![]() īPD is typically treated with psychotherapy, such as cognitive behavioral therapy (CBT) or dialectical behavior therapy (DBT). The condition, and other personality disorders, can be misdiagnosed as mood disorders, substance use disorders, or other disorders. BPD is classified in the American Diagnostic and Statistical Manual of Mental Disorders (DSM) under the dramatic cluster of personality disorders, along with antisocial, histrionic, and narcissistic personality disorder. The underlying mechanism appears to involve the frontolimbic network of neurons. Adverse life events appear to also play a role. It occurs about five times more often in a person who has an affected close relative. The causes of BPD are unclear but seem to involve genetic, neurological, environmental, and social factors. The disorder is often stigmatized in both the media and the psychiatric field and as a result is often underdiagnosed. Some 8 to 10% of people affected by the disorder may die by suicide. Substance use disorders, depression, and eating disorders are commonly associated with BPD. ![]() BPD typically begins by early adulthood and occurs across a variety of situations. Symptoms of BPD may be triggered by events considered normal to others. ![]() They may also struggle with a feeling of emptiness, fear of abandonment, and detachment from reality. Those affected often engage in self-harm and other dangerous behaviors, often due to their difficulty with returning their emotional level to a healthy or normal baseline. 1.6% of people in a given year īorderline personality disorder ( BPD), also known as emotionally unstable personality disorder ( EUPD), is a personality disorder characterized by a long-term pattern of intense and unstable interpersonal relationships, distorted sense of self, and strong emotional reactions. Improves over time, typically after age 30 and some cases are in total remission by 40. Unstable relationships, sense of self, and emotions impulsivity recurrent suicidal behavior and self-harm fear of abandonment chronic feelings of emptiness inappropriate anger feeling detached from reality Īttachment disorder, Dissociative identity disorder, Identity disorder, mood disorders, post-traumatic stress disorder, CPTSD, substance use disorders, ADHD, histrionic, narcissistic, or antisocial personality disorder
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