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 …show more content…
Neuroimaging revealed that the prefrontal region, like the anterior cingulate cortex, has a role in dysfunctional serotonergic neurotransmission, associated with impulsive aggression in BPD patients. Some results have showed a reduction in the volumes of the hippocampal and amygdala in patients. The amygdala has a role in emotional regulation. The neuroimaging findings also indicated a weakening of prefrontal inhibitory control could contribute to amygdala hyperactivity. A reduction in the frontal and orbitofrontal lobe volumes and N-acetyl-aspartate has also been reported. However, whether the observed neurobiological dysfunctions are pre-existing or the result of the BPD is …show more content…
The 97% of patients associated with this disorder, with either attempted or completed suicide, makes psychosocial interventions mandatory for severe cases, even when concomitant pharmacotherapy is applied. DBT has been shown to be more effective and successful than most other resources by helping to teach the patient how to learn to: take control of their lives, emotions, and themselves through self-knowledge, emotion regulation, and cognitive restructuring. Pharmacotherapy, or the use of medication, has also been administrated to help reduce depression, anxiety, and impulsive aggression that are present in patients with antidepressants or mood stabilizers. It gives the patients a chance to stop medication after they have learned to manage themselves. In a placebo-controlled trial, the drug called olanzapine was superior in the treatment of all four subcategories of borderline psychopathology. The efficacy of SSRIs on rapid mood shifts, anger, depression, and anxiety have been put through placebo based trials as well. There have been mixed studies of these drugs have reported mixed results for patients with a comorbid bipolar disorder and impulsive aggression of personality disorders. There was some difficulty for some of these studies because of the high dropout rate of patients that had a hard time staying on medication for a sustained period of
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
6) MacIntosh, H. B., Godbout, N., & Dubash, N. (2015). Borderline personality disorder: Disorder of trauma or personality, a review of the empirical literature. Canadian Psychology, 56(2), 227-241. Retrieved from
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 (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,
Parenting any young adult can come with it's share of headaches and battles just as it is filled with times of immense pride and satisfaction. If you're parenting a child aged 17 to 28 who shows signs of borderline personality disorder, the summary of your parenting has factors in intense fear and anxiety over your child's health and well-being.
Borderline personality disorder according to the national institute of mental health is “a serious mental illness marked by unstable moods, behavior, and relationships” (Health). The exact cause for BPD is unknown but it believed to be caused by the environment, genetics (Health), and brain abnormalities (Staff M. C., 2014). In order to be diagnosed with BPD, individuals must show that they have had long-lasting signs and symptoms, meet the sign and symptoms criteria, and undergo a series of psychological evaluations and other diagnostic methods. Although there is no cure for BPD, there are series of treatments for those diagnosed with BPD such as psychotherapy and prescription medication.
Borderline Personality Disorder (BPD) is a severe psychiatric condition, characterized by a set of learned behaviors and emotional responses to traumatic or neglectful environments, particularly in childhood. They are in most instances depicted as socially unacceptable and are often avoided by others. Introduced in 1938 by psychoanalyst Adolf Stern was the term “borderline”. This was used to categorize between psychosis and neurosis. During the time people considered to have neurosis were presumed to be treatable, while individuals assumed to have psychosis were suspected to be untreatable. Around the 1970’s the comprehension of BPD arose. There are many determining factors, but most frequently they are characterized by the individual’s extreme
Borderline Personality is a disorder that affects a significantly large percentage of the population with a prevalence rate of up to 5.9%. (DSM, 2000) Out of that percentage about 75% of patients diagnosed with BPD are female. It is an illness that is both misunderstood and given quite a bad stigma. It is difficult to live with and those that have it struggle to maintain personal and business relationships. Even with the high demand for treatment it is a disorder that is hard to treat however when treated can be highly affective. (NIMH) This paper goes into detail on the history, diagnosing, treatment, and effects of Borderline Personality Disorder so that the disorder may better be understood.
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
Borderline personality disorder, also known as BPD is a mental health disorder that impacts the way you think, feel about yourself and others, causing problems functioning in everyday life ( Mayo Clinic, 2015). Borderline Personality Disorder first got its name when clinics, though of their patients as being on the border between neurotic and psychotic by showing symptoms of both. Experts today say that the term “Borderline Personality Disorder” is truly giving out the wrong impression, but they have yet created an accurate term for the disorder (MTN, 2016). BPD leads to a lot of unstable mood swings, poor self-image, and stormy relationships with family and intimate partners. People that live with Borderline Disorder results in bad behavior,
Dialectical Behavior Therapy (DBT) is an innovative and contemporary approach to treatment for clients that display behaviors associated with the diagnosis of Borderline Personality Disorder (BPD) (Andreasson, Krogh, Wenneberg, Jessen, Krakauer, Gluud & Nordentoft, 2016). DBT was created by Marsha Linehan at the University of Washington, where she studied emotionally vulnerable individuals who were diagnosed with BPD (Burke & Stepp, 2012) Individuals living with BPD have often been labeled as difficult and challenging to treat. Linehan study has revealed that this may be due to the environmental circumstances in which these vulnerable individuals grew up in, which she would later refer to as an “Invalidating Environment” (Andreasson et al., 2016 p. 522) People living with BPD make up 2-3% of the United States population with 70% engaging in self-injurious behaviors. A client self-injurious behavior may stem from the inability to regulate their emotions, which leads to harmful and destructive behaviors (Andreasson et al., 2016).
An effective approach to therapy for treating borderline personality disorder (BPD) is integrative therapy. Dialectical behavior therapy (DBT) is a type of integrative therapy in which clients with BPD tend to respond well to. DBT uses several techniques to treat BPD such as, homework assignments, cognitive interventions, intensive individual therapy, and group sessions with other individuals with BPD. DBT is built around the concept of dialectics and uses the dialectical approach to recognize the all-or-nothing, black-or-white attitude that drives people suffering from BPD. DBT also strives to have the client view the therapist as an ally rather than an adversary.
“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.
Impulsivity can be seen as attention seeking behaviors, such as cutting, burning, overdosing and suicidal talk. Patients that have borderline personality disorder have a hard time with not acting on the first thought that comes to their mind and this can get them into risky behavior (Bornovalova, & Daughters, 2007). DBT works with behaviors that are seen as risky or impulsive because the patients are reacting to the negative thoughts that they are feeling. DBT works closely with the patients to teach them skills to react to their negative thoughts in other ways then the risky behaviors that they usually turn to (Dam, D. v., Ehring, Vedel & Emmelkamp, 2013). Regular treatment for individuals with borderline personality disorder when they are having behaviors is to go to the mental health unit at a hospital. Usually while the patients are there they can get medication changes but it seems to make their risky behaviors worsen (Koerner,
Dialectical behaviour therapy (DBT) was developed by Dr. Marsha Linehan in the 1980’s based on her biosocial theory of borderline personality disorder (BPD; Linehan, 1993a, 1993b). DBT utilizes a number of therapeutic techniques and skill development to target deficits in emotion regulation and monitoring affective states. An important underlying assumption of DBT is that emotionally vulnerable individuals learn maladaptive coping strategies (i.e., parasuicidal behaviours) as a way to mitigate strong emotional reactions. Therefore, DBT attempts to develop more adaptive coping strategies that encourage a person to ‘build a life that they experience as worth living’ (Behavioral Tech, 2017).