Personality Disorders: Long-Term Outcomes and Recovery
Author: Ukrainian Psychological Hub · Published: October 13, 2026 · Editorial Policy
Personality disorders can improve substantially over time. Longitudinal studies show reductions in diagnostic symptoms, meaningful changes in interpersonal patterns, and—in some patients—sustained remission and broader recovery. A person may also stop meeting categorical diagnostic criteria while continuing to face difficulties in relationships, education, employment, or other parts of daily life. Evidence therefore distinguishes symptomatic remission from functional recovery. 2023 longitudinal meta-analysis; 2024 24-year follow-up.
The prognosis of a personality disorder is an estimate of how clinically significant difficulties may change over time. A responsible prognosis considers current severity, specific patterns of self and interpersonal functioning, co-occurring conditions, context, treatment access, safety, and the person's own goals. Study averages cannot predict a particular person's future.
What Does Recovery From a Personality Disorder Mean?
A personality disorder involves persistent patterns that significantly impair an individual's self-functioning, relationships, or adaptation to important situations. A personality trait, a maladaptive trait, a symptom, an elevated screening score, and a clinical diagnosis are different observations. Clinicians evaluate the duration, pervasiveness, cultural context, level of distress, and consequences of the pattern before making a diagnosis. American Psychiatric Association overview.
Symptomatic remission means that someone falls below a diagnostic or symptom threshold for a specified period. A study may require several months or many years, and the chosen duration changes the reported results. Diagnostic remission does not imply that every vulnerability has vanished permanently.
Functional recovery combines improved clinical symptoms with an adequate level of functioning in everyday life. In major long-term studies, this has involved sustained remission plus social and vocational functioning. Yet employment status and relationship measures capture only part of a meaningful life: caregiving, education, disability-related accommodations, independent living, and community participation can also matter.
Personal recovery refers to the person's own experience of safety, agency, purpose, belonging, and ability to live according to their goals. A review of consumer and clinician perspectives on recovery highlighted how much research has emphasized symptom reduction while underrepresenting personally meaningful outcomes.
Improvement is possible without complete remission. A person might still have a recognizable pattern of interpersonal sensitivity yet gain considerable flexibility in managing conflict, setting boundaries, and returning to daily routines. Recurrence means that symptoms meet a study's defined threshold again following remission. Loss of functional recovery can happen even when full diagnostic-level symptoms do not return.
What should long-term follow-up measure?
A useful follow-up assesses several dimensions: symptom severity, identity, self-direction, empathy, intimacy, capacity to repair interpersonal conflict, work or educational participation, living circumstances, quality of life, and individualized safety issues. Identity and self-direction concern coherent personal experience and meaningful goals; empathy and intimacy concern understanding others and sustaining mutual relationships. These domains are especially relevant to the DSM-5 Alternative Model for Personality Disorders. WHO's ICD-11 clinical descriptions additionally emphasize severity of disturbance in self and interpersonal functioning.
What Do Longitudinal Studies Show?
Longitudinal evidence challenges the idea that a personality disorder diagnosis always remains unchanged. A 2023 systematic review and meta-analysis included 40 prospective studies with 38,432 participants. Across studies, 56.7% retained a diagnosis of any personality disorder over the observed interval, while 45.2% retained borderline personality disorder. Most criteria showed an average decline in severity, although antisocial, obsessive-compulsive, and schizoid personality disorder criteria did not show the same significant average decline. Between-study heterogeneity was high.
These percentages refer to diagnostic stability in specific research samples, not the lifetime probability that an individual will or will not recover. Different studies use different populations, ages, classification systems, follow-up periods, and measurement methods. They also distinguish diagnostic stability from average symptom change and rank-order stability—the extent to which individuals retain their relative standing compared with others.
