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People with BPD have persistent difficulty relating to other people and to the world around them. This can be very distressing for the person and for those who care for them.

Symptoms include:

Deep feelings of insecurity

Difficulty coping with fear of abandonment and loss; continually seeking reassurance, even for small things; expressing inappropriate anger towards others whom they consider responsible for how they feel; a fragile sense of self and one's place in the world.

Persistent impulsiveness

Abusing alcohol and other drugs; spending excessively; gambling; stealing; driving recklessly, or having unsafe sex.

Confused, contradictory feelings

Frequent questioning and changing of emotions or attitudes towards others, and towards aspects of life such as goals, career, living arrangements or sexual orientation.

Self-harm

Causing deliberate pain by cutting, burning or hitting oneself; overdosing on prescription or illegal drugs; binge eating or starving; abusing alcohol and other drugs; repeatedly putting oneself in dangerous situations or attempting suicide.

Some people with BPD may also have symptoms of other mental illnessses. They may experience symptoms associated with anxiety or mood disorders, such as excessive worrying and having panic attacks, obsessive behaviour, hoarding or having unwanted thoughts, feeling persistently sad, moving or talking slowly, losing sexual interest or having difficulty concentrating on simple tasks.

They may even experience psychotic symptoms such as delusions or false beliefs - believing, for example, they are being deceived, spied on or plotted against.

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