Borderline personality disorder in teens is a rare but serious diagnosis for adolescents with emotional dysregulation, unstable relationships, and poor sense of self.
) in the “relatively unusual” cases in which the individual’s maladaptive personality traits are “pervasive, persistent, and unlikely to be limited to a particular developmental stage or another mental disorder.” Additionally, a child or teen must have shown symptoms for at least one year to merit a diagnosis for a personality disorder.
So while it’s possible for children and teens to be diagnosed with BPD, it’s also true that some medical circles may think that child and adolescent patients are far too young for a BPD diagnosis. Part of the reluctance may come from the sheer number of factors that could explain someone’s behaviors and traits — especially in adolescence.
alone can be very emotionally dysregulating. Identity is also still forming during this stage of life.Another consideration: A personality disorder diagnosis tends to follow an individual and become the sole lens through which clinicians view them and their mental health challenges in life. I have seen many cases where individuals were misdiagnosed with BPD for years, only to learn, after careful evaluation, that their symptoms were actually due to, say, undiagnosed ADHD instead.
While we caution against jumping to a diagnosis, we can still acknowledge that children and teens, even those with ADHD can exhibit BPD traits that should be monitored and addressed. Let’s consider a teen — an avid gamer who wants to fit in — who is told by a peer that video games are for losers. If that teen has ADHD,
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