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Bordeline Personality Disorder (BPD). Zitlaly Ortega Period 6. What id BPD?. Borderline Personality Disorder: Characterized by a pervasive pattern of instability, most evident in relationships, mood, and sense of identity. What does it mean to have BPD?. Associated Features .

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what id bpd
What id BPD?
  • Borderline Personality Disorder:
    • Characterized by a pervasive pattern of instability, most evident in relationships, mood, and sense of identity.
    • What does it mean to have BPD?
associated features
Associated Features
  • Need for intense emotional experiences
  • Mood swings
  • Boredom
    • This causes the person to engage in impulsive behaviors.
associated features1
Associated Features
  • Might go to the extreme of self mutilation
  • Anxiety when someone is not present.
  • Suicidal thoughts
  • Sexual orientation confusion
associate features
Associate Features
  • Shifts in goals, dreams, or expectations.
  • Identity confusion
etiology social enviornmental
Etiology: Social/ Enviornmental
  • Abandonment in Childhood
  • Parent Neglect/rejection (87%)
  • Sexual Abuse (40-71%)
  • Physical Abuse (25-71%)
prevalence
Prevalence
  • 2% of the general Population
  • 10% among individuals seen in outpatient mental health clinics
  • 20% among psychiatric inpatients
  • 30% to 60% among clinical populations with Personality Disorders.
  • More prevalent in Women
bpd dms iv criteria
BPD: DMS IV Criteria
  • 1. frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
  • 2. a pattern of unstable and intense interpersonal 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 (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. 
dms iv continued
DMS IV continued…
  • 5. recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 
  • 6. affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days). 
  • 7. chronic feelings of emptiness 
  • 8. inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 
  • 9. transient, stress-related paranoid ideation or severe dissociative symptoms
bpd quiz
BPD Quiz
  • 1. I nearly always feel "empty." Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree2. I find that I often do one or more of the following: drive recklessly, engage in unsafe sex,abuse alcohol or drugs, binge eat, gamble or spend money recklessly. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree3. Sometimes when I'm stressed out -- especially if someone has abandoned me -- I can get very paranoid, feel myself "spacing out" or dissociate. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree
slide11

4. I often idealize others, especially when I first meet them, and feel comfortable in sharing the most intimate details with them. But I often feel that these same people don't care enough and aren't there enough for me. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree5. I'm sometimes very angry, extremely sarcastic and bitter, and feel like I have a hard time controlling this anger. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree6. I've engaged in self-mutilating, self-harm, or suicidal behaviors, gestures or threats. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

slide12

7. I often experience a sudden shift in the way I look at myself and my life, and completely change my goals, values and career focus. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree8. I'm often afraid that others will abandon or leave me -- so I'll make frantic efforts to avoid this abandonment (even when it's not real). Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree9. My mood can shift between extreme periods of anxiety, depression or irritability in just a few hours or days. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

slide13

7. I often experience a sudden shift in the way I look at myself and my life, and completely change my goals, values and career focus. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree8. I'm often afraid that others will abandon or leave me -- so I'll make frantic efforts to avoid this abandonment (even when it's not real). Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree9. My mood can shift between extreme periods of anxiety, depression or irritability in just a few hours or days. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

treatment
Treatment
  • Dialectical behaviour therapy
    • Weekly sessions
    • Decreases:
      • Self-harm behavior
      • Time spent in hospital
    • 1 year later…
treatment1
Treatment
  • Psychoanalytic psychotherapy

(30% or more)

  • Therapeutic communities
  • Interpersonal therapies
  • Cognitive–analytic therapy
long term prognosis
Long-Term Prognosis
  • 53 % of patients
  • 7 years patients diagnosed with BPD after no longer meet the BPD criteria
refrences
Refrences:
  • Halgin, R.P. & Whitbourne, S.K. (2005). Abnormal psychology: clinical perspectives on psychological disorders. New York, NY: Worth Publishers.
  • M, John.(1992-2012). Borderline personality disorder. http://psychcentral.com/lib/2007/symptom s-of- borderline-personality-disorder/
  • (2011). What is borderline personality disorder?.http://www.nimh.nih.gov/health/publications/ borderline-personality-disorder/how-is- borderline-personality-disorder-treated.shtml
video borderline personality disorder
Video: Borderline personality DISORDER
  • http://www.youtube.com/watch?v=G33FIOY28zQ
discussion questions
Discussion questions:
  • How is the term “emo” related to BPD?
  • How does the lack of information cause society to stigmatize certain people, especially those with BPD?