Borderline Personality Disorder


According to the Mayo Clinic, borderline personality disorder is a mental health disorder that impacts the way
 people think and feel about themselves and others.  It causes problems functioning in every day life. It includes
issues with self image, difficulty managing emotions and behavior, and a pattern of unstable relationships.

With borderline personality disorder, you have an intense fear of abandonment or instability, and you may have
 difficulty tolerating being alone.  Yet inappropriate anger, impulsiveess and frequent mood swings may push
others away, even though you want to have a loving and lasting relationship.

Signs and symptoms
 *   an intense fear of abandonment, even going to extreme measures to avoid real or imagined separation or rejection.

*   a pattern of unstable intense relationship such as idealizing someone one moment and then suddenly believing
    the person doesn't care or is cruel.
*    rapid changes in self-identity and self-image that include shifting goals and values and seeing yourself as bad or as
    if you did not exist.
*    periods of stress related paranoia and loss of contact with reality, lasting from a few minutes to hours.
*    impulsive and risky behavior such as gambling, reckless driving, unsafe sex, spending sprees, binge eating
      or drug abuse, or sabotaging
     sucess by suddenly quitting a good job or ending a positive relationship.
*    suicidal threats or behavior or self injury in response to fear of separation or rejection.
*    wide mood swings lasting from hours to a few days which can include intense happiness, irritability, shame or anxiety.
*    inappropriate, intense ager, such as frequent temper outbursts or having physical fights.

Treatment of Borderline Personality Disorder
Treatment of BPD is a challenge because it is complicated and stigmatizeld and its symptons relect ingrained patterns
of thinking and behavior.

It is heterogenous in nature, and causes a different cluster of symptoms in different people.  Many paitents with BPD
also have other mental health problems such as a mood disorder or post-traumatic stress disorder.
Drugs may be moderately helpful at reducing particular symptons such as depression or anxiety, but they do not address
core personality traits and behaviors.  Because of this, psychotherapy remains the predominate treatment for BPD,
although there is no singular treatment that helps all.