Two-year outcomes across four personality disorders
The Collaborative Longitudinal Personality Disorders Study investigated schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. In an analysis of 633 participants, rates of falling below the diagnostic threshold after two years ranged from 50% for avoidant to 61% for schizotypal personality disorder. When improvement was defined more stringently, estimates were lower, ranging from 23% to 38% in the reported categories. Grilo and colleagues, 2004.
This study shows why a headline such as half of patients recover can be misleading without specifying what the outcome means. Crossing a diagnostic threshold at reassessment differs from sustained remission, and neither alone measures employment, friendships, autonomy, or quality of life.
Ten-year findings: remission can precede functional gains
A ten-year collaborative study found that 85% of the borderline personality disorder group achieved a remission lasting at least 12 consecutive months. Improvements in social functioning were markedly more limited. The investigators concluded that social disability can remain prominent after considerable diagnostic improvement. Gunderson and colleagues, 2011.
The 85% estimate belongs to that disorder, cohort, and remission definition. It cannot be applied to every personality disorder or treated as a promise for an individual. Its practical lesson is to continue addressing functional needs after symptom reduction.
What the 24-year follow-up adds
In a 2024 report, 290 patients originally hospitalized with borderline personality disorder and 72 patients with other personality disorders were followed over 24 years. Depending on how many consecutive years an outcome had to persist, 77% to 100% of the borderline group and 97% to 100% of the comparison group achieved sustained symptomatic remission. Sustained recovery, which also required good social and vocational functioning, was less common: 37% to 60% versus 68% to 89%. Zanarini and colleagues, 2024.
The researchers separately tracked symptom recurrence and loss of recovery, demonstrating that maintaining a full functional outcome may be harder than remaining below the diagnostic threshold. These data come from a hospital-recruited group assessed using older classification criteria; they inform prognosis without serving as universal population estimates.
Why Can Daily Functioning Recover More Slowly?
Symptom relief can make everyday life easier, yet rebuilding a career after years of interrupted employment, returning to education, finding safe housing, or repairing important relationships may require additional opportunities and resources. Clinical improvement is only one part of the process.
Interpersonal functioning, role participation, financial stability, and community access depend partly on circumstances outside the individual. Poverty, discrimination, inadequate support, treatment shortages, physical illness, and family instability can constrain progress. Conversely, practical assistance and supportive relationships may allow someone to live meaningfully while symptoms remain.
A prospective study of stability of psychosocial impairment among patients with several personality disorders supports measuring functional difficulties independently from diagnostic criteria. A follow-up plan therefore asks what activities have become possible, what remains difficult, and what environmental barriers require attention.
Recovery should be measured in relation to personal values and opportunities. A person who chooses part-time work, caregiving, community volunteering, or supported living may be functioning well by goals that are invisible to a narrow paid-employment criterion.
How Do Outcomes Differ Across Personality Disorders?
There is no scientifically defensible single prognosis for every personality disorder. Research is distributed unevenly across diagnoses, and long-term studies frequently draw from specialist clinics and hospitals. The historical DSM clusters A, B, and C are groupings within the categorical diagnostic tradition, rather than validated universal categories of recovery. An individual assessment must account for severity, functioning, associated difficulties, and the specific outcomes being considered.
Borderline personality disorder
Borderline personality disorder has the most extensive long-term longitudinal evidence. A meta-analysis of eleven prospective studies involving 837 adults found that 50% to 70% achieved diagnostic remission across long follow-up periods, alongside smaller average improvements in functioning. The studied populations and remission criteria differed. Group averages are insufficient for predicting whether a particular person will experience one set of symptoms, or how long improvement will take.
A history of self-injury, suicidality, relationship instability, or severe emotion dysregulation is not present in the same way in every person diagnosed with borderline personality disorder. Risk and prognosis require individual assessment. Even when distress has reduced considerably, support may remain useful for relationships, employment, and continuity of care.
