illness or disability
- care for someone regularly because they're ill, elderly or disabled, including family members
Our guide to care and support explains your options and where you can get support.
Borderline personality disorder [BPD] is a kind of mental health problem. It may also be called emotionally unstable personality disorder. People with BPD have unstable moods and can act recklessly. They also have a hard time managing their emotions. If you have BPD, you may have problems with daily tasks, obligations, and life events. You may have trouble keeping jobs and relationships. And you may use food, alcohol, or
other substances to cope. It's important to get treatment, because you are at higher risk of suicide. You are also at higher risk for depression, anxiety, substance abuse, and self-harm. Experts are still learning about the condition. Certain kinds of treatment can help and are often quite successful. Mental health experts don't know exactly what causes BPD. Some studies have shown it may be passed down in families. Your
social and cultural surroundings may also play a part. For example, you may be at higher risk for BPD if you are part of a community with unstable relationships. People are at a higher risk for getting borderline personality disorder if they have suffered from abuse or neglect. Living with parents or guardians who have a history of substance abuse or criminal activity may increase the risk as well. The symptoms of BPD often
start during the teen years. The symptoms can vary from person to person. But people with BPD will have at least 5 of these symptoms over time: The symptoms of BPD may look
like other medical conditions or problems. Always talk with your healthcare provider for a diagnosis. If you have BPD symptoms, you can be diagnosed by a mental health provider. This type of specialist can include a psychiatrist or a psychologist. Or you may be seen by a clinical social worker or psychiatric nurse practitioner. The mental health provider will ask about your medical history and your symptoms. You may be asked
about your family's history of mental health conditions. You may also have a physical exam. This can rule out other illness. Make sure to tell the mental health provider about any health problems you have and any medicines you take.What is borderline personality disorder?
What causes borderline personality disorder?
What are the symptoms of borderline personality disorder?
How is borderline personality disorder diagnosed?
How is borderline personality disorder treated?
Your healthcare provider will figure out your specific treatment for BFP based on the following:
- The extent of the problem
- Your age, overall health, and medical history
- Your tolerance for specific medicines, procedures, or therapies
- Expectations for the course of the disorder
- The opinion of the healthcare providers involved in your care
- Your opinion and preference
Many people with BPD respond well to treatment and get better. The most common treatment for BPD is psychotherapy. It can be done one-on-one or in a group setting. It may also be helpful if your family is part of the treatment. A trained psychotherapist may use one or more of these methods:
- Cognitive behavioral therapy. This gives you tools to help change your thoughts and actions.
- Dialectical behavior therapy. This helps you to be more aware of the current moment. It teaches you how to reduce extreme emotions and actions.
- Schema-focused therapy. This helps you change how you see yourself. It helps you turn negative views into more positive ones.
- Systems Training for Emotional Predictability and Problem Solving, or STEPPS. This trains you to use tools to manage your reactions to certain situations. Family and friends are also trained.
Medicines can also help some people with BPD. Neuroleptic and atypical antipsychotic medicine can help with some symptoms. Antidepressant and antianxiety medicine can be used to treat symptoms of depression or anxiety that may happen at the same time as BPD.
If you have severe symptoms, you may need hospital care for a time.
What are the complications of borderline personality disorder?
BPD may seriously affect a person's ability to cope and function in a job or in school. Other common problems that affect people with BPD include getting other mood disorders such as anxiety, depression, bipolar, substance abuse, eating disorders, and other psychiatric conditions. The person may have repeated hospitalizations due to repeated suicide attempts, self-mutilation, and disruptive behaviors. It can even lead to multiple prison sentences.
Living with borderline personality disorder
If you have BPD:
- See your healthcare provider or therapist on schedule. Don't skip appointments.
- Make sure to get enough sleep. Tell your healthcare provider if you're having trouble sleeping.
- Keep a healthy diet, and eat at regular meal times.
- Be physically active to help reduce stress and boost mood.
- Keep track of people, places, or situations that trigger your symptoms.
- Talk with your healthcare provider right away if your symptoms get worse, or if you feel suicidal.
When should I call my healthcare provider?
If your symptoms get worse or you have new symptoms, tell your healthcare provider.
Key points about borderline personality disorder
- Borderline personality disorder is a mental health problem. It can cause you to feel impulsive, reckless, moody, and emotionally unstable.
- BPD can be caused by living in a disruptive environment with unstable family support.
- People often seek medical help after attempting self-harm including cutting, self-mutilation, and suicide.
- People with BPD generally do very well with medical and cognitive therapy treatment.
- Early diagnosis can improve the person's long-term quality of life. It can also help the person form stable relationships. And help prevent violent disruptions in the life of the individual and his or her peers.
- Symptoms tend to be chronic and lifelong.
Next steps
Tips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider tells you.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
- Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or procedure.
- If you have a follow-up appointment, write down the date, time, and purpose for that visit.
- Know how you can contact your provider if you have questions.