Symptoms of BPD can include:
- Intense fear of abandonment or rejection.
- Unstable relationships that alternate between idealization (“I love you”) and devaluation (“I hate you”).
- Unstable self-image or sense of self.
- Impulsive and risky behaviors, such as reckless driving, substance abuse, or binge eating.
- Self-harming behaviors, such as cutting or suicide attempts.
- Extreme emotional swings, including periods of intense anger, depression, or anxiety.
- Chronic feelings of emptiness.
- Difficulty trusting others or themselves.
- Dissociative symptoms, such as feeling disconnected from oneself or reality.
The exact cause of BPD is not known, but it is believed to be influenced by a combination of genetic, biological, and environmental factors. BPD is often diagnosed through a psychological evaluation by a mental health professional, and treatment typically involves psychotherapy, such as dialectical behavior therapy (DBT), and medication, such as antidepressants or mood stabilizers, to help manage symptoms and improve quality of life.