Avoidant personality disorder
Avoidant personality disorder describes pervasive social inhibition, feelings of inadequacy, and sensitivity to negative evaluation severe enough to interfere with life. It can affect the ability to develop friendships, participate in education, pursue work, or enter relationships. Clinical samples show meaningful diagnostic changes over time, as reported by Grilo and colleagues. Longer-term functional needs may persist, particularly when opportunities for social and professional participation have been restricted.
Avoidant personality disorder differs from social anxiety disorder, ordinary shyness, and avoidant attachment. Some features overlap, but a clinician must examine their development, pervasiveness, meaning, and role in functioning. A person who prefers solitude or takes time to trust others does not thereby have a personality disorder.
Obsessive-compulsive personality disorder
Obsessive-compulsive personality disorder involves a clinically impairing tendency toward rigid control, perfectionism, and excessive preoccupation with order, rules, or standards. It is distinct from obsessive-compulsive disorder, which involves obsessions, compulsions, or both. The 2023 longitudinal stability meta-analysis found that obsessive-compulsive personality disorder criteria did not show the statistically significant average decline identified for most other categories.
That finding describes average change across selected studies, not an inability to improve. Therapy and practical changes can target inflexible behavior, interpersonal conflict, and functioning, while available disorder-specific long-term effectiveness evidence remains less developed than for borderline personality disorder.
Schizotypal, paranoid, and schizoid personality disorders
Schizotypal personality disorder features enduring interpersonal and cognitive-perceptual difficulties. The Collaborative Longitudinal Personality Disorders Study observed change in diagnostic thresholds for some participants, though particular dimensions may persist. Evidence for long-term recovery in paranoid and schizoid personality disorders is less extensive. A clinician must distinguish the person's actual social preferences, degree of distress, cognitive-perceptual phenomena, and limitations in daily activities.
An absence of a strong trial literature is a research limitation. It does not justify assuming that someone's capacities or relationships can never change. A 2025 review of psychotherapy evidence highlights the scarcity of outcome research for several personality disorders historically placed in DSM clusters A and C.
Narcissistic and histrionic personality disorders
The quality and size of long-term studies for narcissistic and histrionic personality disorders are limited. Meaningful clinical work may address patterns involving self-esteem regulation, the perception of others, reactions to criticism, emotional responses, and conflicts when they cause impairment. Reliable lifetime remission percentages are difficult to derive from available evidence.
The everyday insult narcissist and the popular term covert narcissism are not clinical assessments. Harmful behavior and conflict deserve attention in their own right, regardless of whether a person meets diagnostic criteria. A third party cannot infer a psychiatric diagnosis from a social media account of a relationship.
Antisocial personality disorder
Some overt antisocial behaviors decline with age in observed cohorts, whereas other psychological, social, and occupational difficulties may persist. Reviews of the condition's natural history discuss variability and the limits of forensic and clinical sampling. Behavior change, improved relationships, reduction of risk, and daily functioning are different outcomes that should be measured separately.
Antisocial personality disorder is a defined clinical diagnosis; psychopathy and sociopathy are not interchangeable DSM-5-TR diagnoses. NICE guidance on antisocial personality disorder addresses individualized interventions, engagement with services, and care for co-occurring disorders while acknowledging gaps in treatment evidence.
Dependent and other less-studied personality disorders
For dependent personality disorder and several rarer presentations, extensive decades-long cohort research remains scarce. That limits the precision of prognosis estimates. Treatment goals can nonetheless focus on decision-making, autonomy, safer boundaries, everyday skills, and relationships according to individual needs. The clinical emphasis is on measurable impairment, distress, and opportunities for meaningful improvement.
Do DSM-5-TR and ICD-11 Define Improvement Differently?
DSM-5-TR retains categorical diagnoses, with its Alternative Model for Personality Disorders in Section III describing impairments in personality functioning and maladaptive traits. Identity, self-direction, empathy, and intimacy clarify which capacities may improve even when a person retains some trait vulnerabilities. These dimensions also help distinguish symptom change from broader interpersonal recovery.
