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