Borderline Personality Disorder in Newly Married Women: A Case Report

Background: Borderline Personality Disorder (BPD) is marked by emotional dysregulation, impulsivity, unstable relationships, and fear of abandonment. Marriage, instead of providing stability, can worsen symptoms due to emotional stress and interpersonal conflicts. Understanding BPD in newly married individuals is essential for effective treatment. Case Presentation : A 19-year-old newly married woman presented with repeated self-harm, emotional instability, and impulsivity, worsened by conflicts with her husband’s family. A history of childhood trauma and parental loss contributed to her distress. She exhibited a dysphoric mood, constricted affect, and persecutory delusions. Diagnosed with BPD and comorbid depression, she was treated with Dialectical Behavior Therapy (DBT), SSRIs, and family psychoeducation. Discussion: This case highlights how early trauma, rigid family structures, and social pressures can exacerbate BPD. Marriage became a stressor due to perceived rejection and heightened emotional reactivity. Public scrutiny and social media exposure further intensified her distress. Conclusion: A multimodal approach combining DBT, pharmacotherapy, and family support is crucial for managing BPD during life transitions. Early intervention and emotional validation can improve stability and relationship dynamics.