The ICD-11 system characterizes personality disorder primarily by severity—mild, moderate, or severe—and optional trait qualifiers: negative affectivity, detachment, dissociality, disinhibition, and anankastia. A borderline pattern qualifier may additionally be applied. A clinician can describe changes in severity and trait expression without forcing every individual into an older DSM category.
There is no simple one-to-one conversion between DSM categorical remission and ICD-11 severity change. Researchers should identify the assessment instrument and classification edition used rather than presenting percentages from older studies as direct measures of new ICD-11 categories. When a diagnosis is reconsidered, functioning and current support needs should be evaluated independently.
Which Factors Influence a Person's Long-Term Prognosis?
Prognosis reflects the interaction of clinical severity, developmental history, co-occurring conditions, care, and social circumstances. Some group-level predictors are associated with outcomes, but none determines what a particular individual will become. Clinicians must update their formulation as life circumstances, goals, and functioning change.
Severity and personality functioning
Pervasive difficulties affecting identity, goal setting, mutual relationships, occupational participation, and adaptation may require a broader treatment plan than distress limited to specific situations. Baseline symptom severity can help organize care, but a person's capacity for change should be evaluated repeatedly. Self-functioning and interpersonal functioning are relevant treatment targets in both dimensional classification and long-term follow-up. WHO ICD-11 clinical guidance.
Co-occurring mental health and medical conditions
Depression, anxiety disorders, trauma-related difficulties, substance use disorders, eating problems, physical illness, and neurodevelopmental conditions may affect well-being and the capacity to participate in treatment or daily activities. These conditions require their own assessment and care where indicated. Difficulties with attention, sleep, emotional responses, or relationships can arise from different causes and should never be interpreted in isolation as proof of a personality disorder.
The course of the personality difficulties and the course of co-occurring disorders can differ. Improvement in depression may bring substantial relief without eliminating an enduring interpersonal pattern, while a more flexible approach to relationships may improve functioning even when another condition remains active.
Development and age
Age may influence opportunities for learning, work, intimate relationships, caregiving, and adaptation to social demands. Some symptoms become less prominent in the course of adulthood, although the pattern differs across diagnoses and individual lives. The longitudinal meta-analysis of diagnostic stability shows meaningful variation, including criteria that did not decline significantly in the pooled studies. Age itself is neither a treatment nor a guarantee that disorder-level difficulties will disappear.
Temperament, genetics, environment, and trauma
Personality disorder vulnerability may reflect developmental interaction among temperament, familial liabilities, childhood circumstances, adversity, supportive relationships, and subsequent life experiences. These are potential contributors rather than simple, single causes. A trauma history is clinically important for many people, but it neither automatically establishes a personality disorder nor explains every case. A careful clinical assessment distinguishes trauma-related conditions from personality pathology and also recognizes that they may co-occur.
Access to care and practical resources
Stable housing, reliable income, transportation, health insurance, qualified treatment options, accessible community services, and safe supportive relationships can influence whether clinical improvements translate into daily functioning. Research associations cannot always establish whether a favorable environment caused recovery or recovery made that environment easier to obtain. Both directions may be relevant.
Culture and social context also shape diagnostic interpretation. Behaviors that appear unusually reserved, emotionally expressive, independent, or interdependent in one social setting may be normative in another. Clinical assessment should focus on actual impairment and distress in the person's cultural context, avoiding the pathologizing of difference.
Can Psychotherapy Change Long-Term Outcomes?
Psychotherapy is an important treatment option for many forms of personality pathology, but the evidence is not equally strong across disorders. The greatest number of disorder-specific psychotherapy trials concerns borderline personality disorder. Clinical care for less-studied presentations can still be thoughtful and useful, while the limits of direct evidence should be clear.
The American Psychiatric Association's 2024 practice guideline recommends a comprehensive, documented, person-centered treatment plan and a collaborative discussion of diagnosis and treatment for borderline personality disorder. It recommends a structured psychotherapy supported by the literature and focused on the disorder's core features.
