THE CLINICAL COURSE OF INDIVIDUALS WITH BORDERLINE PERSONALITY DISORDER: AN INTEGRATIVE LITERATURE REVIEW

Abstract

Borderline Personality Disorder (BPD) is a complex psychiatric condition characterized by emotional instability, impulsivity, and significant interpersonal difficulties. Although traditionally understood as a chronic and difficult-to-treat disorder, recent evidence suggests a more heterogeneous clinical course, with real possibilities for symptomatic remission and functional recovery. This study aimed to investigate the clinical course of individuals with BPD through an integrative literature review, focusing on symptom remission and persistence, the impact of comorbidities, and factors associated with recovery. The research followed the PRISMA protocol, with searches conducted in international databases and analysis of 10 studies published between 2014 and 2024. Results indicate that, while remission of impulsive symptoms is relatively common, functional recovery remains less frequent and more difficult to sustain. Psychiatric comorbidities, trauma history, and lack of specialized treatment are among the main barriers to positive clinical outcomes. It is concluded that, despite advances in understanding the clinical course of BPD, relevant gaps remain in the literature, particularly in the Brazilian context. Findings underscore the need for longitudinal, nationally based studies that consider cultural aspects and address not only symptom remission but also the psychosocial rehabilitation of individuals with BPD.