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The disorder’s name alone is enough to spark confusion, since “borderline” seems to imply that BPD is not a full blown problem. Experts originally felt BPD fell on the border between psychosis (severe mental disorder) and neurosis (mild mental illness), and didn’t warrant being classified as a distinct disorder, says John Oldham, MD, interim chair of psychiatry and behavioral Sciences at Baylor School of Medicine in Houston. It wasn’t until the DSM III was published in 1980 that BPD was listed as its own disorder.

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