Dr. Anand Pundlik Patkar

Borderline Personality Disorder (BPD) is a mental illness. A patient suffering from BPD maintains unstable relationships with other people, shows inappropriate emotional reactions and possesses suicidal or self-harm tendencies. It is purely a personality disorder caused due to multiple factors. Patients suffering from BPD may find it difficult to stay alone. They fear abandonment and loneliness. Yet they have a tendency of showing mood swings, sudden emotional outburst or anger and hostility. This prevents them from having a long lasting relationship in life.

It usually starts affecting the patient's life from early adulthood. It however seems to improve with age. The patient also has distorted self-image. He or she is unclear about what they want from life or what they are in reality. Even minor incidents can trigger intense reactions in people with BPD.

Symptoms of Borderline Personality Disorder:

The signs of suffering from BPD are listed below:

1. Intense and frantic effort to avoid abandonment or loneliness
2. Unstable relationships with people and changing the attitude towards them drastically. It can change from being in immense love with each other to intense hatred.
3. Developing paranoid thoughts and having dissociative feelings-The patient often lacks the feeling of self and suffers from identity crisis.
4. Suicidal feelings and attempts
5. Tendency to cause self harm or destruction by drug abuse, driving irresponsibly or be having unprotected sex
6. Reflecting intense depression
7. Chronic boredom
8. Sudden anger and hostility

Causes for Borderline Personality Disorder: Borderline Personality Disorder can be caused due to multiple reasons. Usually it has been found by researchers that it occurs to patients who have had a disturbed childhood. Complex and unpleasant happenings in the childhood may leave a deep impact on the patient's personality, which comes back as a disorder in his or her early adulthood. From mental, physical to sexual abuse in the childhood can lead to this condition in adults.

Besides, researchers have discovered recently that this illness has hereditary links. Some genes may be responsible for BPD. Improper functioning of the brain is also another factor. Especially, the portion of brain that controls emotions might not be functioning properly in co-ordination with other parts of it.

Diagnosis: There is no particular clinical test that can diagnose BPD. It can be diagnosed by a series of interactive session with the patient by a psychiatrist.

Treatment:  The treatment of BPD involves three steps- psychotherapy, medications and support from peer and family. Dialectical Behavioral therapy, cognitive behavioural therapy and psychodynamic psychotherapy are used in treating the patient. There are no specific medicines to cure identity crisis, boredom and loneliness. However, other symptoms like mood swings, depression and anxiety can be treated with anti-depressants and mood stabilizers. Antipsychotic drugs are also helpful to a certain extent. In extreme cases, hospitalization may be needed. If you wish to discuss about any specific problem, you can consult a Psychiatrist.