Suzie* was a typical 22-year-old recent college grad from the Midwest who was admitted into my mental health clinic in Austin with a variety of increasingly common psychiatric disorders: depression, self-harm (cutting her arms) and a Borderline Personality Disorder (BPD) diagnosis. BPD is a serious personality disorder that has 50 times the suicide rate of the general population and is typified by black and white thinking, self-harm behavior, emotional volatility, impulsive behavior, shifting self-image and feelings of “emptiness.”
While Susie did initially present with some of the classic BPD symptoms (feeling empty and suicidal), something didn’t add up. Unlike most BPD clients, she didn’t have any of the early red flags; she had good grades and many friends in high school with stable relationships and a stable home environment — and no history of mental illness in her family.
