Borderline personality will become increasingly severe

The symptoms of borderline personality disorder may worsen over time, but not necessarily. The development of symptoms is influenced by individual psychological interventions, social support systems, comorbidities, and other factors. Early systemic treatment can significantly improve prognosis. The core characteristics of borderline personality disorder are emotional instability, interpersonal conflicts, and self-identity confusion. Without intervention, long-term coping mechanisms may reinforce pathological behavior patterns, such as repeated self injury developing from superficial scratches to deep cuts, and brief emotional breakdowns evolving into persistent depression. Comorbidity with depression or substance abuse can accelerate the worsening of symptoms, and some patients may experience a complete decline in social functioning. Timely acceptance of professional interventions such as dialectical behavior therapy can effectively block the progression of symptoms. Regular psychological therapy helps patients establish emotional regulation skills and reduce the frequency of impulsive behavior. A stable treatment alliance can gradually correct its interpersonal relationship patterns, and family support can reduce the overreaction caused by the fear of abandonment. About half of the patients no longer meet the diagnostic criteria after 10 years of continuous treatment, and their social adaptability is close to that of ordinary people.

It is recommended that patients adhere to a long-term psychological treatment plan and combine mindfulness training to regulate emotional sensitivity. Family members need to learn non judgmental communication methods to avoid reinforcing patients' extreme cognition. Maintaining a regular schedule and moderate exercise can help stabilize physiological rhythms and reduce triggering factors for emotional fluctuations. If there is a risk of self injury or suicide, it is necessary to immediately contact professional institutions for intervention.