Ask the Doctors
I know borderline personality disorder is difficult to treat. Any encouraging news? Answer by Howard LeWine, M.D. One of the reasons that borderline personality disorder is challenging to treat is that its symptoms reflect ingrained patterns of thinking and behavior. The disorder has three defining clinical components: impulsiveness, emotional volatility, and a fragile sense of self. Symptoms can include rapidly shifting moods, paranoia, self-injury, and inability to maintain relationships.