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sad woman (Affiliate links benefit author if a purchase is made)George Hodan. Like all personality disorders, Borderline Personality Disorder (BPD) exists on a continuum, from mild to severe. It affects women more than men and about two percent of the U.S. population. BPD is usually diagnosed in young adulthood when there has been a pattern of impulsivity and instability in relationships, self-image, and emotions. They may use alcohol, food, drugs, or other addiction to try to self-medicate their pain, but it only exacerbates it. To diagnose BPD, at least five of the following symptoms must be enduring and present in a variety of areas: