Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Borderline Personality Disorder (BPD), A Narrative Review with Focus on BPD Comorbidities

Version 1 : Received: 4 February 2024 / Approved: 5 February 2024 / Online: 5 February 2024 (03:43:47 CET)

How to cite: SADEK, J. Borderline Personality Disorder (BPD), A Narrative Review with Focus on BPD Comorbidities. Preprints 2024, 2024020206. https://doi.org/10.20944/preprints202402.0206.v1 SADEK, J. Borderline Personality Disorder (BPD), A Narrative Review with Focus on BPD Comorbidities. Preprints 2024, 2024020206. https://doi.org/10.20944/preprints202402.0206.v1

Abstract

Borderline Personality Disorder (BPD) is a complex and severe mental disorder. It is associated with greater use of medical services. It is characterized by intense fear of abandonment, recurring suicidal thoughts or self-harm, paranoid ideation or dissociation, identity difficulties, chronic feelings of emptiness, impulsive behavior and unstable moods and relationships. BPD is one of the most prevalent personality disorders with a higher diagnosis in females. For a diagnosis of BPD in patients, they must have a chronic pattern of functional impairment in addition to five of nine listed DSM-5 criteria. This review was a narrative literature search between 2000 to 2023 with a focus on BPD comorbidities. Results: Researchers observed a complex pattern of comorbidities with BPD that connects with other externalizing and internalizing disorders. BPD has a high comorbidity rate with mood disorders including bipolar I and II disorders, major depressive disorder, anxiety disorders, panic disorder alcohol use disorder, nicotine dependence, marijuana dependance, posttraumatic stress disorder, other personality disorders, binge eating disorder and ADHD. Diagnosis and management of BPD in presence of some of these disorders are discussed.

Keywords

Borderline personality disorder; Comorbidity; epidemiology; prevalence; diagnosis; Management

Subject

Medicine and Pharmacology, Psychiatry and Mental Health

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