Borderline personality disorder (BPD) is a major psychiatric disease, characterized by intense and rapidly changing relationships, rapid mood swings, extreme impulsiveness and a weak self-image. People with borderline think black-and-white and respond extreme. The condition is often associated with other mental disorders, such as depression or addiction.


Borderline can have various causes. It is often a combination of factors that allowes a person to develop this personality disorder:


Several signs and symptoms could indicate borderline:


The diagnosis of borderline is made on the basis of a comprehensive review of the observed symptoms, the history of the person in question and his or her family and the assessment of the mental condition by the doctor. A psychiatrist or psychologist talks to the patient and asks for his or her ideas about life and work. These ideas and other features associated with it, are assessed to arrive at a diagnosis.


The treatment of borderline personality disorder includes psychotherapy and medication.
The psychotherapy covers short-term crisis management during periods of stress and long-term therapy. During therapy, patients are supported to build a stable relationship with the therapist and others, to reduce suicidal tendencies and to understand their impulsive actions and emotional upheaval.
In addition to psychotherapy, the use of medication is recommended. This could be mood stabilizers and antidepressants to counter the attacks of emotional confusion and outbursts.


Although borderline is difficult to treat, the prognosis with treatment is better than without treatment. If people with borderline approach middle-age, the symptoms are usually less severe. They learn to accept society and their family and have fun in their daily activities or work. For recovery, the support of friends and relatives is of great importance.
The possible complications of borderline personality disorder are sometimes fatal. Drug abuse, mood swings, a disorderly life and insecurity may negatively affect social contacts of patients. Possible consequences are a broken marriage, loneliness or frequently changing jobs, which can worsen depression again. In people with this disorder, depression can lead to frequent suicide attempts.