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Borderline personality disorder review of the literature
Borderline personality disorder review of the literature
Clinical case study borderline personality disorder
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Borderline Personality Disorder and Dialectical Behavioral Therapy Modality Mary Rom Borderline Personality Disorder and Dialectical Behavioral Therapy Modality The purpose of this paper is to discuss Borderline Personality Disorder (BPD) and treating said disorder with Dialectical Behavioral Therapy (DBT). BPD is a mental illness that is distinguished through problems having to do with controlling emotions. The inability to control emotions often leads individuals to have unpredictable moods, a low self-esteem, and become deficient in relating to others. DBT is one of the more beneficial types of psychotherapy when addressing BPD. The main focus of this type of psychotherapy is to assist individuals in regaining authority
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
Borderline personality disorder is a hard-mental disease to diagnose, according to The National Institute of Mental health the definition of borderline personality disorder is: “… a serious mental disorder marked by a pattern of ongoing instability in moods, behavior, self-image, and functioning. These experiences often result in impulsive actions and unstable relationships” (pg 1). When we look at that definition alone this is a very vague description of the disorder that anyone that is experiencing just a rough time in life, can be diagnosed with this mental disorder. Roughly about 3 million Americans are diagnosed with borderline personality disorder a year. To find out who really has this mental disorder we should look at case studies,
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
Dialectical behaviour therapy (DBT) was developed by Marsha M. Linehan, Ph.D., in the 1980s (Waltz, 2003). It is designed for use in clinical settings with women who engage in potentially life threatening behaviours, many who have a diagnosis of borderline personality disorder but has since been modified to work with other populations that are experiencing emotional dysregulation (Waltz, 2003). It works on the premise of wedding a behaviour change-orientation with an experience validation stance (Waltz, 2003).
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.
According to the DSM-5, Personality Disorders are characterized by “impairments in personality functioning and the presence of pathological personality traits”. Borderline Personality Disorder is one of ten personality disorders listed in the DSM-5. The DSM-5 lists several criteria that must be met in order for someone to be diagnosed with Borderline Personality Disorder. They are quoted as follows:
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)
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
...f dialectical behavior therapy for patients with borderline personality disorder on inpatient units . Psychiatric Quarterly .
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.
In Medea, Medea shows copious traits of an unstable individual, which I believe to be characterized by borderline personality disorder. “Borderline personality disorder is a mental health disorder that impacts the way you think and feel about yourself and others, causing problems functioning in everyday life. It includes a pattern of unstable intense relationships, distorted self-image, extreme emotions and impulsiveness” (Mayo Clinic Staff, 2015, p. 1). Throughout the various actions and emotions displayed by Medea, sorceress and wife of Jason, you can see the relevancy of borderline personality disorder on herself.
What is Borderline Personality Disorder? Is heredity the cause or is it a person’s surrounding environment? What are its effects? Are there any treatments available for it? Borderline Personality Disorder or BPD is a serious illness that causes a person to experience instability in moods, exhibit impulsive, quite often aggressive, behavior and creates severe self-worth issues. BPD is usually not a “stand alone” illness and typically is accompanied by other disorders such as Dysthymia, Bipolar Disorder and Substance Abuse. Although BPD can be extremely dangerous to those affected by it and those surrounded by them, it is quite often not given enough attention or taken as serious as it should be. As well, BPD is commonly misdiagnosed as other disorders such as Bipolar and Schizophrenia have many of the same symptoms. This is one reason why BPD may not get enough attention; if it is being diagnosed as something other than what it truly is, the entire illness and it’s affects are not fully then being treated. If a person is not being treated for BPD as a whole, the chances of them dealing with it in a positive way are slim. Causes, symptoms and treatment of BPD are things we must thoroughly understand to grasp exactly what the illness is and why it is so difficult for those affected to live with.
Am I to blame for being diagnosed with a Borderline Personality Disorder and PTSD? I am a survivor of child sexual abuse that started in 3rd grade and was perpetuated by others until I was eleven. At twelve-years-old, I became a survivor of rape by my psychopathic brother - a secret, I am now sharing. I am a survivor of my mother's constant verbal and physical abuse in my growing years. And, I survived at thirteen the six months' abandonment in Israel by my mother; she was busy running wild among her people in the promised land.