Psychological factors are also involved for most patients. The course of this illness is variable and often prolonged. It is more common in women, and usually surfaces during the teen years or young adulthood, with the first serious symptoms often appearing at the time of a significant change or separation. All patients with this disorder experience upheaval, chaos and pain. Sometimes the illness can be managed with outpatient treatment.
Some patients require periodic brief hospitalizations when symptoms are intense.
Other patients require longer inpatient treatment to provide safety while they are learning healthier patterns of behavior. Most patients make a reasonable work and social adjustment. Inpatient or day hospitalization may be necessary when symptoms make the patient a danger to self or others. Be patient with yourself. Develop methods to manage specific problem behaviors.