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Case study for borderline personality disorder
Dsm 5 borderline personality disorder study
Case study for borderline personality disorder
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Borderline Personality is a disorder that affects a significantly large percentage of the population with a prevalence rate of up to 5.9%. (DSM, 2000) Out of that percentage about 75% of patients diagnosed with BPD are female. It is an illness that is both misunderstood and given quite a bad stigma. It is difficult to live with and those that have it struggle to maintain personal and business relationships. Even with the high demand for treatment it is a disorder that is hard to treat however when treated can be highly affective. (NIMH) This paper goes into detail on the history, diagnosing, treatment, and effects of Borderline Personality Disorder so that the disorder may better be understood. Borderline Personality disorder (BPT) is defined as “a pervasive pattern of instability of interpersonal relationships, self-image, and marked impulsivity, beginning by early adulthood and present in a variety of contexts.” (DSM, 2000) When diagnosing a patient with Borderline Personality Disorder a doctor must ask the patient numerous questions about his or her history and life. There is a criterion that a patient must have in order to be considered BPD. The patient must experience five or more of the following symptoms. They may go through frantic efforts to avoid real or imagined abandonment such as staying solitary or making threats towards themselves in order to guilt loved ones. People with BPD tend to be very sensitive to their environmental circumstances. They may feel anger and anxiety simply from a friend being tardy. (DSM, 2000) The patient’s efforts to avoid abandonment may include the next criterion of participation in repetitive suicidal behaviors such as cutting or suicide threats. Self-mutilation, often being the reason ... ... middle of paper ... ...DBT is very effective, it can be a long and intense process. There is no medication available to treat Borderline Personality Disorder however many people are given medications to treat the symptoms of the disorder such as depression and anxiety. (CIIS) Borderline Personality Disorder is a disorder that is not only high in prevalence but also is very difficult to live with. Many people do not understand nor recognize the necessity in treating people who are living with this disorder. There is only a small amount of options for treatment and medications can only help some of the symptoms. It is a disorder that can make a person feel alone and alienated so it is important for people to understand the difficulties a person living with this disorder may have and for the general population to bring awareness and so that more options can be available to help sufferers.
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
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
...were fewer in individuals who received DBT compared to those in the control group. Additionally, individuals who received DBT retained individual therapy and had an attrition rate of 16.7 percent compared to the control group, who had an attrition rate of 50 percent. DBT varies from CBT because it seeks a balance between changing and accepting behaviors and beliefs (NIMH, n.d, para 23).
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)
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)
Borderline Personality Disorder is diagnosed predominantly in females. There is approximately a 3:1 female to male gender ratio for this disorder.
factors to why patients may ask for assistance in their suicide. Their goal in 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).
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
Borderline personality disorder, abbreviated to BPD, is an illness regarding mental health that spawns a great deal of emotional unsteadiness and unpredictability and has the capability to trail off into other stressing mental and behavioral difficulties. This psychological disorder known as borderline personality disorder is not entirely portrayed within the very beginning of the movie. Displayed is a young woman at the age of eighteen with a strange lifestyle where she considered all types of sex as casual. Her graduation day is shown where she has actually fallen asleep. As regards that sleepiness, depicted is
New Haven: Yale University Press, 2004. Print. The. Suicide and Suicidal Behaviors. Suicide : Medline Plus.