Borderline Personality Disorders: A Case Study

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

In the movie Joan Crawford shows multiple examples of being borderline, which is a disorder in characterized by unstable moods, behavior, and relationships. (Mayo Clinic 2017). This can be a hard disorder to find because

Individuals who suffer of such disorder are capable of changing their behavior and mindset drastically. For example, if the person is in a relationship they can love and idolize their partner at one instant and completely hate and seek revenge against them, if they feel their partner hurts them. At times, they even try to self-sabotage themselves by attempting to hurt themselves. Their personality characteristics are known to be demanding, intense, aggressive, and even feeling empty an abundant amount of times. Essentially an individual with borderline personality disorder are defined by the word “instability” as their behavior is completely unpredictable and rocky to their experiences (Buss & Larsen, 2001).

Most patients of borderline personality disorder suffer from problems regulating emotions and thoughts, impulsive and reckless behavior, and unstable relationships with other people. People with this disorder have high rates of depression, anxiety, substance abuse, and eating disorders. Oftentimes, it leads to self-harm, and suicidal behaviors.

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]

Aka BPD, is a mental disorder marked by ongoing intense mood swings, self-imaging problems, and impulsive behavior usually surfacing during adolescence to early adulthood and can lead to major psychological disorders later in life.

Other symptoms of borderline personality disorder include efforts to avoid abandonment, impulsive behavior, distorted sense of self, chronic feelings of emptiness, inappropriate and intense anger or problems controlling anger, stress related to paranoid thoughts, a pattern of unstable relationships with family, friends, and loved ones. Mood and emotion are often swinging from extreme dislike or rage andhaving feelings to harm themselves such as cutting themselve out of the world, observing themselves from outside the body and feeling vulnuarable, or losing touch with reality (National Institute of Mental Health, 2016). The symptoms can be triggered by minor separations, such as vacations and sudden change of plans (Chapman and Gratz 2013). Chapman and Gratz also stated when an individual has borderline personality disorder they have unstable emotions, one minute the person can feel joyful and then suddenly they can have intense negative emotions. Emotions that are most common and are particularly tough for people with borderline personality disorder includes sadness, shame, loneliness, fear, and anger toward themselves. People with borderline personality disorder often fear rejection and abandonment, especially when it comes to

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.

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

Likewise, the author read that Borderline Personality Disorder (BPD) is described as instability in interpersonal relationship, self-image and mood, a fast fluctuation between emotional states, impulsive behaviour and an inclination towards self-harm and suicidal thinking (NICE 2009).

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:

Affective instability due to a marked reactivity of mood (intense episodes of irritability or anxiety usually lasting a few hours, rarely a few days)

Selective abstraction-one example of this would be a person getting a good grade in a class but mainly focusing on the one assignment that they got a bad grade in and think about that in a negative aspect. I use this sometimes because in my life I always want to do my very best when it comes to school, when get a bad grade I sometimes do dwell on that for a while. Negative predication, one example of this would be if a person thinks that they are not going to get an apartment that they signed up for even though they have a perfect record when it comes to paying rent on time. Overgeneralization- one example for this would be if an individual had a bad day at work, he might conclude that he is a bad coworker. Looking through the many cognitive

Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).