Borderline personality disorder is not a mental illness, but a personality disorder. Psychiatric disorders usually refer to diseases such as schizophrenia that exhibit obvious symptoms of hallucinations and delusions. Borderline personality disorders are mainly characterized by emotional instability, tense interpersonal relationships, and confusion in self-identity. The core problem lies in abnormal emotional regulation and behavioral patterns. The difference between borderline personality disorder and mental illness is mainly reflected in symptom presentation and pathogenesis. Psychiatric patients often experience a loss of ability to test reality, such as auditory hallucinations, delusions of persecution, and other symptoms that are detached from reality, and require antipsychotic medication intervention. Although patients with borderline personality disorder may experience temporary psychotic symptoms, they are situational and transient, often manifested as long-term emotional fragility, fear of abandonment, impulsive behavior, etc. psychological therapy is the main intervention method. Patients with borderline personality disorder may experience symptoms similar to mental illness in certain extreme emotional states, such as temporary loss of realism or paranoid ideation, but these symptoms are usually short-lived and associated with stressful events. The symptoms of psychiatric patients are persistent and uncontrollable, and require long-term treatment. The diagnosis of borderline personality disorder needs to be determined by a psychiatrist through detailed evaluation, and cannot be judged solely based on individual symptoms. For the intervention of borderline personality disorder, it is recommended to combine psychological therapy and necessary medication assistance. Dialectical behavior therapy and other professional psychological therapies can help patients improve their emotional management and interpersonal skills. In daily life, one should maintain a regular schedule, avoid excessive stimulation, and establish a stable social support system. If crisis behaviors such as self injury and suicide occur, professional help should be sought in a timely manner. Early systematic intervention can significantly improve prognosis.



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