Patient Borderline Personality Disorder Case Study

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).

Kathryn Merteuil, the primary antagonist in Cruel Intentions, is the master at manipulating both men and women. She is the most popular girl at her school and bases the entirety of her self-worth on her perception that everyone either wants her or wants to be her. In order to maintain her appearance, Kathryn binges and purges and has a heavy cocaine addiction. Although well liked and popular, Kathryn holds no stable relationships and is easily upset and irritated when things do not go her way. Although this film’s focus is not Kathryn’s mental health diagnosis, Kathryn’s actions and unstable emotions are arguably that of a patient with Borderline Personality Disorder.

Mental Health Nursing Objective 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.

Borderline Personality Disorder with co-occurring substance use disorder Molly M. Heller University of Minnesota Abstract 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

Borderline Personality Disorder Emani J. Mills Psychology of Personality Catinia Farrington INTRODUCTION “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.

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

i spend all of my paycheck within a day of recieving it. unsafe and innnapropriate sexual conduct. meeting with people i met on tinder. reckless driving, even when im on a happy high binge eating, ex, i saw a snapchat of my ex wih what appears to be anoher girl (new love interest) and i ended up eating half a bag of chips and three pieces of french toast.

Predisposing factors: Borderline personality disorder is a disorder that is characterized by a persons impulsive and/ reckless behavior, poor self-image, self-injury, emotional fluctuations, unstable relationships. There are links that suggest it could be caused by genetic and environmental factors, but it is still being studied. A person that is part of a community or culture with unstable upbringing can increase the risk for this disorder (National Institute of Mental Health, 2014). A childhood with physical and sexual abuse was often linked to people with BPD. It was more-so found to be linked with any neglect as a child (Am J Psychiatry, 1997 ). 6 to 10 million people are affected by borderline personality disorder. 75-90% of people with BPD are women (Borderline Personality Resource Center, 2012).

Though several personality disorders are highly complex and a challenge to treat, there are effective treatments available (“Treating Borderline” 1). The various treatments are broken down by method, the first of which being cognitive behavioral therapy, which attempts to alter the conscious thoughts and behavioral patterns of patients (Daniel); (“Treating Borderline” 2). Cognitive behavior therapy itself is broken down into two therapies, dialectical behavioral therapy and schema-focused therapy (“Treating Borderline” 2). Dialectical behavioral therapy, developed by Dr. Linehan, is centered on the basis that personality disorders are formed when hypersensitive patients are in situations which lack the emotional support they require, therefore leading to their “inability to regulate emotions” (“Treating Borderline” 2). Thus, the treatment serves to help the patient gain control over their emotion and behavior (“Treating Borderline” 2). The treatment itself consists of group and individual sessions and typically lasts approximately one year (“Treating Borderline” 2). During the group sessions, patients learn to become more aware of their behaviors and emotions through sessions pertaining to “problem solving, mindfulness meditation, and breath training“(“Treating Borderline” 2). In personal sessions, referred to as psychotherapy, the psychiatrist explains to the patient how the lessons from the group therapy sessions are applicable

In this paper, I will be reviewing the findings of a study on borderline personality disorder and what goes on in a person with BPD’s brain, for their aggression and impulsivity to be triggered. This study was conducted by neuroscientists and psychologists at University of Pittsburgh, and Wayne State University

Borderline personality disorder is a disorder in which a person is emotionally unstable, has unpredictive behavior and is unable to trust anyone. They easily become angry, or frightened. It is an illness that doesn’t have a cure. In the article that I read, a psychologist made up a game to see how a normal person with no BPD and a person with BPD reacted to money being exchanged between an investor. The goal was to achieve a level of trust. While both patients were undergoing the study, the psychologist was trying to keep track of the brain activity and what caused them both to be able to trust the investors and what tactics they used. The researchers used neuroimaging (Fmri). Neuroimaging is when techniques are used to see how the nervous

Family and partner of a consumer with borderline personality disorder play an important role in supporting with recovery. Health practitioners should acknowledge and respect their support. With the consent of the consumer, health care professionals should include families and partner when developing a plan. However some consumers may choose not to involve their family or partner hence, health practitioners should regard consumers wish and offer them a chance to change their mind later.

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:

I currently do not have any experience working with those suffering from addiction or with those suffering from personality disorder; therefore, I would find working with individuals who abuse substances and who have also been diagnosed with a borderline personality disorder to be very challenging. According to Goldstein (as cited in Miller, 2015), individuals suffering from addiction as well as bipolar disorders are difficult to treat as BPD individuals experience more issues including self-injurious behaviour and suicidal thoughts and/or tendencies. There are also many difficulties when working with BPD individuals as they are known to be confusing and unpredictable.

Case Study: Borderline Personality Disorder 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.