Borderline Personality Disorder in Teenage

Patient Tools

Read, save, and share this guide

Use these quick tools to make this medical article easier to read, print, save, or share with a family member.

Patient Mode

Understand this article easily

Switch between simple English and easy Bangla patient notes. This is for education and does not replace a doctor consultation.

Borderline personality disorder can affect people of varying ages and from different walks of life. Unfortunately, even young women and teenage girls are subject to this disorder’s grasp. Also known as BPD, borderline personality disorder can cause difficulties and challenges to occur in the lives...

For severe symptoms, danger signs, pregnancy, child illness, or sudden worsening, seek urgent medical care.

বাংলা রোগী নোট এখনো যোগ করা হয়নি। পোস্ট এডিটরে “RX Bangla Patient Mode” বক্স থেকে সহজ বাংলা সারাংশ যোগ করুন।

এই তথ্য শিক্ষা ও সচেতনতার জন্য। এটি ডাক্তারি পরীক্ষা, রোগ নির্ণয় বা প্রেসক্রিপশনের বিকল্প নয়।

Article Summary

Borderline personality disorder can affect people of varying ages and from different walks of life. Unfortunately, even young women and teenage girls are subject to this disorder’s grasp. Also known as BPD, borderline personality disorder can cause difficulties and challenges to occur in the lives of those who suffer from it. While this mental health disorder can be challenging for anyone, borderline personality disorder in teens can...

Key Takeaways

  • This article explains An Overview of Borderline Personality Disorder in simple medical language.
  • This article explains Borderline Personality Disorder in Teens: Can Personality Disorders Be Diagnosed Before Age 18? in simple medical language.
  • This article explains About BPD: The Statistics in simple medical language.
  • This article explains Why Do Teens Develop Borderline Personality Disorder? in simple medical language.
Educational health guideWritten for patient understanding and clinical awareness.
Reviewed content workflowUse writer and reviewer profiles for stronger trust.
Emergency safety firstUrgent warning signs are highlighted below.
Choose your reading view

Patient View highlights a simple learning journey. Clinical View reveals structure, evidence, and editorial completeness.

Seek urgent medical care if you notice

These warning signs are general safety guidance. Local emergency numbers and clinical judgment should always come first.

  • Severe symptoms, breathing difficulty, fainting, confusion, or rapidly worsening illness.
  • New weakness, severe pain, high fever, or symptoms after a serious injury.
  • Any symptom that feels urgent, unusual, or unsafe for the patient.
1

Emergency now

Use emergency care for severe, sudden, rapidly worsening, or life-threatening symptoms.

2

See a doctor

Book a professional medical evaluation if symptoms persist, worsen, recur often, affect daily activities, or occur in a high-risk patient.

3

Learn safely

Use this article to understand possible causes, tests, treatment options, prevention, and questions to ask your clinician.

Before reading

RX Patient Tools

Use these quick guides before reading the article, or return to them when you need help preparing questions for a doctor.

Start here Choose the right pathway for symptoms, reports, medicines, or urgent warning signs. Disease article roadmap Read this topic step by step: meaning, symptoms, warning signs, diagnosis, treatment, prevention, and follow-up. Treatment planner Prepare questions about treatment choices, benefits, risks, side effects, and follow-up. Family & caregiver guide Organize symptoms, reports, medicines, questions, and follow-up safely. Nutrition & diet guide Prepare food, hydration, supplement, and medicine-timing questions safely. Prevention guide Organize risk factors, protective habits, screening, and warning signs. Recovery guide Prepare a safe plan for activity, rehabilitation, warning signs, and follow-up.
Definition

Borderline personality disorder can affect people of varying ages and from different walks of life. Unfortunately, even young women and teenage girls are subject to this disorder’s grasp. Also known as BPD, borderline personality disorder can cause difficulties and challenges to occur in the lives of those who suffer from it. While this mental health disorder can be challenging for anyone, borderline personality disorder in teens can be problematic for specific reasons.

