ABSTRACT The purpose of this paper is to review and summarize the different challenges in treatments for consumers with borderline personality disorders (BPD) and how they are slightly different from treating other disorders. Rates of co-occurring mental health disorders are very high among individuals with BPD, which present challenges for treatments in those individuals. This paper will explore the complications in diagnosing consumers due to the fact that borderline personality disorder rarely stands alone and is often co-occurring with other disorders. Gender differences among individuals with BPD will be discussed as well as the prevalence of this disorder. In addition, we will describe and present the different challenges for clinicians, the families of individuals with BPD, and the individuals themselves that are suffering from BPD. The paper will also include an implications section for behavioral healthcare. Introduction 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
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 essential feature of borderline personality disorder is 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” (APA, 2013; p. 663). The DSM-5 further elucidates this definition with nine criteria, five or more of which must be present for an individual to receive a diagnosis of BPD. These nine criteria can effectively be grouped into symptoms relating to affect, impulsivity, suicidality, interpersonal relationships, and cognition (Cartwright,
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,
Borderline Personality Disorder presents itself as an inability to control mood shifts, coupled with hostility and a chaotic relationships. Those suffering from Borderline Personality disorder seem to bounce from one crisis to the next, moving through exaggerated emotions. While the symptoms of Borderline Personality Disorder can be seen in early adolescents, most grow out of those behaviors, those who go into adulthood with the unstable mood shifts, confused mental state are the ones who are diagnosed with the disorder. Borderline Personality Disorder follows three core symptoms; negative emotions, antagonism, and disinhibition. These symptoms are typically followed by self-harm (cutting) and even more harmful, suicide.
What is Borderline Personality Disorder? Is heredity the cause or is it a person’s surrounding environment? What are its effects? Are there any treatments available for it? Borderline Personality Disorder or BPD is a serious illness that causes a person to experience instability in moods, exhibit impulsive, quite often aggressive, behavior and creates severe self-worth issues. BPD is usually not a “stand alone” illness and typically is accompanied by other disorders such as Dysthymia, Bipolar Disorder and Substance Abuse. Although BPD can be extremely dangerous to those affected by it and those surrounded by them, it is quite often not given enough attention or taken as serious as it should be. As well, BPD is commonly misdiagnosed as
Borderline personality disorder (BPD) is characterized by difficulties in regulating emotion. This difficulty leads to severe, unstable mood swings, impulsivity and instability, poor self-image, and troubled personal relationships. When Adolf Stern first coined the term "border line" in 1938, he used it to describe outpatients that did not fall into the standard classification system used in the psychiatric profession. Patients with this disorder had what he determined as, “associative thinking, disturbances of reality testing, pervasive anger, and shallowness of effect.” Borderline patients were also describes as having a less severe form schizophrenia. In 1942, psychologist Helene Deutsch described a group of patients lacking a consistent sense of identity without a source of inner direction. She created the term “As-If Personalities,” as the patients completely identified with those people upon whom they were dependent. Melitta Schmideberg first described Borderline Personality Disorder in 1959 as a disorder of character. These afflicted individuals experience intense emotional dysregulation, fear of abandonment, and hopelessness within interpersonal relationships. Fortunately, there is much research available about this particular personality disorder and help is available through both psychotherapy and medicinal therapies. This paper will discuss the diagnosis and its symptoms as well as efficacious and evidence-based treatment. It will also discuss the Biblical
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
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]
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
Borderline personality disorder according to the national institute of mental health is “a serious mental illness marked by unstable moods, behavior, and relationships” (Health). The exact cause for BPD is unknown but it believed to be caused by the environment, genetics (Health), and brain abnormalities (Staff M. C., 2014). In order to be diagnosed with BPD, individuals must show that they have had long-lasting signs and symptoms, meet the sign and symptoms criteria, and undergo a series of psychological evaluations and other diagnostic methods. Although there is no cure for BPD, there are series of treatments for those diagnosed with BPD such as psychotherapy and prescription medication.
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
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).
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 is associated with a variety of different components and symptoms. The two main areas that borderline personality disorder is related to are moods and relationships; both of these areas tend to be quite unstable. The element about borderline personality disorder that I was not aware of was the increased risk that they have of injury or even death by their own hands. It is a common stereotype that is depicted in the media that those with psychological disorders are always acting sporadically and causing harm. It was discussed in this unit that the main reason these individuals are risks to themselves is because of instability, dysfunction, and impulsivity. Though these elements may sound like they match what is portrayed in the media, there are deeper meanings behind them that can cause dangerous behaviors. Instability is associated with relationships; individuals with borderline personality disorder often have unstable relationships because of their lack of emotional control, which can then lead to a constant fear of abandonment. Dysfunction is associated with unstable emotions and is often a good predictor of potential suicidal thoughts and