People with borderline personality disorder

Borderline personality disorder is a psychological disorder characterized by emotional instability, interpersonal conflicts, and self-identity confusion, mainly manifested as symptoms such as intense emotional fluctuations, fear of abandonment, impulsive behavior, and self harm tendencies. Borderline personality disorder may be related to childhood trauma, unstable family environment, genetic factors, abnormal brain function, social and psychological stress, and other factors. It is recommended that patients seek timely psychological treatment, combined with medication intervention and family support, to gradually improve their symptoms.

1. Emotional fluctuations

Borderline personality disorder patients often exhibit extreme emotional fluctuations, which may quickly transition from extreme pleasure to anger or depression. This emotional instability is often unrelated to external stimuli, making it difficult for patients to self regulate. Emotional outbursts may be accompanied by verbal attacks or self harm, causing damage to interpersonal relationships. Emotional regulation training in psychotherapy helps patients identify and manage emotions.

2. Relationship Conflict

Patients' interpersonal relationships often fall between the extremes of idealization and belittling, making it easy to quickly establish intimate relationships and suddenly cut off contact. Excessive fear of abandonment may lead to excessive dependence or preemptive termination of relationships. This pattern originates from early attachment trauma, and interpersonal relationship therapy can help patients establish stable interaction patterns.

3. Self identification confusion

Borderline personality disorder patients often lack stable self-awareness, manifested by frequent changes in goals, values, and career choices. Ambiguous identity recognition may lead to long-term feelings of emptiness, and some patients confirm their existence through extreme behavior. Psychological therapy can help patients integrate their fragmented self-awareness and establish a coherent self narrative.

4. Impulsive behavior

Impulsive behaviors such as substance abuse, overeating, and dangerous driving are common in borderline personality disorders, and these behaviors are often aimed at relieving inner pain. Impulsive control disorder is associated with abnormal prefrontal function, and cognitive-behavioral therapy combined with mindfulness training can effectively improve symptoms. In severe cases, medication intervention is necessary to prevent self injury or harm to others.

5. Dissociation Symptoms

Some patients may experience dissociation symptoms such as loss of sense of reality and blank memory under stress, which is a psychological defense against the inability to withstand emotions. The dissociation state may last for minutes to hours and needs to be distinguished from organic diseases such as epilepsy. Grounding technology can help patients quickly return to the present and address the root causes that require long-term trauma treatment. The treatment of borderline personality disorder requires multi-party collaboration among psychotherapists, psychiatrists, and family support systems. Dialectical behavior therapy has been proven to be significantly effective in improving symptoms, with a focus on training emotional regulation, pain tolerance, and interpersonal efficacy. Drug therapy can assist in controlling comorbid symptoms such as depression and anxiety. Patients should maintain a regular daily routine, avoid psychoactive substances such as alcohol, and establish a stable social support network. Family members need to understand the characteristics of the disease, maintain patient and consistent coping strategies, and avoid excessive involvement or alienation. Early systemic intervention can significantly improve prognosis and help patients rebuild their living order.