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В Международной классификации болезней (МКБ-10) расстройство классифицируется под кодом F60.3 — «Эмоционально неустойчивое расстройство личности, пограничный тип» [8](https://medixem.ru/spravochnik/pogranichnoe-rasstroistvo-lichnosti-prl/).\n\n## Симптомы\nНекоторые характерные признаки ПРЛ: \n* **Эмоциональная нестабильность** — частые и интенсивные перепады настроения, которые могут меняться от чувства счастья до глубокой тоски или раздражения в течение нескольких часов или дней [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/mozhno-li-vylechit-pogranichnoe-rasstrojstvo-lichnosti). \n* **Страх брошенности** — интенсивный и постоянный страх быть отвергнутым или оставленным, что приводит к попыткам избежать реальной или воображаемой изоляции [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/mozhno-li-vylechit-pogranichnoe-rasstrojstvo-lichnosti). \n* **Неустойчивые межличностные отношения** — отношения с другими могут быстро колебаться между крайними степенями идеализации (чрезмерно положительные ожидания и восприятие других) и обесценивания (чрезмерно негативное восприятие и критика) [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/mozhno-li-vylechit-pogranichnoe-rasstrojstvo-lichnosti). \n* **Неуверенность в самоидентичности** — часто меняющееся чувство собственной идентичности или самооценки, сильно зависящее от текущих обстоятельств или мнений окружающих [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/mozhno-li-vylechit-pogranichnoe-rasstrojstvo-lichnosti). \n* **Импульсивность** — склонность к необдуманным действиям, которые часто имеют негативные последствия [3](https://voronezh.sovamed.ru/zabolevaniya/pogranichnoe-rasstroystvo-lichnosti/). \n* **Самоповреждение и суицидальное поведение** — повторяющиеся попытки нанесения вреда себе, мысли о самоубийстве или суицидальные действия [1](https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/mozhno-li-vylechit-pogranichnoe-rasstrojstvo-lichnosti).\n\n## Причины\nТочные причины развития ПРЛ неизвестны, но считается, что на него влияют как генетические, так и окружающие факторы [2](https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti). Некоторые из них: \n* **Биологические причины** — наследственность, нейробиологические особенности, изменения в структурах мозга [8](https://medixem.ru/spravochnik/pogranichnoe-rasstroistvo-lichnosti-prl/). \n* **Психологические факторы** — психологическая травма в детстве (сексуальное, физическое или эмоциональное насилие), хроническая нестабильность в семье (отвержение, непоследовательность, пренебрежение) [8](https://medixem.ru/spravochnik/pogranichnoe-rasstroistvo-lichnosti-prl/). \n* **Социальные факторы** — социальная изоляция, стресс в подростковом возрасте, трудности социализации и школьной адаптации [8](https://medixem.ru/spravochnik/pogranichnoe-rasstroistvo-lichnosti-prl/).\n\n## Диагностика\nДиагностика ПРЛ проводится психиатром, психотерапевтом или психологом [2](https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti). Используются различные методы, включая: \n* медицинский осмотр и сбор анамнеза [2](https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti); \n* беседу с пациентом для оценки симптомов и истории болезни [2](https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti); \n* анкетирование и психологические тесты [2](https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti); \n* консультацию с близкими и родственниками для получения более полной картины [2](https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti).\n\n## Лечение\nЛечение ПРЛ обычно включает **комбинацию психотерапии и медикаментозной терапии** [2](https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti). **Психотерапия** помогает пациенту разобраться в своих эмоциях и отношениях, развить навыки эмоциональной регуляции и повысить самооценку [2](https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti). **Медикаментозная терапия** может быть назначена для снятия симптомов, таких как депрессия или тревога [2](https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti). \n\n**Важно**: полное «исцеление» не всегда возможно, но значительное улучшение качества жизни — достижимая цель [8](https://medixem.ru/spravochnik/pogranichnoe-rasstroistvo-lichnosti-prl/).","linksData":[{"sourceId":1,"url":"https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/mozhno-li-vylechit-pogranichnoe-rasstrojstvo-lichnosti","shownUrl":"https://chastnaya-psihiatricheskaya-klinika-stacionar.ru/blog/mozhno-li-vylechit-pogranichnoe-rasstrojstvo-lichnosti","title":"Как вылечить пограничное расстройство личности","shortUrl":"chastnaya-psihiatricheskaya-klinika-stacionar.ru","isTranslated":false,"description":"","greenUrl":"chastnaya-psihiatricheskaya-klinika-stacionar.ru"},{"sourceId":2,"url":"https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti","shownUrl":"https://neirology.com/programs/pogranichnoe-rasstrojstvo-lichnosti","title":"Пограничное расстройство личности (ПРЛ): симптомы, причины, лечение в клинике психотерапии и психиатрии. 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