Borderline Personality 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

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,

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).

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]

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

9.6 percent of the United States population have a mental disorder and 1.6 percent have borderline personality disorder. Borderline personality disorder is a mental illness that shows symtoms of not being able to regulate emotional responses and moods, impacting self image, relationships and behavior (National Institute of Mental Health,2016). The National Institute of Mental Health states that borderline personality disorder is experienced in a person when they are overwhelmed with emotions in the cognitive functioning. Symptoms of a person with borderline personality disorder could include explosive amount of anger, depression, and anxiety. People with borderline personality disorder could also have other mental disorders such as mood

Abstract: This paper will discuss the causes and psychological impact of borderline personality disorder. It will also talk about how to treat those impacted by borderline personality disorder.

“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 is defined as a mental illness that involves unstable moods, behavior and relationships. There are many other symptoms of borderline personality disorder, some of which include intense irritability, elevated levels of fear, and anger. The etiology of BPD is unknown, but through a number of different studies it is believed that it can be caused by genetics, environmental factors, and/or brain abnormalities. Scientists continue to study genes that help regulate both emotions as well as impulse control for possible links to BPD.

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.

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).

Borderline Personality Disorder (BPD) affects about 4% of the general population, and at least 20% of the clinical psychiatric population. (Kernberg and Michels, 2009) In the clinical psychiatric population, about 75% of those with the disorder are women. BPD is also significantly heritable, with 42-68% of the variance associated

From a personality perspective, the client presented with Borderline Personality characteristics. The client tends to look at the world as black or grey “people are either nice or not”. This belief affects his need to leave his house during certain occasions because he fears being harm by “inconsiderate people”. Currently, the client is infatuated with a woman whom he believed was the love of his life 20 years ago. The client continuously comes up with reasons why he believes that this person is in love with him and denies any other conclusions. When presented with an interpretation he acknowledges it but quickly goes back to believing his earlier thoughts.

The history of BPD can be traced back to 1938 when Adolph Stern first described the symptoms of the disorder as neither being psychotic nor psychoneurotic; hence, the term ‘borderline’ was introduced (National Collaborating Centre for Mental Health, 2009, p. 15). Then in 1960, Otto Kernberg coined the term ‘borderline personality organization’ to describe persistent patterns of behavior and functioning consisting of instability, and distressed psychological self-organization (National Collaborating Centre for Mental Health, 2009, p. 15).

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.