REVIEW article

Front. Behav. Neurosci.

Sec. Pathological Conditions

Lithium in Borderline Personality Disorder: Neuroplasticity, Anti-Inflammatory Action, and Therapeutic Potential

  • 1. Clemson University, Clemson, United States

  • 2. Nova Southeastern University, Fort Lauderdale, United States

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Abstract

The use of lithium (Li) for borderline personality disorder (BPD) is limited as the result of a lack of robust clinical evidence with few clinical studies reported. Although a few studies provide supportive evidence for Li use in addressing certain symptoms such as anger management, impulsivity, and inducing self-harm. Therapies for BPD are psychosocial in nature and serve as the primary treatment for BPD. With that said, based on the prior clinical management of Li use in certain mental health conditions, justifies the investigation of Li to understand its potential role in the pharmacological management of BPD. The topic is the subject of this review.

Summary

Keywords

Anxiety, Boderline personality disorder, Lithium, Neurobiology, Therapy -

Received

16 September 2025

Accepted

18 February 2026

Copyright

© 2026 Gallicchio, Simon, Jafarmadar, Ramanathan, Owens-Charles, Singer and Warlick IV. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Vincent Salvatore Gallicchio

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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