Borderline Personality Disorder (BPD) can be characterized by a significant amount of emotional instability and is often recognized as one of the most severe behavioral disorders (Valentiner, Hiraoka, & Skowronski, 2014). Individuals with BPD often experience intense feelings of emptiness, unstable interpersonal relationships, affective instability, and impulsive behaviors starting in early adulthood or adolescence (Biskin, 2015). BPD is a serious mental health disorder as its significant impairment is also associated with an elevated risk of suicidal thoughts and behaviors (Whalen, Kiel, Tull, Latzman & Gratz, 2015). It is critical to recognize the symptoms of BPD and implement effective intervention techniques in order to treat individuals …show more content…
A diagnosis of this particular personality disorder is indicated by five or more of the following symptoms: efforts to avoid real or imagined abandonment, unstable interpersonal relationships, identity disturbance, impulsivity that may be self-damaging, suicidal or self-harm ideations and/or behaviors, instability in mood, chronic feelings of emptiness, anger and/or difficulty controlling anger, and stress-related paranoid ideation or dissociative symptoms (American Psychiatric Association, 2013). As individuals with BPD attempt to avoid abandonment, they become very sensitive to their environment and the people around them. Such fear often results in these individuals having the desire to constantly be around others and also influences a pattern of unstable relationships and behaviors. Individuals with BPD have fluctuating emotions and their views of others dramatically shift in ways that may increase rejection or abandonment; such individuals are difficult to develop trusting, stable relationships with and are difficult to work with. Therefore, BPD has devastating effects for both the individuals diagnosed with the disorder, as well as for their families and those around …show more content…
For those who do seek treatment, a positive therapeutic alliance is essential for treatment to be effective (McMain, Boritz, & Leybman, 2015). McMain, Boritz and Leybman (2015) highlighted five strategies for clinicians working with BPD clients in order to promote a positive therapeutic relationship: emotional awareness, structured treatment, responsiveness, supervision and involvement, and exploring the focus of treatment. BPD clients often find any relationship difficult to maintain and their sensitivity can be critical to whether or not they complete treatment. A strong therapeutic relationship has been associated with positive treatment results (McMain et al., 2015). Therefore, it is important for clinicians to acknowledge the vulnerabilities of BPD clients while also monitoring their own reactions during
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
DBT is effective when working with clients experiencing anxiety disorder and depression. Individuals in DBT therapy are taught to notice, rather than react to thoughts and behaviors. DBT teaches clients to accept their emotional reactions and learn to tolerate distress while being mindful of their present experiences. DBT has four stages for therapy. In stage one the pre-commitment stage is where the therapist explains what types of treatment the client will receive. In this stage the client must agree to stop all self harm behavior and work toward developing other coping skills. In stage two the goal is to assist the client into controlling her emotions. Stage three and four involve assisting the client to gain the ability to develop self respect (Waltz, 2003).
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
Borderline Personality Disorder (BPD) has been a disability surrounded by stigma and confusion for a long time, and the time to bring awareness and public understanding to this disability is long overdue. The disability itself often gets misdiagnosed as an other disability since the symptoms overlap with many other disabilities (NIMH, n.d, para 16), or worse case scenario, a medical professional refuses to diagnose or treat the disability due to the belief that these people are untreatable because of a negative schema about the disability and clinical controversies on whether BPD is a legitimate diagnosis (Hoffman, 2007) . However, after nearly three decades of research, it has come to light that BPD does indeed exist, does have a good prognosis for remission with treatment (BPD Overview, n.d, para 3), and that there are many treatment options available such as three different types of psychotherapy (Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Schema-focused therapy), omega-3 fatty acid supplements, and/or medications (NIMH, n.d, para 29, 30, 31, and 39, 41). Even though the disability started as a psychoanalytic colloquialism for untreatable neurotics (Gunderson, 2009), BPD is very treatable and doesn’t deserve the stigma it currently carries throughout society.
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)
The term borderline personality disorder (BPD) was termed by Adolph Stern in the 1930s to describe a group of people on a “borderline” between neurosis and psychosis (SITE). Today, BPD is described by the Diagnostic and Statistical Manual of Mental Disorders as “a pervasive patt...
Borderline Personality Disorder (BPD) hinders people’s security, makes interpersonal and interpersonal relationships difficult, worsens the person suffering from the disorder’s life and those around them, effects their affect and self-image, and generally makes a person even more unstable (Davidon et al., 2007). This disorder is a personality disorder which effects the people’s emotions, personality, and daily living including relationships with other and job stability. People with BPD may experience a variation of symptoms including but not limited to: intense contradictory emotions involving sadness, anger, and anxiety, feelings of emptiness, loneliness, and isolations (Biskin & Paris, 2012). This disorder makes it hard for the person with the disorder to maintain relationships since they have tendentious believe that people are either strictly good or bad. Also, they are sensitive to other people’s actions and words and are all over the place with their emotions so those in their life never know which side to expect. (Biskin & Paris, 2012)
Terry has reported to have intense negative feelings about being alone and worries that her friends will abandon her. Terry appears to display “frantic efforts to avoid real or imagined abandonment”, which individuals with a BPD have a tendency to do. (DSM-5; 2013, pg. 663) Terry also has a history of dysfunctional interpersonal relationships that can be seen in her family’s history and current intimate relationship. Her parents are divorced because of the abuse going on in the home towards Terry and her mother. As well as having a boyfriend who is emotionally abusive towards her. The DSM-5 characterized “a pattern of unstable and intense interpersonal relationships” is another sign of a BPD. (DSM-5; 2013, pg. 663)
Combining these IST and attachment, a client can reintegrate affective responses and relational needs through mutual recognition in the therapeutic relationship. Furthermore, both approaches delve into the subjective and embodied processes of both client and therapist, which allows me to integrate interventions like mindfulness, deep breathing, DBT skills, and other behavioral coping skills that work in conjunction with the relational processes to empower clients to stabilize, regulate, and develop new ways to relate interpersonally. The use of these interventions is particularly helpful when working with clients with severe and chronic mental illnesses as it creates a safe, relational holding space for clients to develop necessary coping skills, especially when the therapy is time-limited. The client had developed a dismissive attachment style characterized by two coexisting, but conflicting internal working models.
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).
Borderline Personality disorder is a commonly misdiagnosed mental illness. The symptoms of borderline personality disorder are so closely related to other mental illnesses, that it is most often under diagnosed or misdiagnosed altogether. This illness can be completely debilitating to effected person. They do not understand that it is their mental illness that is making them feel the way that they do. They feel hopeless, like their lives will never improve from this point. Which is a major factor into why borderline personality disorder has one of the highest rates of suicidal ideation and suicide attempts.
Borderline Personality Disorder (BPD) is a mental illness characterized by patterns of ongoing instability in moods, behavior, self-image, and functioning. An individual suffering from this disorder may act impulsively and experience unstable relationships (The National Institute of Mental Health, 2016). The term Borderline Personality Disorder stems from the idea that the characteristics of this disorder fall between anxiety and psychosis (Cacioppo & Freberg, 2016). According to the National Alliance on Mental Illness (2017), “1.6% of the adult U.S. population have BPD but it may be as high as 5.9%. Nearly 75% of people diagnosed with BPD are women, but recent research suggests that men may be almost as frequently