Borderline personality disorder

Borderline personality disorder, also known as emotionally unstable personality disorder, or EUPD, is a mental illness characterized by a long-term pattern of unstable relationships, distorted sense of self, and strong emotional reactions. It often causes problems in everyday life with conflicts, impulsive acts and outbursts of anger. Appotek can help with EUPD.


People with EUPD are emotionally vulnerable and often have a negative self image. Emotions can change rapidly and unpredictably from positive to negative. Those who have EUPD often act impulsively on whichever feeling is currently the strongest, without reflecting on the nuances or the consequences.


It can be difficult to interact with people in a balanced way and personal relationships tend to be intense and chaotic.


Common symptoms are:


  • Impulsive, self-destructive behaviors
  • Fear of abandonment and separation anxiety. (People with BPD are often terrified of being abandoned or left alone)
  • Unstable relationships
  • Unclear or shifting self-image 
  • Self-harm
  • Extreme emotional swings
  • Chronic feelings of emptiness
  • Explosive anger/tantrums


There is also an increased risk of alcohol and drug abuse, as sufferers try to self-medicate to avoid depression and anxiety. 


Self-destructive actions, such as eating disorders and self-harming, are also risk factors.


Children and EUPD: Since EUPD diagnosis involves a personality disorder, children cannot be diagnosed because personality continues to develop until adulthood.


It is not entirely clear what causes Borderline personality disorder. Factors that can play a role include heredity and environment – for example, a difficult upbringing.

Prevention and protection

The following can help in managing EUPD:


  • conscious presence
  • trying to accept your own condition
  • exercising 
  • sleeping enough
  • avoiding alcohol and other drugs
  • a regular, balanced diet 
  • finding new ways to deal with strong emotions.


EUPD is usually treated with a combination of drug treatment and psychological treatment. The aim of the treatment is to obtain a more stable mood which can make it easier to manage your life and prevent self-harming behaviors. Sometimes individual psychological treatment is supplemented with group activities.
It can be difficult to be a close relative of someone with EUPD. Municipalities often can offer help and support.

When to consult a doctor

Seek help if your mood swings are affecting your life.

How APPOTEK can help

APPOTEK can help with EUPD by connecting you with a psychologist. Any severe cases, such as those involving suicidal thoughts, should be treated as an emergency and you should seek urgent care.


Valeria Chernikova, Neurologist, M.D.