Prognosis of Borderline Personality Disorder

Borderline Personality Disorder remains an enigmatic, particularly destructive mental illness. The disorder predominantly afflicts women, and a key feature of the condition is instability--in everything from personal relationships to moods. But there is hope. Research indicates that the prognosis is good to lessen the characteristics associated with BPD, as long as those suffering from it stick to a diverse course of treatment.

Symptoms

• BPD manifests itself as intense neediness, often violent mood swings and impulsivity, resulting in suicidal thoughts, self-mutilation and instability in relationships. It afflicts more women than men and, though not as well-known as bipolar or schizophrenia, it's believed to be just as common.

Treatment

• Care for those with BPD has changed dramatically in the last few years. Previously, a therapist would have been at the core, but those with BPD have serious issues with trust, making it difficult to find a therapist they feel comfortable enough to stick with. One-on-one therapy has been combined with group support, hospitalization and medication.

Outlook

• The shift in treatment is encouraging to researchers and organizations like the National Alliance on Mental Illness (NAMI). The prognosis for a decrease in the intensity of the symptoms, if not a full-blown recovery, has improved over time. But BPD's symptoms, especially the lack of perspective that accompanies this illness, make it a hard one to overcome. Availability of treatment to take on BPD's very specific characteristics remains a concern (see Resources).

Risks

• The prognosis also depends on the severity of the mood swings, anxiety and depression. BPD rarely stands on its own--major illnesses often accompany it, and it's believed stress makes symptoms worse.

Age

• BPD's symptoms may subside as one ages, with the most severe symptoms usually occurring in young adulthood.