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Borderline Personality Disorder
Raising questions, finding answers
National Institute of Mental Health
Borderline personality disorder (BPD) is a serious mental illness
characterized by pervasive instability in moods, interpersonal relationships,
self-image, and behavior. This instability often disrupts family and work life,
long-term planning, and the individual's sense of self-identity. Originally
thought to be at the "borderline" of psychosis, people with BPD suffer
from a disorder of emotion regulation. While less well known than schizophrenia
or bipolar disorder (manic-depressive illness), BPD is more common, affecting 2
percent of adults, mostly young women.1 There is a high rate of self-injury
without suicide intent, as well as a significant rate of suicide attempts and
completed suicide in severe cases.2,3 Patients often need extensive mental
health services, and account for 20 percent of psychiatric hospitalizations.4
Yet, with help, many improve over time and are eventually able to lead
productive lives.
References
1Swartz M, Blazer D, George L, Winfield I. Estimating the
prevalence of borderline personality disorder in the community. Journal of
Personality Disorders, 1990; 4(3): 257-72.
2Soloff PH, Lis JA, Kelly T, Cornelius J, Ulrich R.
Self-mutilation and suicidal behavior in borderline personality disorder.
Journal of Personality Disorders, 1994; 8(4): 257-67.
3Gardner DL, Cowdry RW. Suicidal and parasuicidal behavior in
borderline personality disorder. Psychiatric Clinics of North America, 1985;
8(2): 389-403.
4Zanarini MC, Frankenburg FR. Treatment histories of borderline
inpatients. Comprehensive Psychiatry, in press.
NIH - 2001
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