Can’t diagnose borderline in teenagers. Personality is not set, hormones are wild, personality disorders aren’t really appropriate models. Hearing voices could be borderline, early schizophrenia (not common in teens, but drug use might play into this), lies for attention… We don’t have enough to suggest that with more evidence.

It tends to be thrown around too freely (like how everyone has NPD now) and misdiagnosed in women too imho. I suspect it’s often actually PTSD (sexual trauma) or ASD.

I’m not a psych, but I’ll happily be called out by one.