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Effectiveness of Cognitive Behavioral Therapy for borderline personality disorder
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Mental illness can negatively affect the chances for successful reentry. According to Mallik-Kane and Visher (2008) study ex-offenders with mental health conditions have more housing difficulties compared to other returning prisoners, had poor employment outcomes, and received less support from families. Thus, ex-offenders with mental health issues may experience greater difficulty in successful reintegration and higher chances of recidivism, especially if services are not provided for their illness. Consequently, G’s borderline personality disorder (BPD) can affect her chances of recidivism therefore, an approach for cognitive behavioral therapy is recommended for a year at Central City Community Health Care. 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...
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
Selby, E. A., & Joiner Jr, T. E. (2008). Ethnic variations in the structure of borderline personality
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)
To understand what mental illness is you have to know what it means. Mental health is the state of our well-being. Mental health has to do with the mind. According to thefreedictionary.com mental health is “a state of emotional and psychological well-being in which an individual is able to use his or her cognitive and emotional capabilities, function in society, and meet the ordinary demands of everyday life”. Mental illness are behavioral, psychological, and emotional disorders that effect the mind. Mental illness is not something that should be avoided. There many different types of mental illnesses. There are also mental healthcare services that can help people with their mental illnesses.
The United States has the highest incarceration rate in the world and of that over sixty percent of jail inmates reported having a mental health issue and 316,000 of them are severely mentally ill (Raphael & Stoll, 2013). Correctional facilities in the United States have become the primary mental health institutions today (Adams & Ferrandino, 2008). This imprisonment of the mentally ill in the United States has increased the incarceration rate and has left those individuals medically untreated and emotionally unstable while in jail and after being released. Better housing facilities, medical treatment and psychiatric counseling can be helpful in alleviating their illness as well as upon their release. This paper will explore the increasing incarceration rate of the mentally ill in the jails and prisons of the United States, the lack of medical services available to the mentally ill, the roles of the police, the correctional officers and the community and the revolving door phenomenon (Soderstrom, 2007). It will also review some of the existing and present policies that have been ineffective and present new policies that can be effective with the proper resources and training. The main objective of this paper is to illustrate that the criminalization of the mentally ill has become a public health problem and that our policy should focus more on rehabilitation rather than punishment.
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 ...
Schizophrenia is a serious, chronic mental disorder characterized by loss of contact with reality and disturbances of thought, mood, and perception. Schizophrenia is the most common and the most potentially sever and disabling of the psychosis, a term encompassing several severe mental disorders that result in the loss of contact with reality along with major personality derangements. Schizophrenia patients experience delusions, hallucinations and often lose thought process. Schizophrenia affects an estimated one percent of the population in every country of the world. Victims share a range of symptoms that can be devastating to themselves as well as to families and friends. They may have trouble dealing with the most minor everyday stresses and insignificant changes in their surroundings. They may avoid social contact, ignore personal hygiene and behave oddly (Kass, 194). Many people outside the mental health profession believe that schizophrenia refers to a “split personality”. The word “schizophrenia” comes from the Greek schizo, meaning split and phrenia refers to the diaphragm once thought to be the location of a person’s mind and soul. When the word “schizophrenia” was established by European psychiatrists, they meant to describe a shattering, or breakdown, of basic psychological functions. Eugene Bleuler is one of the most influential psychiatrists of his time. He is best known today for his introduction of the term “schizophrenia” to describe the disorder previously known as dementia praecox and for his studies of schizophrenics. The illness can best be described as a collection of particular symptoms that usually fall into four basic categories: formal thought disorder, perception disorder, feeling/emotional disturbance, and behavior disorders (Young, 23). People with schizophrenia describe strange of unrealistic thoughts. Their speech is sometimes hard to follow because of disordered thinking. Phrases seem disconnected, and ideas move from topic to topic with no logical pattern in what is being said. In some cases, individuals with schizophrenia say that they have no idea at all or that their heads seem “empty”. Many schizophrenic patients think they possess extraordinary powers such as x-ray vision or super strength. They may believe that their thoughts are being controlled by others or that everyone knows what they are thinking. These beliefs ar...
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).
As an overview, schizophrenia is a disease to the brain. It is one of the most disabling and emotionally devastating illnesses known to man. It has been misunderstood for a long time. It has a biological basis, so it is like other diseases. It is a very common disease; one percent to one and a half percent of the U.S. has been diagnosed within some point in their life. There is no cure for this disease, although there is treatable medicine. Schizophrenia is not a multiple personality disorder. People who take medicine for it are able to lead normal fulfilling lives.
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
In a country based around free will, the United States contains a vast variety of personalities and behaviors. Plenty of people, probably more than we know, exert abnormal behavior. Abnormal behavior is patterns of emotion, thought, and action that are considered pathological. Historically, people blame witchcraft for this eccentric type of behavior and tended to perform exorcisms in hopes of abolishing such actions. Anxiety disorders and personality disorders, two forms of abnormal behavior, can alter a person’s personality as a result of life experiences.
Addressing many of the determinants such as income and housing (Mikkonen, & Raphael, 2010) are effective ways to deal with prevention of mental health problems in younger children. These determinants are linked (based on class discussion) and form the underlying grounds for maltreatment and neglect leading to increased mental health problems in young children and ensuing foster care placement. Although this is significant, this paper has emphasized the growing number of young children already residing in foster care with increasing mental health needs. Early childhood development directly influences young children, especially ones in foster care. The current initiatives being implemented attempt organizational change yet occur at the interpersonal level and fail to address the gaps identified earlier. As with my experience at the Children’s Cottage, interventions were at the interpersonal level. While the caregivers had early childhood training, many were lacking in how to provide proper mental health care to the foster children that frequented the facility. In depth training on the complex issues that foster children face, such as maltreatment and neglect was overlooked. Therefore, in my opinion, building upon these interventions and applying them to an organizational level allows for the reduction and or resolution of those gaps. The organizational level has the ability to promote health on a wider scale (K. Raine, personal communication, November 15, 2013). Many families use organizations such as the Cottage thus, becoming prime opportunity for collectively changing/improving mental health for all young foster children.
There are many diseases and disorders that may affect the human mind. Some of these are serious, while others are minor and may not even be noticed. Some of the disorders and diseases to be covered in this report are delirium, dementia, and schizophrenia, also a discussion of specific symptoms and treatments available for the different disorders.