Annotated Bibliography On Borderline Personality Disorder

Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions

According to Fowler, Crosby, Parks, and Ivey (2013), suicide and nonfatal suicidal ideations are significant public health concerns for adolescents and young adults. While the onset of suicidal behaviors is observed as young as six years of age, rates of death and nonfatal injury resulting from suicidal behavior are moderately low until 15 years of age (Fowler et al., 2013). According to Fowler et al (2013), the most current available statistics in the United States (U. S.) reported suicide as the third leading cause of death among youth aged 10-14 and 15-19 years, and it was the second leading cause of death among persons aged 20-24 years.

According to Waltz (2003), Dialectical Behavior Therapy (DBT) focused is on recognizing accepting and moderating emotional responses in clients. Its main goal is to teach the patient skills to cope with stress, regulate emotions and improve relationships with others. DBT is designed for use by people who have urges to harm themselves, such as those who self-injure or who have suicidal thoughts and

Introduction: This article discusses the significance of psychotherapy options in treating borderline personality disorder (BPD). Borderline personality is a disorder with a variety of symptoms that can be briefly summarized as instability in mood, thinking, behavior, personal relations, and self-image. Psychotherapy options include cognitive

“Personality disorders have been documented in approximately 9 percent of the general U.S. population” (Angstman, Rasmussen, 2011). Emotional dysregulation disorder or its common name borderline personality disorder is a very serious and chronic disorder. The Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) describes borderline personality disorder as “a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts” (Gardner, 2006). Within the last 20 years, psychologists and other mental health professionals have made tremendous strides in research on what exactly borderline personality disorder, some of its triggers and possible effective treatment options. Borderline personality disorder is defined as a disorder that generates severe emotional instability which can be a springboard that can lead to other stress induced mental and behavioral problems.

Dialectical behavior therapy (DBT) is an evidence-based treatment for borderline personality disorder (BPD) and PTSD (Cukor, 2009). The therapy focuses on a balance between change and acceptance. DBT is combined with individual psychotherapy and building skills groups to regulate emotion, mindfulness and distress tolerance. There are two stages associated with DBT. The first entails the use of DBT for individuals with BPD with significant trauma histories and PTSD (Welch & Rothbaum, 2007). Patients who have completed Stage 1 treatments targets severe behavior decontrol but must stay on Stage 1, if they continue to experience emotion dysregulation. In Stage II DBT, individuals begin exposure to their trauma experience. No data has been accumulated studying this application (Welch & Rothbaum, 2007). Dialectical behavior therapies teach the patient techniques for managing strong emotions through trauma-focused methods.

Though several personality disorders are highly complex and a challenge to treat, there are effective treatments available (“Treating Borderline” 1). The various treatments are broken down by method, the first of which being cognitive behavioral therapy, which attempts to alter the conscious thoughts and behavioral patterns of patients (Daniel); (“Treating Borderline” 2). Cognitive behavior therapy itself is broken down into two therapies, dialectical behavioral therapy and schema-focused therapy (“Treating Borderline” 2). Dialectical behavioral therapy, developed by Dr. Linehan, is centered on the basis that personality disorders are formed when hypersensitive patients are in situations which lack the emotional support they require, therefore leading to their “inability to regulate emotions” (“Treating Borderline” 2). Thus, the treatment serves to help the patient gain control over their emotion and behavior (“Treating Borderline” 2). The treatment itself consists of group and individual sessions and typically lasts approximately one year (“Treating Borderline” 2). During the group sessions, patients learn to become more aware of their behaviors and emotions through sessions pertaining to “problem solving, mindfulness meditation, and breath training“(“Treating Borderline” 2). In personal sessions, referred to as psychotherapy, the psychiatrist explains to the patient how the lessons from the group therapy sessions are applicable

An effective approach to therapy for treating borderline personality disorder (BPD) is integrative therapy. Dialectical behavior therapy (DBT) is a type of integrative therapy in which clients with BPD tend to respond well to. DBT uses several techniques to treat BPD such as, homework assignments, cognitive interventions, intensive individual therapy, and group sessions with other individuals with BPD. DBT is built around the concept of dialectics and uses the dialectical approach to recognize the all-or-nothing, black-or-white attitude that drives people suffering from BPD. DBT also strives to have the client view the therapist as an ally rather than an adversary.