Dialectical behavior therapy, mentalization-based treatment, schema therapy, and transference-focused psychotherapy have been studied for borderline personality disorder. They differ in therapeutic theory and techniques, but all aim to address clinically important patterns and promote sustained functioning. A Cochrane systematic review found evidence of benefit for several psychological therapies while identifying differences in study quality, outcome measures, and certainty. Available evidence does not establish one universal best treatment for every patient.
Disorder-specific evidence for many other personality disorders remains limited. The 2025 evidence review by Emmelkamp and Meyerbröker identified few robust studies for diagnoses traditionally grouped in clusters A and C. A clinician may work with clearly defined patterns such as avoidance, excessive rigidity, interpersonal mistrust, impaired self-concept, or difficulty maintaining boundaries, while explaining the degree of direct research support for a chosen method.
Where do medications fit?
Medication can be appropriate when there is a co-occurring mental health condition or a specific, clinically justified symptom target after medical review. No medicine has been established as a universal cure for personality disorders. For borderline personality disorder, the APA 2024 guideline suggests psychotropic medication be time-limited, directed toward a measurable symptom, and used adjunctively to psychotherapy. NICE guidance also advises against routine medication specifically for the disorder or its individual symptoms.
The evidence for medication or psychotherapy in one diagnosis must not be indiscriminately transferred to every other personality disorder. Treatment selection and follow-up depend on the actual clinical formulation, patient preferences, risks, and availability of suitable care.
Can change occur without specialized therapy?
People may improve through varied combinations of formal treatment, supportive relationships, education, experience, changed circumstances, and personal practice. Yet long-term observational cohorts cannot establish what an individual would have experienced without treatment. Improvements observed over time should not be used to discourage someone from seeking professional support when they are distressed or impaired.
For someone with substantial difficulties, a timely assessment can identify practical and clinical approaches that reduce suffering and expand opportunities. A person's access to such care is constrained by affordability, provider availability, geography, and previous experiences with services; the care plan should address these barriers where possible.
Building an Individualized Long-Term Recovery Plan
A clinically useful recovery plan begins with a thorough assessment of current symptoms, personality functioning, developmental history, co-occurring problems, cultural context, and priorities. A self-report screening questionnaire can contribute information but does not establish a clinical diagnosis or predict an individual lifetime outcome.
The next step is collaborative goal setting. Goals may include shortening the time needed to recover after interpersonal conflict, developing greater flexibility when plans change, participating in education, sustaining work, establishing supportive relationships, or achieving more independent decision-making. Improvement is tracked through repeated observation of meaningful functioning as well as symptom measures.
The plan should include periodic review of progress, changing needs, and practical obstacles. Transitions in housing, employment, relationships, health, or access to a clinician may call for additional support. Some people move from intensive treatment into maintenance or targeted follow-up. Others need coordinated longer-term care because several problems remain active.
When risk is relevant, a personalized safety plan can identify warning signs, effective coping options, trusted contacts, and steps for obtaining prompt professional support. Such planning should be collaborative and matched to the person's current risk rather than inferred from a diagnostic label.
What Happens if Symptoms Return After Improvement?
Difficult periods may follow stress, disrupted sleep, changes in relationships, physical illness, or co-occurring mental health conditions. A temporary increase in distress is not automatically a return to a full personality disorder diagnosis, and an increase in symptoms does not erase earlier gains.
Clinicians assess the duration and severity of the change, functional consequences, current supports, and whether the original formulation remains accurate. Sometimes revisiting skills, stabilizing daily routines, or addressing a new condition is sufficient. Sustained impairment may require a reassessment or a different treatment intensity. Longitudinal studies distinguish symptomatic recurrence from loss of functional recovery; each can occur independently.
Safety, Self-Harm, and Other Clinical Risks
A personality disorder diagnosis does not establish that an individual is suicidal, self-harming, aggressive, or dangerous. Such risks vary between individuals and across circumstances. When present, they require direct assessment of current intent, behavior, history, protection, and relevant co-occurring conditions.
