Abstract
According to the DSM IV four types of psychopathology describe Borderline Personality Disorder: affective disturbance, impulsivity, cognitive problems, and intense unstable relationships. Before diagnosis, Doctors must establish that patterns of affective instability, impulsivity, and unstable relationships have been consistent over time. Therefore, obtaining the patient’s detailed history is crucial.
Many of the same features can be found in patients with Bipolar Disorder. Dysphorias, hyperactivity, impulsivity, and thoughts of suicide, are psychotic symptoms found in both disorders. Sadly, borderline patients with this cluster of symptoms are often misdiagnosed with bipolar disorder, and placed on psychopharmacological
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Then in the late 1940s, Dr. Robert Knight introduced the concepts of ego psychology into his description of borderline disorder. Citing that ego psychology connects with the mental functions that enable us to realistically perceive events, resulting in the successful integration of our thoughts and feelings. This allows us to develop effective responses to life around us. He suggested that people with borderline disorder have severe impairments when trying to apply this concept to their day-to-day lives.
Like many mental disorders, the cause of borderline personality disorder is not fully understood. Yet most experts would agree, the disorder results from a combination of factors. Some studies suggest that genetics, environment, along with brain abnormalities all play a contributing factor.
Many medical professionals initially suggested that BPD overlapped with schizophrenia, non-schizophrenic psychoses, and neuroses such as anxiety and depressive disorders. Due to what appeared to be it’s overlap with so many other psychiatric diagnoses, it became known as a “wastebasket” diagnosis. Oliver Bonnington writes; because patients did not fall clearly into specific diagnostic category researchers believe testing lacked diagnostic precision and validity. It also was thought that the disorder responded very poorly to treatment. Yet modern day studies have shown differently. Borderline treatment relies primarily on psychotherapy with medications
What is Borderline Personality Disorder? Defined by the website www.borderlinepersonalitydisorder.com, “Borderline personality disorder (BPD) is a serious mental illness that causes unstable moods, behavior, and relationships. It usually begins during adolescence or early adulthood.” One may wonder what can be the cause of this disorder. BPD can be detected by an in-person interview about the symptoms that are occurring. The input from family and close friends of the individual that is being treated can also help detect the symptoms. The causes for BPD are not fully
The use of the term borderline has however, resulted in a heated controversy between the health care fraternity and patients. Patients argue that this term appears to be somehow discriminatory and that it should be removed and the disorder renamed. Patients point out that an alternative name, such as emotionally unstable personality disorder, should be adopted instead of borderline personality disorder. Clinicians, on the other hand, argue that there is nothing wrong with the use of the term borderline. Opponents of this term argue that the terms used to describe persons suffering from this disorder, such as demanding, treatment resistant, and difficult among others, are discriminatory. These terms may create a negative feeling of health professionals towards patients, an aspect that may lead to adoption of negative responses that may trigger self-destructive behavior (Giesen-Bloo et al, 2006). The fact however, is that the term borderline has been misunderstood and misused so much that any attempt to redefine it is pointless leaving scrapping the term as the only option.
Borderline personality disorder is defined in its most simplest sense as being a mental health disorder that generates significant emotional instability. [1] In sufferers it generates a wide range of symptoms typically characterised into three groups; Problems regulating emotions and thoughts; impulsive behaviour without thinking of the consequences of actions; and lastly unstable relationships. Evaluating the most effective treatment(s) for BPD remains a target for mental health services as the disorder is associated with self harm and suicide attempts, with suicide attempts recorded in 69-80% of patients. [2]
Although most BPD cases go underdiagnosed or misdiagnosed, if you were to diagnose someone with borderline personality disorder, the person must show an enduring pattern of behavior that includes at least five of the following symptoms:
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.
Borderline personality disorder (BPD) is a serious and complex mental disorder involving maladaptive behaviors and multiple symptoms. This disorder often occurs in the context of relationships and can have a chaotic effect not only on the individual with BPD but also on their loved ones. According to the NIMH, “borderline personality disorder (BPD) is a serious mental illness characterized by unstable moods, behavior, and relationship”.9 A primary character of BPD is behavioral and emotional dysregulation. These behaviors are difficult
Borderline Personality Disorder is a mental illness categorized under Cluster B Personality Disorders. This illness affects approximately 2% of adults, 75% of them being women. There are nine most common symptoms including; intense emotions (anger and mood swings), impulsivity, and a distorted self-image. These side effects often lead to relationship problems, temper tantrums, depression, substance abuse, and self-harm; particularly cutting or thoughts of suicide. Also, most BPD patients display feelings of emptiness and fear abandonment (whether real or imagined); in this case, symptoms tend to become more acute when feeling isolated or lacking social support.
Assessment of the patient with borderline personality disorder is inclusive of the patient's: (1) physical; (2) emotional; (3) cognitive; (4) social; and (5) spiritual characteristics. These are assessed based on the patient's: (1) subjective reports; (2) interview records; and (3) behavioral
According to the DSM-5, Personality Disorders are characterized by “impairments in personality functioning and the presence of pathological personality traits”. Borderline Personality Disorder is one of ten personality disorders listed in the DSM-5. The DSM-5 lists several criteria that must be met in order for someone to be diagnosed with Borderline Personality Disorder. They are quoted as follows:
Borderline personality disorder is characterized by a set of behaviors and emotions that involve impulsive reactions in form of anger and self-destructiveness. This creates distress and mental suffering for the people who surround the patient. The patients express bouts of extreme anger, depression and anxiety (MMHE, 2015). They may cope by engaging in indiscriminate sex, self-mutilating traits as well as reckless driving. John Mathew is a 33-year-old Caucasian whose parents have been fighting when he was young.
Freud defines one’s ego as a part of the mind which constrains the id to reality, and is the “referee” between the superego and id. People with borderline personality disorder externally scatter and internally contradict their concept of themselves. Kernberg states, "borderlines can describe themselves for five hours without your getting a realistic picture of what they're like."
Symptoms of Borderline Personality Disorder (BPD) include a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and is marked impulsivity. BPD begins in early adulthood and is present in a variety of contexts. Alice Klieg displays 6 of
According to the DSM-5 (APA, 2013), Borderline Personality Disorder (BPD) is a persistent pattern of instability in interpersonal