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Yes, Borderline Personality Disorder (BPD) can be diagnosed in individuals who are 18 years old or older, and the symptoms may develop without a history of childhood abuse. While a history of childhood trauma or abuse is a risk factor for developing BPD, it is not the only possible cause. BPD is a complex and multifaceted disorder influenced by various factors, including genetics, early life experiences, environmental stressors, and personality traits.

In some cases, individuals may develop BPD symptoms during adolescence or adulthood without a history of significant childhood trauma. Other factors such as invalidating environments, unstable relationships, or intense emotional experiences can contribute to the development of BPD.

It's essential to recognize that the development of personality disorders like BPD is influenced by a combination of biological, psychological, and social factors. The specific causes and triggers for the disorder can vary from person to person.

The diagnosis of BPD is based on specific criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which includes a pattern of unstable relationships, self-image, and emotions, as well as impulsive behavior and recurrent suicidal thoughts or self-harming behaviors, among other symptoms. A qualified mental health professional can make a diagnosis based on a thorough evaluation of a person's history, symptoms, and current functioning.

If you or someone you know is experiencing difficulties with emotions, relationships, or behavior, it's essential to seek help from a mental health professional. Early intervention and appropriate treatment can be beneficial in managing and improving the symptoms associated with BPD.

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