Clinical Aspects Of Psychology : Borderline Personality Disorder

When instructed to write a 3-5 page paper over a psychological disorder I wondered to myself what disorder could I do to interest me enough to take so much time to look into. What one disorder would I have to force myself to research and write about that would not be completely painful? This is when I decided to write my paper over the Borderline Personality Disorder, the disorder Mrs. Kline refers to as the crazy girlfriend disorder which fits the disorder a lot better. This disorder grabbed my attention because I’m interested in what causes one to become so obsessive in such a short time span. In this research paper I will inform you about what can cause this disorder, what symptoms and actions are made by the ones affected by this disorder, and the treatment that reduces the symptoms.

Chapman, PhD, A. L., & Fraser, S. (2006, September). Dialectical Behavior Therapy: Current Indications and Unique Elements PDF file., (), 62-68.

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]

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 (BPD) is a severe mental health disorder that cause changes in the mood and behavior of a person. According to www.mhhe.com, traits of BPD would be “self-destruction behaviors, fear of abandonment, and mood shifts.” People suffering from BPD has symptoms and problem with regulating emotions (intense mood swings), low self-worth, aggressive behavior, and a fear of abandonment (being left behind). It has been found that BPD has vague symptoms that is based on a wide collection. The cause of BPD are not well understood, but some psychoanalytic believe the symptoms come from poor care taking during childhood.

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.

The diagnostic process for personality disorders currently covers a broad scope of various tests and symptoms, causing a source of frustration for psychiatrists (Aldhous). The symptoms and side effects of several personality disorders can tend to blur together, making diagnosis challenging (Aldhous). Most psychiatric patients are diagnosed with several personality disorders at once, with twenty percent of people with personality disorders simply diagnosed with a “personality disorder not otherwise specified” (Aldhous). Using the Diagnostic and Statistical Manual of Mental Health Disorders, commonly referred to as the DSM, psychiatrists attempt with great difficulty to categorize their patients into a specific disorder, only to diagnose

Personality traits are stated in the work of Hsu (2004) to be such that reveal "characteristics and patterns of an individual's environmental observations, thinking processes, and coping strategies. They exert long-term effects on adaptation and personal identity. The author presents a case study of a patient with Borderline Personality Disorder (BPD) who suffered from suicidal ideation, intense mood swings, all-good/all-bad thinking patterns, and poor job performance." (Hsu, 2004, p.1)

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 and Drug Addiction in Gia (1998) As a severe psychiatric disorder, borderline personality disorder (BPD) has a strong association with functional impairments and lifetime prevalence (Winter et al., 2016). While etiology is unclear, twin studies suggest the role of genetic factors (Carpenter, Tomko, Trull, & Boomsma, 2013). Additionally, Reichborn-Kjennerud et al.

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

After a thorough assessment, its determined that Jane suffers from borderline personality disorder. As referenced in the Diagnostic and Statistical Manual of Mental Disorders, "border line personality disorder is characterized by a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, beginning by early adulthood and present in a variety of contexts" (American Psychiatric Association, 2013 Pg. 663). As seen with Jane, her first onset could be dated to the age of ninth-teen, when she engaged in her first reported suicidal attempt. Reported behaviors after that included patterns of unstable and intense interpersonal relationships, unstable self -image, engaging in self-damaging behaviors

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.