Typical symptoms and coping strategies of borderline personality disorder

Borderline personality disorder is mainly characterized by emotional instability, tense interpersonal relationships, confused self-identity, impulsive behavior, and fear of being abandoned. The coping strategies include psychotherapy, medication, social support, self-regulation, and crisis intervention.

1. Emotional instability

Patients experience intense and difficult to control emotional fluctuations, which may result in sudden anger or depression due to small stimuli, and the duration of emotions usually does not exceed a few hours. This instability is often accompanied by a sense of emptiness, and some patients relieve emotional stress through self harming behavior. Dialectical behavior therapy can help patients identify emotional triggers and establish regulation skills, while drugs such as quetiapine can assist in stabilizing emotions.

2. Interpersonal relationship tension

has an extreme perception of interpersonal relationships, often wavering between idealizing and belittling others, and easily developing strong dependence before suddenly becoming distant. psychological therapy needs to focus on improving interpersonal patterns and training communication skills through role-playing. Olanzapine drugs can reduce interpersonal sensitivity, but it is necessary to participate in family therapy simultaneously to establish healthy interactions.

3. Confusion of self-identity

Continuous instability of self-image, goals, and values may lead to sudden changes in career planning or religious beliefs. Mind based therapy can help integrate fragmented sense of identity, and expressive arts such as painting therapy can promote self exploration. Be alert to the resulting substance abuse behavior.

4. Impulsive behavior

refers to reckless behaviors such as self harm, overeating, and dangerous driving, which often occur during emotional breakdowns. Emergency response should prioritize safety and reduce impulsiveness through cognitive restructuring in the long run. Sodium valproate and other emotional stabilizers have certain effects, but they need to be combined with behavioral constraint training.

5. Fear of being abandoned

Excessive worry about being abandoned may lead to extreme measures being taken to maintain relationships. Treatment requires dealing with childhood traumatic experiences and gradually correcting catastrophic perceptions of separation. Shequlin can alleviate accompanying anxiety symptoms, while establishing a social support network as a safety buffer.

It is necessary to maintain a regular daily routine and moderate exercise to avoid alcohol stimulation and emotional fluctuations. Keeping an emotional diary can help identify behavioral patterns, and mindfulness practice can enhance emotional tolerance. Family and friends should learn non judgmental communication methods and promptly contact professional institutions when patients are in crisis. Regular follow-up to evaluate treatment progress, medication adjustments must strictly follow medical advice. Early systemic intervention can significantly improve long-term prognosis.