Borderline personality disorder (BPD) is a serious psychiatric illness. The diagnosis encompasses patients with a pervasive pattern of affective instability, severe difficulties in interpersonal relationships, problems with behavioral or impulse control (including suicidal behaviors), and disrupted cognitive processes. This instability often disrupts family and work life, long-term planning, and the individual’s sense of self-identity. The estimated prevalence of BPD in the general adult population is about 2%, mostly affecting young women. It has also been estimated that 11% of outpatients and 20% of psychiatric inpatients presenting for treatment meet the criteria for the disorder.
There is strong evidence to support a link between distressing childhood experiences, particularly involving caregivers, and BPD. The types of experiences that may be associated with BPD include, but are not limited to, physical and sexual abuse, early separation from caregivers, emotional or physical neglect, emotional abuse, and parental insensitivity. The symptoms:
# Frantic efforts to avoid real or imagined abandonment.Disclamer (to keep the trolls happy): I do not suffer from BPD.
# Pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
# Identity disturbance: markedly and persistently unstable self-image or sense of self.
# Impulsivity in at least two areas that are potentially self-damaging (e.g. spending, sex, substance abuse, reckless driving, binge eating).
# Recurrent suicidal behavior, gestures or threats, or self-mutilating behavior.
# Affective instability due to a marked reactivity of mood.
# Chronic feelings of emptiness.
# Inappropriate, intense anger or difficulty controlling anger.
# Transient, stress, related paranoid ideation or severe dissociative symptoms.