Course of Borderline Personality Disorder - May 1, 2012
et al. describe the course over 16 years of borderline and other axis II personality disorders. Nearly everyone achieves remission of symptoms, but the time to remission is much slower with borderline disorder. Only half the borderline disorder patients, compared to most of the other axis II patients, ever achieve full psychosocial recovery, and relapse is common. Obesity is also common, probably because of medications. Soloff
and Chiappetta note that failure to achieve psychosocial recovery is associated with increased suicide attempts. In an editorial, Paris
points out that psychiatrists who see very sick personality disorder patients in crisis are often surprised that the long-term outcome is better than the outcome for bipolar disorder.