BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuBorderline personality disorderPersonality disorder - borderlineBorderline personality disorder (BPD) is a mental condition in which a person has long-term patterns of unstable or turbulent emotions. These inner experiences often result in impulsive actions and chaotic relationships with other people. Causes Cause of BPD is unknown. Genetic, family, and social factors are thought to play roles.Risk factors include:Either real or fear of abandonment in childhood or adolescence Disrupted family life Poor communication in the family Sexual, physical, or emotional abuse BPD occurs equally in men and women, though women tend to seek treatment more often than men. Symptoms may get better after middle age. Symptoms People with BPD lack confidence in how they view themselves and how they are judged by others. As a result, their interests and values can change rapidly. They also tend to view things in terms of extremes, such as either all good or all bad. Their views of other people can change quickly. A person who is looked up to one day may be looked down on the next day. These suddenly shifting feelings often lead to intense and unstable relationships.Other symptoms of BPD include:Intense fear of being abandoned Can't tolerate being alone Feelings of emptiness and boredom Displays of inappropriate anger Impulsiveness, such as with substance use or sexual relationships Self-injury, such as wrist cutting or overdosing Exams and Tests BPD is diagnosed based on a psychological evaluation. The health care provider will consider how long and how severe the person's symptoms are. Treatment Individual talk therapy may successfully treat BPD. Group therapy can sometimes be helpful.Medicines have less of a role in treating BPD. In some cases, they can improve mood swings and treat depression or other disorders that may occur with this disorder. Outlook (Prognosis) Outlook of treatment depends on how severe the condition is and whether the person is willing to accept help. With long-term talk therapy, the person often gradually improves. Possible Complications Complications may include:Depression DepressionDepression may be described as feeling sad, blue, unhappy, miserable, or down in the dumps. Most of us feel this way at one time or another for shor...Read Article Now Book Mark Article Drug use Drug useSubstance use is the continued use of alcohol, illegal drugs, or the misuse of prescription or over-the-counter drugs with negative consequences. Th...Read Article Now Book Mark Article Problems with work, family, and social relationships Suicide attempts and actual suicide SuicideSuicide is the act of taking one's own life on purpose. Suicidal behavior is any action that could cause a person to die, such as taking a drug over...Read Article Now Book Mark Article When to Contact a Medical Professional See your provider if you or someone you know has symptoms of borderline personality disorder. It is especially important to seek help right away if you or someone you know is having thoughts of suicide.Open ReferencesReferencesAmerican Psychiatric Association. Borderline personality disorder. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing. 2013:663-666.Blais MA, Smallwood P, Groves JE, Rivas-Vazquez RA, Hopwood CJ. Personality and personality disorders. In: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016:chap 39.AllVideoImagesTogRelated Information Substance use(Special Topic)Suicide and suicidal behavior(Condition)Bulimia(Condition)Depression(Symptoms)Eating disorders(In-Depth)Depression(In-Depth) Review Date: 9/7/2020 Reviewed By: Fred K. Berger, MD, addiction and forensic psychiatrist, Scripps Memorial Hospital, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.