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Case studies of Borderline personality disorder
Dsm 5 borderline personality disorder study
Case studies of Borderline personality disorder
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Borderline personality disorder (BPD) is a very common personality disorder that is often confused with Bipolar disorder. Unlike Bipolar disorder which is when a person’s mood changes from depression to manic, borderline personality disorder is when a person suffers from unstable emotions, behavior and relationships with others and themselves. Individuals who suffer from severe BPD often have manic/ psychotic encounters. This disorder is very common in young adults, especially in women of every race and ethnicity. BPD was first added to the addition of DSM-III in 1980. Borderline Personality disorder can be linked to many other disorders such as depression, eating disorders, bipolar depression, schizophrenia and/or attempted or completed suicides. According to National Institute of Mental Health: about 85 percent of people with BPD also meet the diagnostic criteria for another mental illness. Medical Professionals take interest in this disorder because it is deep rooted and irregular unlike many other disorders. 1 in every 25 individual’s live with this disorder What causes BPD is still uncertain but medical professionals such as psychiatrist, psychologist and clinical workers think that it has something to do with genetics, environmental factors and brain functions. Many years ago, people speculated borderline personality disorder resulted from bad parenting. It is now said that Borderline personality disorder can be inherited from a family member who may have had an encounter with the disorder. A family member doesn’t have to have BPD but a related disorder such as bipolar disorder or depression. 60% of people get BPD from their genetics. People who have BPD have different results when taking the MRI. These results oft... ... middle of paper ... ...he therapy sessions sufferers talk about their negative thinking and situations they find difficult. The therapist then tries to give them alternatives to help them change some of their ways. Cognitive behavioral therapy can minimize the suicide rate because CBT can minimize mood and anxiety symptoms. Schema focused therapy is a mixture of CBT and other psychotherapy’s that help with self perception. Mentalization based therapy (MBT) is another form of talk therapy that deals with separating your thoughts and feelings. The purpose of MBT is to help patients think before they act. Transference focused psychotherapy (TFP) can help patients witness their emotions and internal self by the relationship they build with others. Systems Training for Emotional Predictability and Problem Solving (STEPPS), is designed as a relatively brief treatment consisting of 20 two-hour
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
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.
Bipolar Disorder, an illness in the brain where it controls someone or something to have mood swings, depression, and thoughts on others and other things. Bipolar Disorder is the common name for Borderline Personality Disorder, it can be distressing, not only for the person with the disorder, but for the people around them. Persons with Bipolar Disorder have a difficult time controlling their emotions and many times are in a state of upheaval. Childhood experiences or a brain dysfunction are potential reasons why. Bipolar Disorder can be changed or helped by medication, therapy, and counseling. Bipolar is not an illness that can stand alone it is changed by other variables. Bipolar Disorder, is something not to be mess with. In (MANNING, JS.
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)
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 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
BPD is a complex disorder in a sense that the symptoms such as depression, anxiety and substance abuse may cause a misdiagnosis thus overlooking BPD completely (Biskin & Paris, 2013). This personality disorder has also been known to occur simultaneously with anxiety disorders, eating disorders and bipolar mood disorders (Butcher, Mineka & Hooley, 2014). In addition, the prevalence of BPD decreases in older individuals (American Psychiatric Association, 2013).
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
The causes of bipolar disease vary between individuals. Available research indicates that genetic courses account for up to 90% of the reported cases (Fagiolini et al., 2013). It indicates there is a strong connection to hereditary components. Studies interested in genetics reveal the cause of this medical condition manifests in the candidate and chromosomal regions. The connection has currency because the regions are the main areas where the disease occurs. The disease tends to manifest in families, and research shows some people are likely to develop the disease more than others. For instance, children with a sibling or parent who suffers from bipolar disorder are likely to contract the disease more than those who from a family without a history of the disease. However, this does not mean that children from a family with the disease must develop it.
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
In this case study, Amanda Sigel is living her life with Borderline Personality Disorder (BPD). She is the oldest of three in a middle-class family and her parents divorced at a young age and thought that maybe she was the cause. After the divorce, her mom and siblings had significant financial difficulties until her mom got remarried when Amanda was 13. Mike, her new stepbrother, sexually abused her and felt unable to tell anyone because he threatened to tell everyone she’s a “slut.” Her behavior was deteriorating and grades were declining even though she is a very intelligent young woman. In middle school, she began experimenting with street drugs and continued this going into high school. When she was in high school, she started promiscuous
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