Borderline Personality Disorder ( Bpd )

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

Borderline Personality Disorder (BPD) can be described in simple terms as a condition in which sufferers experience long periods of emotional instability and troubled feelings about themselves and other people. These troubled feelings allow individuals to take impulsive measures and have trouble in their relationships (Bouchard, Sabourin, Lussier & Villeneuve, 2009). BPD basically comprises of unusual intensities of instability in mood and irrational thinking also referred to as splitting. Splitting in BPD involves a switch between negative perception of others and idealization (Sperry, 2003). This usually occurs along with irregular mood swings and can negatively impact on the existing relationships such as family,

The aspect of BPD that drew me towards it was the notion that it is a more widespread mental illness than people think, often tied down to difficulties in diagnosing it due to crossovers with other illnesses such as depression which uses similar diagnosis criterion from the DSM V. In fact BPD affects 50% more people than Alzheimer’s disease and nearly as many as schizophrenia and bipolar combined (2.25%). There are a number of treatments available including new advances in epigenetics meaning a potential for more effective medication, as well as ' talking therapy ' treatments such as schema based therapy, metallization therapy and dialectal behaviour therapy which I am going to evaluate in order to decide according to scientific evidence and application what the most effective treatment for BPD is at present. The most effective treatment will be decided upon a

A personality disorder is characterized by a distinct pattern of behavior that does not meet normal standards of behavior within one’s culture. This pattern is ingrained as the norm to the person affected, and the characteristics of the affected person deviate markedly from societal standards (Hebblethwaite, 2009). The two main features that help to identify a personality disorder are chronic interpersonal difficulties and persons with one’s identity or sense of self (Livesly, 2001). Within this set of mental health disorders lie several other subsets, including one of the most prominent personality disorders - Borderline Personality Disorder (BPD). BPD is a severe, long-lasting disorder that has an incidence of occurrence approximately equal to that of bipolar disorder and schizophrenia combined (Grant, Chou, Goldstein et al., 2008). BPD also puts those affected at risk for damage in many areas of their life if not properly diagnosed and treated, including personal relationships, school, work, and self-imagine. Furthermore, this disorder has a high co-morbidity with other disorders such as depression, substance abuse, eating disorders, and social phobia, among many more (Hebblethwaite, 2009). Misdiagnosis of borderline personality disorder can have serious clinical implications. This paper looks to identify the risk factors associated with BPD, the affects on various aspects of the person’s life, treatments, and give recommendations as to how to properly identify and

Borderline personality disorder is a personality disorder that has just recently become recognized. Borderline disorder is characterized by impulsive actions, instability in daily life and relationships, and negative self-image. Other signs and symptoms of the disorder include self-harm, emotion dysregulation, and suicidal ideation. The literature was reviewed to find the relationship between substance use and borderline personality disorder, and the best type of treatment for those with borderline personality disorder and substance use. Research has reported that impulsive behaviors may be one of the

1.6 % of adults are diagnosed with BPD each year. It is usually shown that BPD begins in early adulthood/adolescence, but has also been seen to show symptoms in early childhood. (National Institute of Mental Health, 2014) It is unlikely to be diagnosed before the age of 16 (National Center for Biotechnology Information,

The main feature of borderline personality disorder (BPD) is a pervasive pattern of instability in interpersonal relationships, self-image and emotions. People with borderline personality disorder are also usually very impulsive.

“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 (BPD) is a severe and dominant psychiatric condition featuring affective instability, marked impulsivity, and substantial deficits in the ability to work and sustain meaningful relationships (Hadjipavlou and Ogrodniczuk 2010). In addition, BPD individuals suffer with deep fear of abandonment, identity conflicts and paranoid ideations (Hadjipavlou and Ogrodniczuk 2010). Further, BPD individuals

In order to receive this diagnosis a person must display 5 of the 9 possible symptoms (American Psychological Association, 2013). The symptoms of BPD are as follows; efforts to avoid real or imagined abandonment, patterns of unstable relationships that are intense, identity disturbance, impulsivity in a minimum of two areas that can be damaging, recurring suicidal behaviour or self-mutilating behaviour, mood instability, feelings of emptiness that are chronic, difficulty controlling anger and severe dissociative symptoms (American Psychological Association, 2013) . Disco Di displayed many of these symptoms such as having trouble separating from her parents, substance abuse, sexual promiscuity, being unsure about what she wants to do with her life, uncontrollable episodes of anger and has attempted suicide multiple times. It is not surprising that she was also given a diagnosis of BPD as the comorbidity rate for these patients to also have an Axis I or Axis II Disorder has proven to be high. For example, in the study “Axis I and II comorbidity and psychosocial functioning in female adolescents with borderline personality disorder”, by Kaess, Ceumern-Lindenstjerna, Parzer, Chanen, Mundt, Resch, and Brunner, female adolescent patients with BPD and other psychiatric diagnoses were assessed by clinicians to screen for Axis I and II disorders (Kaess, Ceumern-Lindenstjerna, Parzer, Chanen, Mundt, Resch &

Personalities are so deeply ingrained in us that any dysfunction in them is extremely resistant to change. One of the most notoriously treatment resistant types of disorders in the realm of Psychiatry is personality disorders. These Axis II diagnoses are difficult to treat because changing a core part of one’s self (the personality) is not something that is commonly done. One of the most difficult personality disorders to treat is Borderline Personality Disorder. This disorder is characterized by instability of mood and affect, impulsive behavior, repeated self harm and suicide attempts, interpersonal relationship dysfunction, a defense mechanism called ‘splitting,’ and a pervasive assumption that other people dislike them, or think badly

In the Diagnostic and Statistical Manuel of Mental Disorders Fifth Edition, Borderline personality disorder is described as having a pervasive pattern of instability of interpersonal relationships, self-image, affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts. In order to be diagnosed with borderline personality disorder, the individual must demonstrate five or more of the nine behaviors experienced within the disorder. The nine criterion behaviors within the disorder include: (1) frantic efforts to avoid abandonment, (2) a pattern of unstable and intense relationships characterized by alternating between extremes of idealization and devaluation, (3) identity disturbance: markedly and persistently unstable self-image or sense of self, (4) impulsivity in at least two areas that are potentially self damaging such as sexuality, spending, substance abuse, binge eating or reckless driving, (5) recurrent suicidal behavior, gestures, threats, or self mutilating behavior, (6) affective

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

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.