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Clinical case study borderline personality disorder
Borderline personality disorder literature review
Clinical case study borderline personality disorder
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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.
Diagnosis is extremely hard with borderline personality disorder because so many of the symptoms overlap into other mental illnesses. The DSM-IV has distinct criteria. The National Institute of Health lists the following as the criteria for Borderline Personality Disorder: 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 as indicated by five or more of the following: o Frantic efforts to avoid real or imagined abandonment o A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealism and devaluation o Identity disturbances: markedly and persistently unstable self image or sense of self o Impulsivity in at least two areas that are potentially self-damaging. For example spending, sex, substance abuse, reckless driving and binge eating. o Recurrent suicidal behavior, gestures or threats of suicide or self mutilating behavior o Affective instability due to a marked reactivity of mood. For example intense episodic dysphonia, irritability, or anx...
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...isorder is a devastating mental illness that is commonly overlooked, as well as misdiagnosed. Those suffering from this disease have to deal with wide-ranging, intense emotions, that more often that not, they do not have any sort of control over. They have extreme fear of being left alone and abandoned, even if this threat is only imagined. Their loved ones are often left to deal with extreme emotional outbursts, which they cannot control. In some of the worst cases, someone with Borderline Personality Disorder secretly harms themselves to help relieve a built up inner pressure, and to punish themselves for not being in control of themselves, or their emotions. Although there may not currently be any medication to help cure their symptoms, there are many therapies that can teach them how to deal with their emotions, and help them become successful in their lives.
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
outcomes. The range of mood can go from high to low in a matter of
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...
Accordingly, there is a comfort in her label as a mentally ill person. However, there is clearly more control than she is privy to. In “Borderline Personality Disorder,” she defines the illness straight out of the pschology handbook of the time:
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.
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 affects about 1.6% of the entire u.s. population (Salters-Pedneault). BPD is five times more likely to occur in a person if they have a close family member that already has the disorder (National Institute of Mental Health) . An example of a close family member would be the person’s mother or father. Symptoms of BPD consist of unstable relationships with their family, friends and loved ones. The person will swing from extreme closeness and love to extreme dislike. The person will also experience impulsive behaviors that are not safe. They have intense mood swings and have inappropriate, intense anger that they have a hard time controlling. A person struggling with BPD will also experience stress-related, paranoid thoughts (National Institute of Mental Health). Another mental health disorder is Post Traumatic Stress Disorder. PTSD is a non genetic disorder that affects 7-8% of the u.s. Population (U.S. Department of Veterans Affairs). The disease develops in people who have experienced an immense emotionally shocking or dangerous event. The events can range from near death experiences to sudden, unexpected deaths of loved ones. Symptoms of PTSD usually start within three months of the shocking or dangerous event. PTSD sufferers can experience flashbacks, feelings of guilt or blame, angry outbursts, negative feelings about the world, and a loss of interest in enjoyable activities (National Institute of Mental Health). Another mental health disorder is Schizophrenia. People suffering from this disorder experience hallucinations and delusions that they believe to be real (National Institute of Mental Health). They also experience a reduction in expressed emotions and reduced feelings of pleasure in everyday life, such as increased difficulty to begin and sustain activities and a reduction in the amount of speaking the
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).
According to Lieb, Zanarini, Schmahl, Linehan, and Bohus (2004) study borderline personality disorder (BPD) is a “mental disorder with a characteristic pervasive in affect regulation, impulse control, interpersonal relationships, and self-image” (pg. 453). The study (2004) concluded that the cause of borderline personality disorder is complex but that genetic factors and advers...
Sharma, L., Kohl, K., Morgan, T. A., & Clark, L. A. (2013). “Impulsivity”: Relations between self-report