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Last Updated: Oct 23, 2019
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Borderline Personality Disorder - Signs & Symptoms To Watch Out For!

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Dr. Sumit ChandakPsychiatrist • 21 Years Exp.MD - Psychiatry, MBBS
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Borderline Personality is a behavioural pattern that includes mood swings, self-esteem issues, impulsive behavior and recurrent ideas of self-harm. It causes lot of turbulence in one's life and can lead to psychological distress.

People having borderline personality traits fear abandonment and loneliness. At the same time, they have may also experience mood swings, sudden emotional outburst or anger and hostility. This often prevents them from having a smooth and 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 can have distorted self-image, validate his/her standing in the society based on how others look at them. He or she can be unclear about what they want from life or even have doubts about themselves. Even minor incidents can trigger intense reactions in people with BPD.

Symptoms of BPD:

  1. Disturbed self-image: People have self-esteem difficulties, they may at times be very happy about themselves or at times hate self too. They have ambivalent goals, views, beliefs and often end up changing their friends, partners, jobs, etc. 
  2. Emotional instability: Intense feelings of rage, sorrow, anger, guilt and emptiness or loneliness are experienced by some sufferers of BPD. Extreme mood swings, lasting for a short span of time, are common in BPD. They may also have issues with their self-image where they cannot place themselves and don't know what they feel about themselves or who they are. 
  3. Dysfunctional relationships: It can be difficult to maintain a smooth relationship for people with personality disorder. They tend to have turbulent short-lived relationships and get put off very easily which leads to a lot of heartbreak. Suicidal tendencies and frequent self-harm behaviour like cutting skin using blades/ sharp objects are common. Drugs and alcohol abuse, eating disorders and sexual indiscretion are other forms of self-destructive behaviour commonly encountered in this population. Extreme aggression, delusions, transitional psychotic states are other possible symptoms of BPD.

Causes for BPD:

  1. 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. 
  2. 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 for BPD:

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.

Love and support from family and friends are crucial for patients suffering from this disease. Prolonged counseling sessions, therapies and the effort to break away from the chronic gloomy thoughts will definitely lead one to a better life. In case you have a concern or query you can always consult an expert & get answers to your questions!

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