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Case study on borderline personality disorder
Borderline personality disorder case studies
Borderline personality disorder conclusion
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Borderline personality disorder is a cluster b type of disorder. This type of disorder is characterized by unpredictable and dramatic behavior. It is also included with antisocial, narcissistic, and histrionic personality disorder. The DSM 5 states that the diagnosis must include, frantic efforts to avoid imagined or real abandonment, intense and unstable relationships, identity disturbance, impulsive decisions in two or more areas (excessive spending, promiscuity, eating disorders, substance abuse, or reckless driving), reoccurring suicidal behavior or self mutilation, mood swings that last as little as a few minutes or a few days, numbness or emptiness, inappropriate displays of anger or inability to restrain anger, dissociation or paranoia. …show more content…
It could also result in someone staying in abusive relationships because of this fear. Borderlines are willing to change their lifestyle in drastic ways to not be alone. Borderlines have a black and white view of thinking meaning something is either good or bad with no in between. Similarly, the instability in relationships comes from idealization and devaluation which is often referred to as splitting. (Johnston, 2017). As Johnston (2017) continues to state, “A heightened sensitivity to rejection (abandonment sensitivity) may trigger your devaluing reaction. This sensitivity can cause you to overreact to real or perceived rejections...In response to devaluation, you may erupt in anger, quit the related task, become aggressive or just give up.” (Johnston, https://verywellmind.com/interpersonal-relationships-and-bpd-425477). Moreover, people with borderline personality disorder struggle with self esteem and sense of self. They adapt certain personality traits for distinct events, “Sometimes they report that they simply feel non-existent. Others even say that they are almost like a chameleon in terms of identity; they change who they are depending on their circumstances and what they think others want from them.” (Salters-Pedneault, https://www.verywellmind.com/borderline-personality-disorder-identiy-issues-425488). In addition, a …show more content…
This often leads to misdiagnosis because borderline personality disorder is typically comorbid or similar to A.D.H.D or A.D.D in this particular aspect. In a general sense it also has other comorbidity such as depression, anxiety, and substance abuse. These other symptoms often lead to completely missing the diagnosis. Furthermore, there is a large stigma with personality disorders because there is not a lot of information on them and many therapists and psychiatrists refuse to treat them. There is no specific drug or cure to this disorder only coping methods or a suppression of symptoms are available. Many borderlines that do seek out treatment are often turned away or seen as resistant to change, additionally, Hancock
People with Borderline Personality Disorder tend to view the world as simple as possible. People who view the world like this, confuse the actions of others. (Hoermann et al, 2005) Recurrent thoughts about their relationships with others, lead them to experience extreme emotional reactions, great agony which they have a hard time controlling, which would result in engaging in self-destructive behaviors. Diagnosing a patient with this disorder can be challenging which is why is it is labeled as one of the difficult ones to diagnose. (Hoermann et al, 2005)
An estimated 1.6%-5.9% of the adult population in the United States has BPD, with nearly 75% of the people who are diagnosed being women. Symptoms of Borderline Personality Disorder include Frantic efforts to avoid being abandoned by friends and family, Unstable personal relationships that alternate between idealizations, Distorted and unstable self-image, Impulsive behaviors that can have dangerous outcomes, Suicidal and self-harming behavior, Periods of intense depressed mood, irritability or anxiety lasting a couple hours/days, Chronic feelings of boredom or emptiness, Inappropriate, intense or uncontrollable anger - often followed by shame and guilt, and Dissociative feelings. The three main factors that could cause this mental illness are Genetics, Environmental factors, and Brain function. This illness can only be diagnosed by a mental health professional after a series of interviews with the patient and family/friends of the patient. The patient must also have at least five of the nine symptoms of this illness in order to be diagnosed. The most common treatment for this illness is some form of psychotherapy. Some other treatment options are to prescribe medications and if needed a short-term
Mental Illness or Borderline Personality Disorder (BPD) is still taboo to talk about in our society. BPD is defined by the
Diana Miller, 25 was diagnosed with major depressive disorder and borderline personality disorder after being rushed to the hospital following another suicide attempt . Her symptoms and background are outlined in her vignette and will be examined in detail throughout the paper. The purpose of this essay will be to explore the possible additional diagnoses for Diana’s behaviour as well as look deeper into the feasible explanations of how and why her behaviour turned abnormal. Therefore through analyzing the diagnostic features, influence of culture, gender, and environment, in addition to outlining paradigm explanations and possible treatment methods, one can better understand Diana Miller’s diagnoses.
Borderline Personality Disorder in “Girl Interrupted” The movie, “Girl Interrupted,”is about a teenage girl named Susanna Kaysen who has been diagnosed with Borderline Personality Disorder. People with Borderline Personality Disorder “are often emotionally unstable, impulsive, unpredictable, irritable, and anxious. They are also prone to boredom. Their behavior is similar to that of individuals with schizotypal personality disorder, but they are not as consistently withdrawn and bizarre” (Santrock, 2003).
