Turbulence in the Mind Essay

Psychiatric research on Borderline Personality Disorder (BPD) has increased in popularity over the past few decades. It was included into the Diagnostic and Statistical Manual for Mental Disorders (Third Edition) in 1980. Over the years, professionals have found dramatically effective treatments for a disorder that was once considered disabling. Even though Borderline Personality Disorder can be hard to treat, it’s usually comorbid with other disorders like depression and anxiety. Throughout this paper, I will be focusing on background information, symptoms, and treatments of Borderline Personality Disorder.

The use of the term borderline has however, resulted in a heated controversy between the health care fraternity and patients. Patients argue that this term appears to be somehow discriminatory and that it should be removed and the disorder renamed. Patients point out that an alternative name, such as emotionally unstable personality disorder, should be adopted instead of borderline personality disorder. Clinicians, on the other hand, argue that there is nothing wrong with the use of the term borderline. Opponents of this term argue that the terms used to describe persons suffering from this disorder, such as demanding, treatment resistant, and difficult among others, are discriminatory. These terms may create a negative feeling of health professionals towards patients, an aspect that may lead to adoption of negative responses that may trigger self-destructive behavior (Giesen-Bloo et al, 2006). The fact however, is that the term borderline has been misunderstood and misused so much that any attempt to redefine it is pointless leaving scrapping the term as the only option.

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]

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 serious psychiatric illness. People that are diagnosed with this disorder suffer from an intense pattern of affective instability, extreme difficulties in interpersonal relationships, problems with behavioral or impulse control, and disrupted cognitive processes. The estimated prevalence of BPD in the general adult population is about 2%, mostly affecting young women.

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.

“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 can include many aspects: instability in mood regulation, impulse control, difficulties in interpersonal relationships and self-image. (Lieb et al, 2004) Jaynelle has experienced all of these at some time in her life. She grew up stealing from Safeway to be able to eat, uprooting her family to move with multiple boyfriends, and she overreacts when she thinks she is being slighted by social services. She is quick to anger and lashes out when provoked.

Borderline Personality Disorder is a mental disorder characterized by instability in mood, impulsiveness, unstable relationships, and chronic emptiness. Borderline Personality Disorder affects approximately two percent of the population, and is predominately found in women. This disorder makes it difficult for people to understand social norms and the dynamics of relationships, so unpredictable and erratic behavior are common. Although Borderline Personality Disorder is incurable, it is treatable through talk therapy and medication. (Friedel, 2004, p. 2)

According to the Diagnostic and Statistical Manual of Mental Health Disorders(DSM-5,2013), "Borderline Personality Disorder (301.83) is a pervasive pattern of volatility of interpersonal relations, self image, and affect, and marked impulsivity, beginning by early adulthood and present in a variety of context" (p. 663). Concurrent disorders associated with Borderline Personality Disorder (BPD) are depressive and bipolar disorders and substance use disorders, eating disorders, posttraumatic stress disorder, and attention-deficit/hyperactivity disorders. BPD also commonly co-occurs with other personality disorders. These disorders have a high co-morbidity. The incidence of BPD

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

“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 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.

Symptoms of Borderline Personality Disorder (BPD) include a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and is marked impulsivity. BPD begins in early adulthood and is present in a variety of contexts. Alice Klieg displays 6 of