Borderline Personality Disorder (BPD)

“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,

In Lieb et al.’s (2004) article, they discuss Borderline Personality Disorder (BPD) and how various patients are affected by this disorder. The clinical signs for BPD consist of persistent pattern of instability in emotional dysregulation, interpersonal relationships, self-image, and impulse control. For those with this disorder, self-abuse is common secondary to emotional pain and can sometimes lead to suicidal tendencies. Traumatic childhood events, genetic factors, and neurobiological factors are found to be developmental causes for BPD. However, dialectical behavior therapy (DBT) and hospital programs are found to be effective treatments for patients as well as medication treatment to help reduce depression, anxiety, and impulsive aggression

4) Gunderson, J. G. (2011). Borderline personality disorder. The New England Journal of Medicine, 364(21), 2037-2042. Retrieved from https://ez.salem.edu/login?url=https://search.proquest.com/docview/869106178?accountid=13657

The diagnosis for Borderline Personality Disorder (BPD) is based on symptoms which have been present since the onset of adolescence or early adulthood and appear in more than one contexts. There are not any laboratory or imaging exams that can assist with the diagnosis. A variety of structured and semi-structured interviews can help in making the diagnosis, although they frequently require specialized training to administer. The Diagnostic Interview for Borderlines – Reviser is a proven and regularly used device that is commonly considered the standard. This interview can take up to take 30–60 minutes to complete. During the interview, there are different symptomatic domains that must be examined – emotional functioning, relational functioning,

BPD affects about four percent of the community, but can be as high as twenty percent in many clinical psychiatric populations. It can be difficult to treat because it responds poorly to most conventional methods of treatment and because of how little we still know about it. There have been many great discoveries about BPD in only a few decades. There are still many questions to be answered about this disorder, but it has gone from a label attached to those who did not quite fit into other categories to a completely separate and somewhat understood mental illness.

Borderline personality disorder Borderline personality disorder is characterized by a pattern of intense and chaotic relationships, with affective instability and fluctuating attitudes toward other people. These individuals are impulsive, are directly and indirectly self-destructive, and lack a clear sense of identity. Prevalence of borderline personality is estimated at 1 to 2 percent of the population. It is generally estimated to be twice as common in women as in men (Townsend, pg. 598).

This disorder has been the focus of different and significant research because results suggest that 2.7 percent of adults in the United State meet diagnostic criteria for BPD (Tomko, Trull, Wood, & Sher, 2014). Borderline personality disorder (BPD) is a severe form of psychopathology characterized by a long standing pattern of difficulties in interpersonal relationships, impulsiveness, and instability of moods, identity disturbance, self-harm, and a high rate of suicidal behavior. The instability of moods is the deadline of this personality disorder because it is very difficult for people to control anger depression and anxiety (Rathus, 2014). This can affect the workplace and daily life since it is employees with borderline personality traits are challenging for management. Although there can sometimes be overt evidence of impulsive or disruptive behavior, the problems are more often manifest in more subtle ways. Appropriate limit setting is essential, with a focus on proper workplace conduct, completion of assigned tasks, and due consideration of coworker feelings (Ogden, & Prokott,

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

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.

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

There are many mental illnesses that plague our world today will little recognition. This paper will highlight one of these disorders in particular is that of borderline personality disorder (BPD). By definition borderline personality disorder is characterized as a severe mental disorder with on going instability in behavior, self-image, moods, and functioning (NIMH, n.d). This disorder is known to commence throughout adolescence but in many cases it may not surface until adulthood. Affecting both males and females proportionately, this

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).

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.