This paper looks at a person that exhibits the symptoms of Borderline Personality Disorder (BPD). In the paper, examples are given of symptoms that the person exhibits. These symptoms are then evaluated using the DSM-V criteria for BPD. The six-different psychological theoretical models are discussed, and it is shown how these models have been used to explain the symptoms of BPD. Assessment of
In order for someone to be diagnosed with Borderline Personality Disorder, they must experience at least five of the following symptoms: 1) fear of abandonment, 2) a history of intense and unstable relationships with family, friends, and loved ones, which often go back and forth between idealization (which includes love and extreme closeness) to devaluation (which includes extreme hatred or anger), 3) a disto...
In the past, BPD was believed to be a set of symptoms between problems associated with mood and schizophrenia. These symptoms were believed to be comprised of distortions of reality and mood problems. A closer look at this disorder has resulted in the realization that even though the symptoms of this disorder reveal emotional complexity, this disorder is more closer to other personality disorders, on the basis of the manner in which it develops and occurs in families, than to schizophrenia (Hoffman, Fruzzetti, Buteau &ump; Neiditch, 2005). The use of the term borderline has however, resulted in a heated controversy between the health care fraternity and patients. Patients argue that this term appears to be somehow discriminatory and that it should be removed and the disorder renamed. Patients point out that an alternative name, such as emotionally unstable personality disorder, should be adopted instead of borderline personality disorder. Clinicians, on the other hand, argue that there is nothing wrong with the use of the term borderline. Opponents of this term argue that the terms used to describe persons suffering from this disorder, such as demanding, treatment resistant, and difficult among others, are discriminatory. These terms may create a negative feeling of health professionals towards patients, an aspect that may lead to adoption of negative responses that may trigger self-destructive behavior (Giesen-Bloo et al, 2006). The fact however, is that the term borderline has been misunderstood and misused so much that any attempt to redefine it is pointless leaving scrapping the term as the only option.
Borderline Personality Disorder (BPD) affects about 4% of the general population, and at least 20% of the clinical psychiatric population. (Kernberg and Michels, 2009) In the clinical psychiatric population, about 75% of those with the disorder are women. BPD is also significantly heritable, with 42-68% of the variance associated with genetic factors, similar to that of hypertension. BPD can also develop due to environmental factors such as childhood neglect and/or trauma, insecure attachment, and exposure to marital, family, and psychiatric issues. (Gunderson, 2011)
Although, Susanna was diagnosed with borderline personality disorder. I would like to make the case that she was misdiagnosed as while she exhibits some symptoms of the disorder, she doesn’t actually meet the diagnostic criteria for borderline personality disorder. According to the DSM-5, borderline personality disorder is “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” (Diagnostic and Statistical). In order to have the diagnosis of borderline personality disorder an individual must meet five or more of the criteria as stated by DSM-5. Yet, Susanna only meets three of the diagnostic criteria for borderline
Some of the most common actions or responses for individuals with borderline personality disorder are suicidal. Incorporating the teaching of problem-solving skills will hopefully, again, reduce the number of suicidal thoughts or behaviors an individual has that could result in serious self-injury (Van Goethem, A., et al.). Lastly, arguably the most important component of the dialectical behavior therapy is allowing those who have undergone the treatment to test what they have learned. The final stage of this therapy involves having the patients visualize themselves in certain scenarios and creating a response to what they are envisioning. The most important part of this process is having patients trust their responses without utilizing the help and opinions of other individuals (Van Goethem, A., et al.). Though there are several different components that make up the dialectical behavioral therapy, they are each crucial to the treatment for individuals with, not only borderline personality disorder, but many other psychological disorders as well. Some of the effects of how this treatment has worked can be observed in a couple of different
Linehan addressed the need for effective and empirically supported psychotherapeutic treatment for borderline personality disorder. She discovered important shortcomings in standard cognitive and behavioral (CBT) treatments (Chapman & Robins, 2004). DBT was developed to address difficulties faced when implementing standard CBT to ...
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).
When a parent yells at their children, most people will not think anything of it. In fact, majority would call this natural, a natural teaching of a child with behavior management problems. Throughout my research, I have learned the concept of how the tip of the iceberg of behavior issues is reflected as the beginning age of verbal abuse, and the beginning of borderline personality disorders. A sense of disruption to their emotions has enhanced the cycle to obtain borderline personality disorder, which has started an ongoing epidemic of other disorders. Also these disorders can cause children to feel a sense of disruption. This encourages a malfunction in the brain, which could eventually be their demise and the need to succeed is outcast by the feeling of failure. Verbal abuse has been around for some time now, during this new age it has peaked at its highest point with no slight chances of slowing down. Borderline personality disorder is indeed caused by the verbal abuse and children who have witnessed this are ticking time bombs waiting for something or someone to push the wrong ...
People who were abused as a child have an increase risk in developing BPD. Also, if a family member has had or has a personality disorder similar or, anxiety or mood disorder. Of course a combination of these factors or others can cause BPD, not one individually.