Borderline Personality Disorder By: Kaz Martinez
Borderline Personality Disorder • A personality disorder marked by a long-standing pattern of instability in interpersonal relationships, behavior, mood, and self-image that can interfere with social or occupational functioning or cause extreme emotional distress.
Associated Features… • Alienation • Circular Conversations • Denial • Depression • Emotional Blackmail • Neglect • Mood Swings • Self-harm • Splitting
DSM-IV-TR According to the DSM, Fourth Edition, Text Revision (DSM-IV-TR), to be diagnosed with borderline personality disorder, a person must show an enduring pattern of behavior that includes at least five of the following symptoms:
Odd Behaviors Extreme reactions—including panic, depression, rage, or frantic actions—to abandonment, whether real or perceived
A pattern of intense and stormy relationships with family, friends, and loved ones, often veering from extreme closeness and love (idealization) to extreme dislike or anger (devaluation)
Distorted and unstable self-image or sense of self, which can result in sudden changes in feelings, opinions, values, or plans and goals for the future (such as school or career choices)
Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving, and binge eating
Recurring suicidal behaviors or threats or self-harming behavior, such as cutting
Intense and highly changeable moods, with each episode lasting from a few hours to a few days
Having stress-related paranoid thoughts or severe dissociative symptoms, such as feeling cut off from oneself, observing oneself from outside the body, or losing touch with reality.
Etiology of Borderline Personality Disorder • People with BPD feel a feeling of emptiness and negative emotions of life. • Abuse • A history with child abuse. • Neglect from parents as a child. • Trouble with change. • Can not cope with the changes in relationships. • Have difficulty with seeing people move on.
Prevalence • BPD affects up to 5.9% of adults, approximately 14 million Americans. Suicide and Self Injury • 10% of adults with BPD commit suicide • 55-85% of adults with BPD self-injure their bodies • 33% of youth who commit suicide have features of BPD
Treatments… • Therapy • Critical time period for recovery of a person with BPD. • Dialectal Behavioral Therapy. • A contradiction of therapy between the Therapist accepting the disorder of the patient and then questing and challenging the disorder. • Medications • Antidepressants, Antipsychotics, Anticonvulsants, Lithium, and minor tranquilizers. • Hard to prescribe due to the multiple features in Borderline Personality Disorder.
Prognosis… • There is no cure. • It can be controlled with a series of therapies as well medicine. • It can be controlled with a series of therapies as well medicine.
Discussion Question… Observe the behavior Susanna portrays explain why could she possibly be diagnosed with Borderline Personality Disorder. Explain your reasoning.
Girl Interrupted… http://www.youtube.com/watch?v=r8ty9BFjKcs
Refrences… Haligan, R. P. and Whitbourne, S. K. (2005). Abnormal psychology: clinical perspecitives on psychological disorders. New York, NY: McGraw-Hill National Education Alliance Borderline Personality Disorder. (n.d.). Borderline personalitya challenging but treatable disorder. Retrieved from http://www.borderlinepersonalitydisorder.com/understading-bpd/bpd-fact-sheet/ National Institute of Mental Health. (August 17, 2011). Borderline personality disorder. Retrieved from http://www.nimh.nih.gov/health/publications/borderline-personality-disorder/what-is-borderline-personality-disorder.shtml Out of the Fog. (2007-2012). Borderline personality disorder (bpd). Retrieved from http://outofthefog.net/Disorders/BPD.html