In this paper, I will be discussing Dialectical Behavior Therapy. This will include an explanation of what is dialectical behavior therapy, the origins of dialectical behavior therapy, the history and development of the therapy, the components dialectical behavior therapy, the common applications of the therapy and examples of use in the clinical setting. This paper will explain why dialectical behavior therapy is an effective treatment modality for many disorders, including mental health and substance use and in which instances dialectical behavior therapy is not an effective treatment choice.

The objective of this study is to describe the assessment and care of a client with borderline personality disorder. This work will additionally demonstrate the complexity of the problems and needs of this client and how this impacts on their illness and service providers. Additionally this work will describe the client's particular mental health problems, discuss possible causative factors and describe how the person was assessed and what interventions were used to help them. Evaluate the effectiveness of these assessments and interventions with reference to published literature, policy and legislation.

Have you ever thought of committing suicide? Suicide is the second leading cause of death amongst Canadian youths. However, despite the fact that generates many passings, there is nearly not enough actions that are being performed to prevent the proceeding of the action. Youth suicide is neglected as a large-scale problem in Canada, and should be taken to account more seriously because of its presence as a huge conflict.

(DBT) “Dialectic Behavioral Therapy” is a therapeutic approach that really seems to work for this group of patients who are generally difficult to treat and are at time unpredictable and impulsive.

Suicide is the third leading cause of deaths in adolescents in the United States. Teen suicide is also often referred to as a permanent solution to a temporary problem. Teens so often are suicidal and attempt suicide as a call for help from others. They have no intention in dying they are just trying to cry out for help from anyone that will listen. Many reasons cause teen to attempt suicide, varying from bullying to psychological disorders. In fact, psychological disorders accounts for about 90% of teens who attempt or commit suicide. Teenagers are also at higher risk of suicide when they are under

Borderline Personality Disorder (BPD) is characterized by fluctuation of self-image, lack of stable interpersonal relationships and pronounced and unpredictable impulsivity. The Diagnostic and Statistical Manual of Mental Disorders 5 (2013) also lists fear of abandonment, suicidal or self-harming behaviors, intense or inappropriate anger that is difficult to control as well as paranoid ideation or dissociative symptoms. Morcos and Morcos (2016) wrote that patients with BPD are often misdiagnosed with other trauma related disorders, such as PTSD, depression or bipolar disorder. According to Beatson, et al. (2016) there are additional issues in diagnosing older patients, as the criteria indicates that symptoms would have been seen early in the patient’s life, not later. Beatson, et al. (2016) also noted that there is a considerable lack of studies and literature concerning BPD in older patients, making the diagnostic process more difficult. In this case study we will be working with an older patient, one that was well into midlife before Borderline Personality Disorder was included in the DSM, to see if she fits the criteria for BPD and what treatment options might be available.

Dialectical behavior therapy (DBT) treatment is a cognitive-behavioral approach that emphasizes the psychosocial aspects of treatment. The theory behind the approach is that some people are prone to react in a more intense and out-of-the-ordinary manner toward certain emotional situations, primarily those found in romantic, family and friend relationships. DBT theory suggests that some people’s arousal levels in such situations can increase far more quickly than the average person’s, attain a higher level of emotional stimulation, and take a significant amount of time to return to baseline arousal levels. (Staff, 2013) People who are sometimes diagnosed with borderline personality disorder experience extreme swings in their emotions, see the world in black-and-white shades, and seem to always be jumping from one crisis to another. Because few people understand such reactions — most of all their own family and a childhood that emphasized invalidation — they don’t have any methods for coping with these sudden, intense