Borderline syndrome, also called borderline personality disorder, is characterized by sudden mood swings, fear of being abandoned by friends, and impulsive behaviors such as spending money wildly or binge eating, for example.
Generally, people with Borderline Syndrome have times when they are stable, which alternate with psychotic outbreaks, manifesting uncontrolled behaviors. These symptoms begin to manifest in adolescence and become more frequent early in adult life.
Sometimes this syndrome is confused with diseases like schizophrenia or bipolar disorder, but the duration and intensity of the emotions is different, being fundamental to be evaluated by a psychiatrist to know the correct diagnosis and to start the appropriate treatment.
Characteristics of Borderline Syndrome
The most common characteristics of people who have Borderline Syndrome are:
- Mood changes throughout the day, ranging from moments of euphoria to deep sadness;
- Feelings of anger, despair and panic;
- Irritability and anxiety that can provoke aggression;
- Difficulty in controlling emotions, and can vary from extreme sadness to episodes of euphoria;
- Fear of being abandoned by friends and family;
- Instability in relationships, which may cause detachment;
- Impulsivity and dependence on gambling, uncontrolled spending of money, excessive consumption of food, use of substances and, in some cases, not complying with rules or laws;
- Low self-esteem ;
- Insecurity in oneself and in others;
- Difficulty accepting criticism ;
- Feeling of loneliness and inner emptiness.
People with this disorder are afraid that their emotions will flee from their control, showing a tendency to become irrational in situations of greater stress and creating a great dependence on others to be stable.
In some more severe cases, self-mutilation and even suicide can occur due to the tremendous feeling of inner malaise. Learn more about the symptoms in: Find out if it is borderline syndrome.
How is the diagnosis made?
The diagnosis of this disorder is made through the description of the behavior reported by the patient and observed by a psychologist or psychiatrist.
In addition, it is important to perform physiological tests, such as hemogram and serology, to exclude other diseases, because their characteristics are similar to other diseases, such as depression or schizophrenia, for example.
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I almost always feel "empty".- I totally agree
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I often do one of the following activities: I drive dangerously, have unsafe sex, abuse alcohol, or use drugs.
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Sometimes when I'm stressed - especially when someone abandons me - I get very paranoid.
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I often expect too much from people.
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I have self-mutilation, self-assault, or suicidal thoughts that threaten my life.
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I fear that others will abandon me or leave me, so I make frantic efforts to avoid this abandonment.
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My point of view about others, especially those that are important to me, can change at any time.
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I currently have problems in life that keep me from going to school, working or being with my friends.
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Causes and Consequences of Borderline Syndrome
Borderline personality disorder may occur due to genetic predisposition, when at least one close relative has this disorder, or changes in the brain, especially in areas of the brain responsible for controlling impulses and emotions. However, strong emotional experiences as a child, such as facing illness or death and situations of sexual abuse or neglect may lead to the development of this syndrome.
Borderline Syndrome can lead to loss of family ties and friendship, which leads to loneliness, financial hardship and job loss. All of these factors associated with mood swings can lead to suicide attempts.
Treatment of Borderline Syndrome
Treatment of Borderline Syndrome is performed with the use of anti-depressant medications, mood stabilizers and tranquilizers indicated by the psychiatrist.
In addition to treatment with medication, it is necessary to maintain psychological counseling to perform psychotherapy and help the person to control their negative emotions, such as knowing how to cope with times of greater stress.
Depending on the signs and symptoms presented by the person, the therapist can establish the type of therapy to be used in the treatment, and may be dialectical behavioral, which is usually used with those who tried suicide, cognitive behavioral, family or individual psychotherapy. The therapy can last from months to years, it depends on the patient. Know some techniques that can help in: 4 steps to control negative emotions.
This treatment is critical for the patient to stay in control but requires patience and will power of the individual.