The APA's 2024 guideline calls for individualized assessment of suicide, self-injury, and aggressive behavior in the evaluation of possible borderline personality disorder. A long-term care plan may address prevention, safety, and continuity alongside social and vocational goals.
Immediate danger, an intention to act on suicidal thoughts, inability to remain safe, or acute severe psychiatric symptoms requires urgent local emergency or crisis care. In the United States, calling or texting 988 connects to the Suicide & Crisis Lifeline. The purpose of crisis intervention is immediate safety; it complements ongoing individualized clinical care.
Stigma, Diagnostic Reassessment, and Personal Identity
A personality disorder diagnosis describes a pattern of clinical difficulties under a particular system at a particular time. It is not a judgment of a person's worth, morality, capacity for affection, or eligibility for meaningful responsibilities. The evidence for long-term change gives practical reasons to reassess current functioning and support needs rather than assuming that an older clinical label defines the rest of someone's life.
Everyday accusations of narcissism, psychopathy, sociopathy, manipulation, and other stigmatizing labels do not substitute for diagnostic evaluation. Internet expressions such as quiet BPD, favorite person, or covert narcissism may describe experiences or popular ideas, but they are not standalone DSM-5-TR or ICD-11 personality disorder diagnoses.
A responsible approach respects a person's preferences, identifies treatable difficulties, considers the effects of stigma, and makes room for psychological growth and changing goals. Unusual personality traits or individual ways of relating do not automatically amount to clinical pathology.
How Certain Is the Scientific Evidence?
Prospective studies offer important evidence about how diagnostic patterns evolve, but their estimates depend on the population recruited, baseline severity, and diagnostic instruments. Some influential cohorts began with psychiatric inpatients or treatment-seeking participants. These groups may differ substantially from people who never enter specialist services.
Attrition can alter follow-up estimates if participants who cannot be contacted have different outcomes. Diagnostic systems have also changed across decades: findings based on DSM-III-R or DSM-IV criteria cannot simply be recoded into DSM-5-TR or ICD-11 categories.
Definitions of remission range from crossing a threshold once to remaining below it for many consecutive years. Definitions of recovery may require paid employment, a stable relationship, or other selected indicators. These criteria enable scientific comparison but may underrepresent caregiving, disability-adjusted participation, and other personally meaningful outcomes.
Finally, observing change does not prove what caused it. Studies that track people receiving different treatments and living through different circumstances cannot fully separate the influence of age, treatment, supports, and initial severity. Clinical decisions should therefore combine the best research evidence with repeated individualized assessment and transparent discussion of uncertainty.
Frequently Asked Questions
Can a personality disorder go away completely?
A person may cease to meet the diagnostic criteria for many years. Studies call this remission when it meets a specified threshold and duration. Complete functional recovery is a broader outcome and may occur on a different timeline. Long-term stability evidence.
Is a personality disorder always lifelong?
Some patterns are persistent, but longitudinal research demonstrates considerable change in diagnostic status and severity. Future needs should be based on the individual's present functioning rather than a permanent assumption based on a previous diagnosis.
How long does personality disorder recovery take?
There is no standard timetable. Some changes occur within the first years of follow-up, whereas social, vocational, and other functional gains may take considerably longer. Diagnosis, baseline impairment, resources, co-occurring conditions, and care all matter.
Which personality disorder has the best prognosis?
Research does not establish a reliable universal ranking across every personality disorder. Differences in samples, severity, recruitment, and measured outcomes make simple comparisons misleading. The evidence is considerably richer for borderline personality disorder than for some other diagnoses.
Does borderline personality disorder usually improve?
Many people in long-term clinical cohorts have achieved symptomatic remission, but individual trajectories and functional outcomes vary. Some participants continue to experience difficulties despite no longer meeting the full diagnostic threshold. 24-year prospective evidence.
