What is a disorder limit or borderline personality ?

Written by: Dr. Enrique Guerra Gómez
Published: | Updated: 20/11/2018
Edited by: Top Doctors®

The disorder limit or borderline personality is mainly characterized by intense emotional instability and impulsivity.

the limit or borderline disorder personality is essentially a disorder of the way of life that begins at the beginning of adulthood. It is characterized by an unstable self-image, emotions and relationships, plus a high drive (eg abuse of toxic substances or sex). Are added plus:

1. Strenuous efforts to avoid real or imagined abandonment.

2. Recurring threats of suicide and/or self-injurious behaviors.

3. Chronic feeling of emptiness.

4. Ira inadequate and/or difficult to control.

5. Ideas anomalies being criticized or hurt.


As with all personality disorders, the key to diagnosis is the story of life development, as it is generated when the lifestyle of a person begins to settle and continued for most of his life, besides the story the patient, the information has to be supplemented with family or friends.

Unlike other types of disorders, such as depression, feelings and behavior that patients with limit or borderline disorder described as“current” are complementary but insufficient data for diagnosis. It is necessary that the above patient to happen from the beginning of adulthood.


The primary treatment for limit or borderline disorder is psychotherapy. As usually develops in conjunction with other syndromes or mental disorders, medication is also useful, whether through antidepressants, antipsychotics, antiimpulsivos or other. Still, it must be clear that the drugs improve the symptomatology, but do not change the way of life of the patient.

As for psychotherapy, according to NICE guidance ( prepared by the National Institute for Mental Health in the UK in 2009) are the most scientifically proven therapy and dialectical behavioral therapy awareness, although there are other psychotherapies that can also be useful, such as cognitive-behavioral, interpersonal etc. The therapy can be performed either on an outpatient basis or, in serious cases, hospital specific day for these disorders.


Most of the authors report that the accompanying symptoms (depressive syndrome, self-mutilation, ideas of prejudice etc ) improve over the years. However, the most distinctive features of the Ways ( feeling of emptiness, difficulty tolerating loneliness, fear of abandonment etc ) take longer to disappear. There are several statistics that speak of an almost complete remission after ten years of evolution in 80% of patients.

Therefore, as long as it comes early, greatly improves disorder limit. The problem is that patients often do not demand help until some time because it does not feel that his nature is related to a mental disorder candidate for treatment. Just ask for help when there are significant depressive symptoms, impulsivity, self ideas or hetero, family, interpersonal, labor disputes etc. Often it is the family who demand help rather than the patient.

*Translated with Google translator. We apologize for any imperfection

By Dr. Enrique Guerra Gómez

Currently coordinator Feeding Disorders Unit at the Hospital of Santa Cristina (Madrid ), Dr. Guerra Gomez has extensive training experience, academic and teaching as a psychiatrist. His activities as a professional you have even earned the Gold Medal for services to health madrilena granted by the Regional Ministry of Health.

*Translated with Google translator. We apologize for any imperfection

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