Borderline personality disorder (BPD) is usually diagnosed in adults, but children and teenagers can show early signs. Recognising these signs early can help young people get the right support and prevent difficulties from getting worse.
What are the early signs in children and teens?
Children and teens with BPD may struggle with intense emotions that change quickly. They might feel very happy one moment and extremely sad or angry the next. These mood swings can be more frequent and intense than what’s typical for their age.
Other early signs may include:
- Fear of being abandoned or rejected
- Intense or unstable friendships and relationships
- Impulsive behaviour, such as risky activities or self-harm
- Difficulty managing anger
- Feeling empty, lonely, or unsure about who they are
Not all children with these behaviours will develop BPD. Many young people may go through periods of emotional intensity without developing the disorder.
Why is it hard to spot BPD in young people?
BPD symptoms in children and teens can overlap with other conditions such as depression, anxiety or ADHD. This makes it harder for parents, teachers and healthcare professionals to identify BPD.
Additionally, adolescence is a time of big emotional and social changes. Intense feelings and mood swings can be mistaken as “normal teen behaviour.”
How can early support help?
Even if a young person isn’t formally diagnosed with BPD, early support can make a big difference. Therapy, guidance and consistent support can help children and teens manage emotions, improve relationships and develop healthy coping skills.
Parents, carers and schools can also play a key role by recognising early signs. They can provide a stable environment that helps young people feel understood and supported.
When should you seek professional help?
If a child or teen often has strong emotions, self-harms or worries a lot about being abandoned, it’s important to talk to a qualified mental health professional. Getting help early can make it easier to find the right support and prevent problems from getting worse.
Summary: Can children or teens show signs of BPD?
Children and teens can show early signs of BPD, including intense emotions, unstable relationships and fear of abandonment. While not all young people with these signs will develop BPD, recognising them early and providing support can improve outcomes.
Professional help, therapy and a stable environment are key to helping young people manage symptoms and build resilience.