Risk factors
By Mayo Clinic staffPersonality is shaped both by inherited tendencies and environmental factors, as well as experiences during childhood. Some factors related to personality development can increase the risk of developing borderline personality disorder. These include:
- Hereditary predisposition. You may be at a higher risk if a close family member — your mother, father, brother or sister — has the same or a similar disorder, particularly a mood or anxiety disorder.
- Childhood abuse. Many people with the disorder report being sexually or physically abused during childhood.
- Neglect. Some people with the disorder describe severe deprivation, neglect and abandonment during childhood.
Also, borderline personality disorder is diagnosed more often in young adults and adult women than in men.
- Borderline personality disorder. National Institute of Mental Health. http://www.nimh.nih.gov/health/publications/borderline-personality-disorder/complete-index.shtml. Accessed July 16, 2012.
- Personality disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed July 17, 2012.
- Hales RE, et al. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Washington, D.C.: American Psychiatric Publishing; 2008. http://www.psychiatryonline.com/resourceToc.aspx?resourceID=5. Accessed July 17, 2012.
- Silk KR. Borderline personality disorder: Epidemiology, clinical features, diagnosis, and differential diagnosis. http://www.uptodate.com/index. Accessed July 17, 2012.
- Silk KR. Borderline personality disorder: Treatment and prognosis. http://www.uptodate.com/index. Accessed July 17, 2012.
- Gunderson JG. Borderline personality disorder. New England Journal of Medicine. 2011;364:2037.
- Leichsenring F, et al. Borderline personality disorder. The Lancet. 2011;377:74.
- Alarcon RD (expert opinion). Mayo Clinic, Rochester, Minn. July 31, 2012.


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