Adolescence is a period of great change that, in many cases, represents a stage of crisis. The adolescent must reduce their psychological dependence on parents for the regulation of self-esteem, behavior management, and relationships. They need to establish a clear sense of identity and value system.
Although adolescence is the time when BPD usually manifests, it is not always easy to detect or distinguish it from typical behaviors of the adolescent crisis, as they share many common elements: anxiety and depression, family conflicts, rebellious behavior, and struggles with identity and sexuality.
There may be a risk of Borderline Personality Disorder if the following alterations are observed intensely and over a prolonged period in the following areas:
- Affective: emotional dysregulation, affective instability, and chronic feelings of emptiness.
- Cognitive: identity disturbance, excessive mistrust.
- Behavioral: impulsivity, self-destructive behaviors, self-harm, suicidal ideation or attempts.
- Interpersonal: unstable and intense relationships, disruption of bonds, unrealistic fears of abandonment.
Early detection is essential to improve the prognosis and help develop a healthier and more satisfying quality of life.

