Patients with borderline personality disorder often have difficulty stabilizing their romantic relationships, with high emotional fluctuations and fear of being abandoned being core characteristics. The romantic views of borderline personality disorder mainly manifest as alternating idealization and belittling, excessive dependence, impulsive behavior, emotional instability, and abnormal sensitivity to rejection. Patients with borderline personality disorder often fall into extreme thinking patterns in intimate relationships. In the early stages, one may perfect their partner and quickly invest in their relationship, but subtle conflicts can trigger strong anxiety, which in turn diminishes their value. This non black and white cognitive pattern leads to continuous oscillation in relationships, making it difficult to establish stable trust. Patients have a much greater fear of separation than ordinary people, and may prevent their partners from leaving by self harming or threatening suicide, which can exacerbate the breakdown of the relationship. Some patients can improve their relationship patterns through systematic psychological therapy. Dialectical behavior therapy can help patients identify emotional triggers and learn regulation skills; Psychotherapy can enhance the ability to understand the intentions of others. Although drug therapy cannot change personality structure, it can alleviate accompanying symptoms of depression or anxiety. Establishing a regular daily rhythm and cultivating good expression of sexuality through painting or writing can help maintain emotional stability. It is also crucial for partners to participate in the treatment process and learn to set healthy boundaries. Maintaining a relationship requires joint efforts from both parties. Patients should adhere to psychological therapy and keep emotional diaries. Partners should avoid excessive involvement or alienation and maintain a stable and inclusive attitude. Regular mindfulness practice, cultivating common interests and hobbies, and establishing clear communication rules can all help reduce conflicts. When there is a risk of self injury or suicide, professional crisis intervention should be sought immediately.



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