No doubt, young women who experience the symptoms of this disorder often feel an extreme amount of discomfort. After all, teenage years are already riddled with anxiety, uncertainty, confusion, hormonal changes, and more. When BPD is part of the mix, it can cause even more issues to arise in a young woman’s life.

Due to the severity of the effects of borderline personality disorder, it’s necessary to seek professional help when facing this disorder. Those who suffer from it can find solace in the fact that help and hope are accessible. First, however, healing must begin with education and information. Learning more about borderline personality disorder in teens can help parents and guardians to find the best resources for the young individuals in their lives.

An Overview of Borderline Personality Disorder

It may be beneficial to learn a little more about BPD before learning about how it affects teenagers. This is especially the case if you are a parent or guardian of a young woman you suspect may have BPD. 

A borderline personality disorder is a mental health condition that can cause many difficulties in people’s lives. It can prevent individuals from showing self-control as impulsivity is a common symptom of BPD. 

Signs and Symptoms of BPD

This psychological disorder often causes individuals to experience the following symptoms:

  • Intense paranoia
  • Suicidal behavior
  • Emotional instability
  • Behavioral impulsivity
  • Feelings of emptiness
  • Self-harming behaviors
  • Intense and unseemly anger
  • Unstable moods; mood swings
  • Intense fear of being abandoned
  • Poor self-esteem or lack of self-regard
  • Occasional dissociation (feelings of disconnection from oneself; numbness)

Individuals who have borderline personality disorder also often experience difficulties in their interpersonal relationships. Those with BPD may have trouble trusting others. They may also have a severe concern that people will abandon them. These challenges often cause relationships to fail or become extremely unhealthy. Frequent arguing and disagreements are, unfortunately, common among those who suffer from BPD. 

The impulsivity that comes with BPD can be dangerous. It can lead to risky sexual activity or other problematic behavioral patterns.

Of course, not all of these symptoms will point directly to the presence of borderline personality disorder. For instance, a person who exhibits impulsive behavior or low self-esteem may not have BPD. To properly diagnose an individual, medical professionals observe a person’s overall mental health. If at least five of the symptoms of BPD occur and persist, it is more likely that the individual has this disorder.

Specialists do not know of a specific cause for BPD. But, they believe genetics, environment, and the structure of the brain all play a role in the development of this disorder.

Borderline Personality Disorder in Teens: Can Personality Disorders Be Diagnosed Before Age 18?

Medical specialists know much about the effects of BPD on adults. However, not much information is known about borderline personality disorder in teens. Many are even unsure about whether personality disorders can be diagnosed before age 18.

The main concern when it comes to diagnosing borderline personality disorder in teens is the belief that a teen’s personality hasn’t fully developed. Also, many young people experience mood swings and lack a stable sense of self. It can be difficult to be certain whether teenagers are experiencing the challenging yet normal changes that occur at their age or if they’re dealing with a personality disorder.

Still, many medical professionals believe that teenagers can indeed suffer from BPD. In fact, according to the National Center for Biotechnology Information (NCBI), BPD affects between 0.9% and 3% of teenagers. 

Also, the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) states that teens can receive a diagnosis of BPD. If symptoms persist for at least a year, a young individual (under 18) may have BPD.

About BPD: The Statistics

According to the National Alliance on Mental Health, about 1.4% of adults in the U.S. suffer from BPD. Around 75% of the individuals who have BPD are women. 

It may also be helpful to understand the prevalence of BPD in teen boys versus BPD in young ladies. Are teenage girls more likely to suffer from this personality disorder than boys? 

Some experts find that the likelihood of BPD is somewhat equal in men and women. So, it’s probable that the same would be said for teenage boys and girls. 

Why Do Teens Develop Borderline Personality Disorder?

Again, the cause of BPD is not clear to experts. But professionals do identify a host of risk factors. For instance, some young people who suffer from BPD have experienced some sort of abuse or abandonment.

Children who have lost parents or been neglected by them may also be at risk for developing a borderline personality disorder. Also, children of individuals who have severe mental health disorders may develop a borderline personality disorder.

