Borderline Personality Disorder in Adolescents / Teens

Key things to know What the evidence shows
How common is it? ~1–3% community estimates
Is it more common among adolescents / teens? Important period for emergence
Are adolescents / teens at higher risk? Yes developmentally
How much higher is the risk? Community ~1–3%; much higher in psychiatric settings
How often can it be missed? Very high; symptoms may be dismissed as “teenage behaviour”
Does it show up differently among adolescents / teens? Yes developmentally
How might it look different? Unstable identity/relationships, intense affect, impulsivity, self-harm, rejection sensitivity can emerge but must be distinguished from normative adolescence
What commonly occurs alongside it? Depression; anxiety; ADHD; eating disorders; substance use
What can it be confused with? Normal adolescent instability; ADHD; bipolar disorder; PTSD/CPTSD; autism; depression
Common screening tool MSI-BPD / structured adolescent assessment
Separate screening tool for adolescents / teens Adolescent BPD measures exist; clinical assessment important
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