Borderline personality disorder
Borderline personality disorder (BPD) (called emotionally unstable personality disorder, borderline type in the ICD-10) is a personality disorder characterized by unusual variability and depth of moods. These moods may secondarily affect cognition and interpersonal relationships. Other symptoms of BPD include impulsive behavior, intense and unstable interpersonal relationships, unstable self-image, and an unstable sense of self. An unstable sense of self can lead to periods of dissociation. Borderline individuals often engage in idealization and devaluation of others, alternating between high positive regard and heavy disappointment or dislike. This behavior reflects a black-and-white thinking style, as well as the intensity with which borderline individuals feel emotions. Self-harm and suicidal behavior are common and may require inpatient psychiatric care. This disorder is only recognized by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) in individuals over the age of 18. However, symptoms of BPD can also be found in children and adolescents. Without treatment, symptoms may worsen, potentially leading to suicide attempts. There is an ongoing debate about the terminology of this disorder, especially the word "borderline." The ICD-10 manual refers to this disorder as Emotionally unstable personality disorder and has similar diagnostic criteria. There is a related concern that the diagnosis of BPD stigmatizes borderline individuals and supports discriminatory practices.
