Borderline personality disorder (BPD; APA 2013) is a mental disorder that is found among 1.6% to 5.9% of the population. This disorder is characterized by patterns of instability of interpersonal relationships, self-image, and affect. Key features include fear of abandonment, marked impul-sivity, and difficulty in controlling anger. Individuals diagnosed with BPD are also driven towards suicidal behavior. Suicide ends the lives of 8% to 10% of these diagnosed individuals. This disor-der begins to crystalize around early adulthood and has a negative impact on social interaction. Be-cause this disorder is associated with unstable interpersonal relationships, it is important to under-stand how such instability occurs. The current study will examine …show more content…
While the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) takes a cate-gorical approach when diagnosing personality disorders, it is shown that approaching BPD through a dimensional approach is beneficial. The categorical approach in the DSM-5 requires that an individual must exhibit five of the nine traits listed to diagnose borderline personality disorder (APA, 2013). The approach used by the DSM-5 is currently criticized because it fails to take into consideration that many individuals who struggle with certain BPD symptoms do not meet the re-quirements to be diagnosed and treated for BPD. Widiger and colleagues (2011) suggested that DSM-5 should use a dimensional approach for assessing all personality disorders, including BPD, because personality should be conceptualized dimensionally, but this dimensional view has been postponed for further editions of the DSM (Widiger, 2011; Widiger & Trull, 2011) Personality should be assessed using a spectrum that includes a range of normal personality traits to maladap-tive personality traits. Using this spectrum would allow for individuals to be included in this study who cannot be diagnosed with BPD due to the current categorical
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.
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,
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
“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,
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
Abstract: This paper will discuss the causes and psychological impact of borderline personality disorder. It will also talk about how to treat those impacted by borderline personality disorder.
“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 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.
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 disorders are very defined and recognized in today’s society. The Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association provides common language and standards classifying mental disorders. The DSM is used by many people in varying disciplines in the USA as well as many other countries. In times past, people with disorders may have been outcast from a community or even persecuted. However, in our current culture the pendulum has swung in the other direction. It almost seems that there is a trend to explain all behavior by a mental disorder. This results in needing to disprove that certain people are not displaying a disorder, rather acting within a normal human emotion or
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).
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
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:
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).