If, however, the destructive behaviors are a manifestation of BPD, his self-harming will continue, unabated by the treatment. Even if he suffers from both depression and BPD (a common combination), this approach will only partially treat the illness and further problems will ensue. If the borderline features are not recognized, the continuation of suicidal or other destructive behaviors, despite treatment, becomes puzzling and frustrating for the patient, the doctor, and everyone concerned.