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Adolescence is a period of huge changes which, in many cases, implies a crisis phase.  The adolescent must reduce psychological dependence on parents to regulate self-esteem and to manage behaviour and relationships. The adolescent needs to establish a clear meaning for his or her identity and values system.

Although adolescence is the period when BPD tends to appear, it is not always easy to detect it, or to tell it apart from typical behaviours of adolescent crisis, because they share many common elements: anxiety and depression, family conflicts, rebellious behaviour and identity and sexuality conflicts.

There is risk of borderline personality disorder if the following alterations are observed to be intense and prolonged in the areas below:

  • Affective: emotional deregulation, affective instability and chronic feelings of emptiness.
  • Cognitive: alteration in identity, excessive distrust.
  • Behavioural: impulsiveness, self-destructive behaviours, self-harm, thinking about, or attempting suicide.
  • Interpersonal: unstable and intense relationships, breaking bonds, unreal fears of being abandoned.

Early detection is fundamental to improve the prognostic and help them to develop a healthier and more satisfactory quality of life.