Can people recover without medication?
Yes. Medication is not a prerequisite for improvement, and psychotherapy is a central treatment for many clinically significant personality difficulties. Medication may be considered for identified co-occurring disorders or specific symptoms after medical assessment. APA treatment guidance.
Can personality disorders improve with age?
Some symptoms decline with age in some cohorts. The course differs by individual and diagnosis, and not every maladaptive trait shows the same trend. Age is a contextual factor, not a substitute for clinical care. Meta-analysis.
What if symptoms are in remission but I still struggle at work or in relationships?
That difference has been repeatedly documented. A plan may continue to address vocational skills, social participation, access to resources, or relationships even after symptoms have diminished. Such needs are compatible with significant clinical progress.
Can an online test predict my long-term prognosis?
No. Screening instruments are designed to raise assessment questions or measure specified constructs. They cannot establish diagnosis or generate a reliable personal lifetime forecast. Clinical prognosis requires broader evaluation and follow-up.
Does a setback mean treatment failed?
A setback can reflect new circumstances or an episode of increased symptoms. It deserves review, not the automatic conclusion that earlier progress has disappeared. Studies distinguish short-term symptom worsening, formal recurrence, and loss of sustained functional recovery.
Related Articles
The EN-13 central overview of personality disorders explains diagnosis and clinical classification. The treatment-focused parent, Psychotherapy for Personality Disorders: Treatments and Evidence, covers the strengths and limitations of specific interventions. For further diagnostic context, see Personality Disorders vs Personality Traits: Clinical Differences and Personality Disorder Screening Tests: What Scores Can and Cannot Tell You.
References
American Psychiatric Association. (2024). The American Psychiatric Association practice guideline for the treatment of patients with borderline personality disorder. American Journal of Psychiatry, 181(11). https://doi.org/10.1176/appi.ajp.24181010.
d'Huart, D., et al. (2023). The stability of personality disorders and personality disorder criteria: A systematic review and meta-analysis. Clinical Psychology Review, 102, 102284. https://doi.org/10.1016/j.cpr.2023.102284.
Emmelkamp, P. M. G., & Meyerbröker, K. (2025). Psychotherapies for the treatment of personality disorders: The state of the art. Current Opinion in Psychiatry, 38(1), 66–71. https://doi.org/10.1097/YCO.0000000000000968.
Grilo, C. M., et al. (2004). Two-year stability and change of schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. Journal of Consulting and Clinical Psychology, 72(5), 767–775. https://doi.org/10.1037/0022-006X.72.5.767.
Gunderson, J. G., et al. (2011). Ten-year course of borderline personality disorder: Psychopathology and function from the Collaborative Longitudinal Personality Disorders Study. Archives of General Psychiatry, 68(8), 827–837. https://doi.org/10.1001/archgenpsychiatry.2011.37.
National Institute for Health and Care Excellence. (2009). Antisocial personality disorder: Prevention and management (CG77). https://www.nice.org.uk/guidance/cg77/chapter/Recommendations.
National Institute for Health and Care Excellence. (2009). Borderline personality disorder: Recognition and management (CG78). https://www.nice.org.uk/guidance/cg78/chapter/Recommendations.
Skodol, A. E., et al. (2005). Stability of functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder over two years. Psychological Medicine. https://pubmed.ncbi.nlm.nih.gov/15841879/.
Storebø, O. J., et al. (2020). Psychological therapies for people with borderline personality disorder. Cochrane Database of Systematic Reviews, CD012955. https://doi.org/10.1002/14651858.CD012955.pub2.
World Health Organization. (2024). Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders. https://www.who.int/publications/i/item/9789240077263.
Zanarini, M. C., et al. (2024). Sustained symptomatic remission and recovery and their loss among patients with borderline personality disorder and patients with other types of personality disorders: A 24-year prospective follow-up study. Journal of Clinical Psychiatry, 85(4). https://doi.org/10.4088/JCP.24m15457.