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WHAT IS BORDERLINE PERSONALITY DISORDER

Borderline personality disorder is characterized by an unstable self-image, accompanied by unstable emotions and relationships. The affected person is constantly seeking caring relationships while simultaneously pushing people away. People with this disorder tend to see everything in black and white. There are no shades of gray, and their emotional swings reflect this all-or-nothing approach to life.

Borderline personality disorder is most common in women and younger adults. Symptoms tend to become less severe as a person ages.

BORDERLINE PERSONALITY DISORDER SYMPTOMS

The symptoms of borderline personality disorder include:

*Unstable self-image. Emotions may swing wildly from feeling loved and cared-for to feeling hated or abandoned.
*Dramatic, unstable relationships. Feelings of love for another person may suddenly turn to hate.
*Impulsive, risky behavior. This can include unsafe sex, illegal drug use or self-mutilation.
*Very strong emotions, including frequent severe mood swings.
*Inappropriate and/or intense anger.
*Inability to control emotions.
*Suicidal behavior.
*Fear of abandonment or of being alone.
*Temporary paranoia or loss of contact with reality.

Borderline personality disorder is diagnosed when at least five symptoms are present and persistent.

DIAGNOSING BORDERLINE PERSONALITY DISORDER

There is no definitive "borderline personality test," but a mental health assessment can evaluate your overall mental and emotional health. This assessment often involves a physical exam, written questions and a conversation with your doctor.

An initial assessment may be done by your regular doctor. If he finds reason to be concerned, or you are having symptoms of mental health problems, he may refer you to a psychiatrist or other mental health professional.

If you are being evaluated for specific symptoms, it's often a good idea to keep a journal of your symptoms and feelings for a few days before the exam. Also, consider bringing a family member or friend with to the exam who can help to describe your symptoms.

Blood or urine tests may also be performed to rule out any physical cause for symptoms.

BORDERLINE PERSONALITY DISORDER TREATMENT

The main treatment for borderline personality disorder is psychotherapy.

Dialectical behavior therapy (DBT) was developed specifically for treatment of borderline personality disorder. This therapy teaches healthy coping mechanisms. It helps you develop the skills needed to build healthy relationships and deal with difficulties.

Family therapy can help family members to better understand your condition and how to help you. It also provides support for the whole family.

Support groups help you to understand that you are not alone. There are others facing the same challenge. These groups provide a supportive environment for individuals or for entire families to share ways to cope.

Antidepressants and antipsychotics may be used to treat other mental health conditions that occur with borderline personality disorder. These medications do not treat the personality disorder itself, but by treating associated conditions they make it more likely that therapy will succeed.

There is no one magic cure. Often it takes trial-and-error for you and your doctor to find the right combination of therapies for your unique situation. Borderline personality disorder requires long-term therapy, and it's important to find a therapist you can build a good, trusting relationship with.

Learn more about this author, Melissa J Luther.
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