Borderline Personality Disorder Diagnostic Features: Emotionally Unstable (Borderline) Personality Disorder is a condition characterized by impulsive actions, rapidly shifting moods, and chaotic relationships. The individual usually goes from one emotional crisis to another. Often there is dependency, separation anxiety, unstable self-image, chronic feelings of emptiness, and threats of self-harm (suicide or self-mutilation). This disorder is only diagnosed when these behaviors become persistent and very disabling/distressing.
Complications: Completed suicide occurs in 8%-10% of individuals with this disorder, and self-mutilative acts (e.g., cutting or burning) and suicide threats and attempts are very common. Recurrent job losses, interrupted education, and broken marriages are common.
Course: The course of this disorder is quite variable. The most common pattern is one of chronic instability in early adulthood. This disorder is usually worse in the young-adult years and it gradually decreases with age. During their 30s and 40s, the majority of individuals with this disorder attain greater stability in their relationships and vocational functioning. After about 10 years, about half of individuals with this disorder no longer meet the full criteria for Borderline Personality Disorder.
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