The symptoms of borderline personality disorder usually first occur in the teenage years and early twenties. However, onset may occur in some adults after the age of thirty, and behavioral precursors are evident in some children.
According to the DSM-5, BPD can be diagnosed as early as at 12 years old if symptoms persist for at least one year. However, most diagnoses are made during late adolescence or early adulthood.
Conclusions. In sum, BPD symptoms in adolescence reflect trait-like differences between youth with less within-person variability across time. Symptoms appeared to peak by age 15, decline through age 18, and remain steady between ages 18 and 19.
Borderline personality disorder usually begins by early adulthood. The condition seems to be worse in young adulthood and may gradually get better with age.
Environmental factors
being a victim of emotional, physical or sexual abuse. being exposed to long-term fear or distress as a child. being neglected by 1 or both parents. growing up with another family member who had a serious mental health condition, such as bipolar disorder or a drink or drug misuse problem.
People with borderline personality disorder may experience intense mood swings and feel uncertainty about how they see themselves. Their feelings for others can change quickly, and swing from extreme closeness to extreme dislike. These changing feelings can lead to unstable relationships and emotional pain.
Maladaptive Parenting. Maladaptive parenting including childhood maltreatment, abuse and neglect, exposure to domestic violence and parental conflict are found to be prevalent psychosocial risk factors for development of BPD in children and adolescents [10, 11].
Though the severity of BPD symptoms diminishes with age, it is possible to get a BPD diagnosis when you are older. “BPD can be diagnosed any time in adulthood,” says Max K. Shapey, LCSW, in Evanston, Ill. “I have certainly diagnosed clients with BPD in the age range of 45 to 60 who haven't had that diagnosis before.”
BPD is not necessarily a lifelong disorder. Many patients retain residual symptoms later in life.
A pattern of intense and unstable relationships with family, friends, and loved ones. A distorted and unstable self-image or sense of self. Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving, and binge eating.
Longitudinal studies show a general decrease of full BPD diagnoses from young to middle adulthood [34, 35].
But borderline personality disorder does not develop as a result of those traumas. Instead, it is a combination of genetic factors and childhood experiences (early environmental influences) that cause a person to develop borderline personality disorder.
Surveys have estimated the prevalence of borderline personality disorder to be 1.6% in the general population and 20% in the inpatient psychiatric population.
Results: People with Borderline Personality Disorder have a reduced life expectancy of some 20 years, attributable largely to physical health maladies, notably cardiovascular. Risk factors include obesity, sedentary lifestyle, poor diet and smoking.
Borderline personality disorder (BPD) is a mental health condition that comes with extreme emotions, intense challenges with self-esteem, and difficulty forming strong, stable relationships with others. Teenagers with BPD are often angry, impulsive, and quick to believe that other people have wronged them.
One strong predictor of the disorder is family history. In fact, having a first-degree relative (parent, sibling, child) with BPD puts you at a 5 times greater risk of developing it yourself, according to NAMI. (2) With a first-degree relative, you share an average of 50 percent of your genes.
Although anyone can develop BPD, it's more common if you have a family history of BPD. People with other mental health conditions, such as anxiety, depression or eating disorders, are also at higher risk. Nearly 75% of people diagnosed with BPD are people assigned female at birth (AFAB).
Myth: Bad Parenting Causes BPD
Parents are all too often blamed for all kinds of problems in their children, but there is absolutely no evidence that bad parenting causes BPD. They are likely individual cases in which parents have aggravated their child's underlying vulnerability.
MRI studies have demonstrated that people with BPD have reduced volume in the frontal lobe, bilateral hippocampus, bilateral amygdala (a reduced volume that has not always been replicated in MRI studies), left orbitofrontal cortex, right anterior cingulate cortex, and right parietal cortex and increased putamen volume.
Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving and binge eating. Recurring suicidal behaviors or threats or self-harming behavior, such as cutting. Intense and highly changeable moods, with each episode lasting from a few hours to a few days.
Personality disorders, including borderline personality disorder, are diagnosed based on a: Detailed interview with your doctor or mental health provider. Psychological evaluation that may include completing questionnaires. Medical history and exam.
Many people still believe that those living with it can be manipulative or dangerous due to their symptoms. While this can be the case in a very small minority of people, most people with BPD are just struggling with their sense of self and their relationships. It's important to note that we're not dangerous people.
Often, the borderline person is unaware of how they feel when their feelings surface, so they displace their feelings onto others as causing them. They may not realise that their feelings belong within them, so they think that their partner is responsible for hurting them and causing them to feel this way.