Borderline Personality Disorder ( Borderline )

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

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

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).

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.

Rationale for diagnosis: I arrived at the diagnosis of Borderline Personality Disorder for several different reasons. According to the American Psychiatric Association (2013), Borderline Personality Disorder is defined as “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.” One of the defining characteristics within this definition for Borderline Personality Disorder is “Frantic efforts to avoid real or imagined abandonment”. Robin’s case states that she would often verbally downgrade her companions and then a short time later she would end up worrying that she may have estranged them. Robin would then do something kind for her companions to keep them close and remain devoted to her. Robin meets this defining characteristic because, as stated, she becomes frantic when she feels that someone is going to abandon her and puts forth an effort to do something kind for them to avoid this abandonment. Another defining characteristic of Borderline Personality Disorder is “A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation”. (American Psychiatric Association, 2013). Robin's personal relationships with others were said to be quite abnormal; she would rapidly and with no reason shift from one mood to another. This seems to describe a pattern between Robin valuing her friends at times, yet also belittling them at other times in an extreme and alternating manner. Another characteristic that Robin possesses that is used in describing Borderline Personality Disorder is “Impulsivity in at least two areas that are potentially self-damaging”. (American Psychiatric Association, 2013). The two areas that Robin portrays acts of self-damaging are through substance abuse (in Robin’s case, alcohol) and binge-eating due to her having Bulimia Nervosa. On a side note, eating disorders, particularly bulimia, are common in people with Borderline Personality Disorder; almost 25% of bulimics have the disorder. (Zanarini, Reichman, Frankenburg, Reich, & Fitzmaurice, 2010), and, up to 67% of the people with this disorder are

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

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.

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

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).

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.

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

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 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).