What it is
It often develops after difficult experiences in childhood, though not always. It frequently occurs alongside depression, anxiety or substance misuse.
The main treatment is specialist talking therapy, such as dialectical behaviour therapy or mentalisation-based therapy. Medicines may help with some symptoms.
Common signs
- Intense emotions that change quickly
- Strong fear of being abandoned
- Unstable relationships
- Impulsive or risky behaviour
- Self-harm or thoughts of suicide
- Feeling empty
How it is usually diagnosed
- Assessment by a psychiatrist or psychologist
- A detailed discussion of feelings, behaviour and history
Records worth keeping
Keeping these together makes each appointment easier, especially when you see a new doctor:
- Assessment and therapy letters
- Your care and crisis plan
- A list of medicines
Questions to ask your doctor
- Which therapy is available to me, and how long is the wait?
- What should I do in a crisis?
- How can the people close to me help?
When to get help right away
Call 112 or go to the nearest emergency department if you have:
- Thoughts of suicide, or having harmed yourself seriously: call 112
This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.