Borderline personality disorder
About Borderline personality disorder
A psychiatric disorder characterized by feelings of emptiness, poor self image, unstable relationships and impulsive behavior. Symptoms usually begin by early adulthood. People with this disorder often have a mood disorder, eating disorder or substance abuse problem as well. The disorder is diagnosed three times more often in women than men.Symptoms
Symptoms include unstable self-image, impulsiveness, suicidal gestures, fear of abandonment and difficulty controlling anger. Some individuals experience paranoia and, in some cases, psychotic symptoms.Tests & Diagnostics
A history and physical exam will be performed. Lab tests are performed to rule out other conditions. The diagnosis is based on a clinical assessment.Common tests: TSH, Urine or serum toxicology screen.
Prescription medications
Conventional treatment summary
Treatment may vary depending on the severity of disease. Psychotherapy is an essential component of the treatment of this disorder. There is no medication specific to borderline personality disorder. However, medications are frequently added as symptoms emerge. Anti-depressant medications such as fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil) and citalopram (Celexa) are frequently added to treat depressive symptoms. In some cases, your doctor may decide to add a mood stabilizer such as lithium (Lithobid and other brand names) or topiramate (Topamax). Finally, in cases with psychotic symptoms, your doctor may add a drug like risperidone (Risperdal) or olanzapine (Zyprexa).Medical specialties
Internal Medicine · Psychiatry · Family Practice
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Borderline personality disorder.