BPD is a serious and often life-threatening disorder characterized by severe emotional pain and difficulties managing emotions. BPD is significantly more common in patients with bulimia nervosa. The problems associated with BPD include impulsivity (including suicidality and self-harm), severe negative emotion such as anger and/or shame, self-hatred, hopelessness, chaotic relationships, an extreme fear of abandonment, and accompanying difficulties maintaining a stable and accepting sense of self. Thus, BPD is characterized by pervasive instability of mood, interpersonal relationships, self-image, and actions, often negatively affecting loved ones, family and work life, long-term planning, and the individual's sense of self-identity. BPD occurs in 0.2-1.8% of the general population, in 8-11% of psychiatric outpatients and 14-20% of inpatients. Suicidal behaviors are common among individuals with BPD. Recommended treatment is Dialectic Behavioral Therapy (DBT), a skills based treatment that individual therapy combined with group skills training and coaching to promote generalization of skills to cope with daily environment. Source 1, 2. 

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