Most of the time, signs
of the disorder first appear in childhood. But problems often don't start until
early adulthood. Treatment can be hard, and getting better can take years.
Problems with emotions and behaviors are hard to improve. But
with treatment, most people with severe
symptoms do get better over time.
Marjorie Lindholm is a survivor of the 1999 school shootings at Columbine High School in Littleton, Colo. Lindholm, who wrote a book titled A Columbine Survivor's Story, spoke with WebMD about her experiences and shares her advice for school shooting survivors and their loved ones.
know exactly what causes borderline personality disorder. Problems with chemicals in the brain that help
control moods may play a role. It also seems to run in
Often, people who get it faced some kind of childhood
trauma such as abuse, neglect, or the death of a parent. The risk is higher when people who had childhood trauma also have problems
anxiety or stress.
What are the symptoms?
Everyone has problems with
emotions or behaviors sometimes. But if you have borderline personality
disorder, the problems are severe, repeat over a long time, and disrupt your
life. The most common symptoms include:
Intense emotions and mood swings.
Harmful, impulsive behaviors. These may include things like substance
binge eating, out-of-control spending, risky sexual behavior, and reckless
Relationship problems. You may see others as either "good" or
"bad" and may shift from one view to the other suddenly, for minor reasons. This can make relationships very difficult.
A frantic fear of being left alone
(abandoned). This fear may lead to frantic attempts to hold on to those around
you. Or it may cause you to reject others before they can
Times when you feel paranoid or lose a sense of reality (psychosis).
It's easy to confuse this disorder with other mental
illnesses. And they may overlap. So if you think that
you or someone you know may have borderline personality disorder, see a doctor.
Don't try to diagnose yourself.