Addressing and Treating Borderline Personality Disorder in Teens

When it comes to treating borderline personality disorder, it can be difficult to determine the best approach. There is no “one-size-fits-all” approach to treating this mental health disorder. So it is essential to seek help from medical professionals who understand the psychological needs of those with BPD. 

Borderline personality disorder in teens may be treated with therapy. Or, individuals who have this disorder may be prescribed medication. Such prescriptions may work to treat depression or other emotional disturbances.

Some individuals may find themselves in serious, life-threatening situations as well. For instance, suicidal ideation caused by BPD may lead to suicidal attempts. Self-harming behaviors can also occur as a result of borderline personality disorder. These issues may result in the need for intensive, professional, and medical care. Some people may require hospitalization to get the help they need.

Of course, the best method of care for one person may not be the best method for another individual. This is why it’s important to handle cases and possible cases of BPD with the help of therapists and medical teams. Seeking help from such individuals can help to save your loved one’s life.

The Unfortunate Connection Between BPD and Addiction

Sadly, many who suffer from borderline personality disorder also develop substance use disorders. When a person struggles with a mental health disorder and addiction simultaneously, they have a dual diagnosis. Co-occurring conditions and disorders can make life difficult in many ways. A dual diagnosis can also have extremely and severely negative effects on a person’s mental, physical, and emotional health.

Young adults and teens who suffer from BPD may find themselves struggling in various areas. They may be unable to maintain friendships or romantic relationships. They may constantly fear neglect or abandonment. These individuals may even develop codependent behaviors. 

Depression or anxiety may set in. As a result, young people suffering from BPD may feel hopeless, helpless, and empty. They may turn to substance use to deal with their emotional trouble. Alcohol or drug use may be the coping mechanism many people choose when suffering from a borderline personality disorder.

Unfortunately, these habits can lead to the development of addiction. When individuals suffer from addiction and mental health disorders, they may have trouble overcoming either or both of these issues. This is why professional help is necessary.

Find Hope and Healing at New Directions for Women

Here at New Directions for Women, we understand the need for support and guidance when dealing with mental health disorders. So, if your teenage daughter or friend is suffering from the impact of borderline personality disorder, we’re here for you. Our mission is to serve those in need of assistance, offering professional input and direction. Please know that we will do what it takes to provide you with the best of care.

If addiction and mental health disorders are affecting you or another woman you know, let us help! New Directions for Women works to encourage, uplift, motivate, and inspire women to pursue overall health. Whether you’re seeking freedom from addiction or healing from the effects of co-occurring mental health and substance use disorders, we can help.

We offer therapy services and treatment for various types of addiction. Please don’t wait any longer to get the treatment and guidance you need. Allow us to serve you here at New Directions for Women. Our team of compassionate and knowledgeable individuals is standing by to help you! Simply contact us today to learn more about our services and how we can work with you. We look forward to assisting you as you walk in a new and healthier direction, toward a life of freedom and peace.

References

RX Clinical Pathway Engine

Continue through a complete learning pathway

Move from understanding the topic to symptoms, tests, treatment, medicines, monitoring, and prevention.

Search the complete library
  1. Understand the condition Begin with the essential facts and a clear explanation of the topic.
  2. Recognize symptoms Learn common symptoms, signs, and patterns of presentation.
  3. Know when to seek help Review urgent warning signs and when professional assessment may be needed.
  4. Understand causes and risks Explore causes, risk factors, mechanisms, and contributing conditions.
  5. Explore tests and diagnosis Learn how clinicians assess the condition and which investigations may be discussed.
  6. Learn treatment approaches Review general treatment categories and management principles.
  7. Understand medicines safely Continue to medicine education, uses, precautions, and monitoring.
  8. Plan monitoring and follow-up Understand monitoring, complications, rehabilitation, and follow-up learning.
  9. Review prevention and self-care Explore prevention, healthy routines, and questions to discuss with a clinician.

Conditions & Diseases

Background, symptoms, causes, diagnosis, and care.

Explore this library

Tests & Investigations

Laboratory, imaging, screening, and diagnostic education.

Explore this library

Medicines

Uses, safety, monitoring, and related medicine knowledge.

Explore this library

Cancer Knowledge

Cancer types, screening, oncology, and treatment education.

Explore this library
Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: Borderline Personality Disorder in Teenage

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

Frequently Asked Questions

An Overview of Borderline Personality Disorder It may be beneficial to learn a little more about BPD before learning about how it affects teenagers. This is especially the case if you are a parent or guardian of a young woman you suspect may have BPD.  A borderline personality disorder is a mental health condition that can cause many difficulties in people’s lives. It can prevent individuals from showing self-control as impulsivity is a common symptom of BPD.  Signs and Symptoms of BPD This psychological disorder often causes individuals to experience the following symptoms: Intense paranoia Suicidal behavior Emotional instability Behavioral impulsivity Feelings of emptiness Self-harming behaviors Intense and unseemly anger Unstable moods; mood swings Intense fear of being abandoned Poor self-esteem or lack of self-regard Occasional dissociation (feelings of disconnection from oneself; numbness) Individuals who have borderline personality disorder also often experience difficulties in their interpersonal relationships. Those with BPD may have trouble trusting others. They may also have a severe concern that people will abandon them. These challenges often cause relationships to fail or become extremely unhealthy. Frequent arguing and disagreements are, unfortunately, common among those who suffer from BPD.  The impulsivity that comes with BPD can be dangerous. It can lead to risky sexual activity or other problematic behavioral patterns. Of course, not all of these symptoms will point directly to the presence of borderline personality disorder. For instance, a person who exhibits impulsive behavior or low self-esteem may not have BPD. To properly diagnose an individual, medical professionals observe a person’s overall mental health. If at least five of the symptoms of BPD occur and persist, it is more likely that the individual has this disorder. Specialists do not know of a specific cause for BPD. But, they believe genetics, environment, and the structure of the brain all play a role in the development of this disorder. Borderline Personality Disorder in Teens: Can Personality Disorders Be Diagnosed Before Age 18?

Medical specialists know much about the effects of BPD on adults. However, not much information is known about borderline personality disorder in teens. Many are even unsure about whether personality disorders can be diagnosed before age 18. The main concern when it comes to diagnosing borderline personality disorder in teens is the belief that a teen’s personality hasn’t fully developed. Also, many young people experience mood swings and lack a stable sense of self. It can be difficult to be…

About BPD: The Statistics According to the National Alliance on Mental Health, about 1.4% of adults in the U.S. suffer from BPD. Around 75% of the individuals who have BPD are women.  It may also be helpful to understand the prevalence of BPD in teen boys versus BPD in young ladies. Are teenage girls more likely to suffer from this personality disorder than boys?  Some experts find that the likelihood of BPD is somewhat equal in men and women. So, it’s probable that the same would be said for teenage boys and girls.  Why Do Teens Develop Borderline Personality Disorder?

Again, the cause of BPD is not clear to experts. But professionals do identify a host of risk factors. For instance, some young people who suffer from BPD have experienced some sort of abuse or abandonment. Children who have lost parents or been neglected by them may also be at risk for developing a borderline personality disorder. Also, children of individuals who have severe mental health disorders may develop a borderline personality disorder.

Continue exploring

Explore this topic across the RX Medical Library

Open a focused A–Z pathway or continue with closely related indexed articles. These links are educational and do not replace personal medical care.

Search this topic
Diseases A–Z Drugs A–Z Lab Tests A–Z Cancer A–Z
Diseases A–Z

β-Thalassemia Renal Disease

β-Thalassemia is a blood disorder characterized by reduced production of hemoglobin, leading to anemia. When it…

Diseases A–Z

18q Deletion Syndrome

18q deletion syndrome, also known as 18q- syndrome, is a rare genetic disorder that affects chromosome…

Diseases A–Z

1q21.1 Deletion Syndrome

1q21.1 deletion syndrome (also called 1q21.1 microdeletion) is a genetic disorder caused by the loss of…