As far as symptoms go, those struggling with BPD typically have limited distress tolerance, are uncomfortable when alone, and are subject to rapidly evolving identities. Other patterns of symptoms include overly risky behaviors such as unsafe sex, gambling addictions, and self-sabotaging reckless behaviors. More problematic symptoms incorporate episodes of self-harm, threats of suicide, and persistent patterns of feeling emotionally empty. Collectively, BPD symptoms can make it especially challenging to cultivate an emotionally healthy and fulfilling life.

Evidence suggests that symptoms of Borderline Personality Disorder become more muted with age and that a series of psychotherapeutic interventions can moderate BPD and its corresponding symptoms.