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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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BPD is ruining my life and it has been controlling every dissection I make. Borderline personality disorder or BPB is a serious mental illness that centers on the inability to manage emotions effectively. A person with BPD will only see the world in Black and white, while others see the world as grey.
What It means to see the world in black and white is that there are only good or bad, and all or nothing. This is extremely problematic for every relationship that I have, considering that I will either hate you or love you and will avoid you entirely or will smother you with overwhelming affection depending on the smallest positive or negative experience we have had when we last encountered each other. I have destroyed relationships with friends
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
The prognosis of Borderline Personality Disorder can vary from case to case. As we learned in class the rates of comorbidity are fairly high with BPD: 20% of people have a major depressive disorder, 40% have bipolar disorder, 67% struggle with substance abuse disorders and 25% of those with Bulimia also have Borderline Personality Disorder. With effective treatment most individuals with borderline personality disorder can improve and even sometimes emit their symptoms. Sadly emotional dysfunction can be the best predictor for suicide and 6% of people with Borderline Personality Order result in that. Symptoms of Borderline Personality Disorder are known improve in a person’s 30-40 year age range but sometimes they also can struggle with the disorder for the rest of their
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.
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)
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
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.
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
Using narratives to gain an insight into human experience is becoming an increasingly popular method of exploration. Assuming that people are in essence narrative beings that experience every emotion and state through narrative, the value of exploring these gives us a unique understanding. Narrative is thought to act as instrument to explore how an individual constructs their own identity (Czarniawska, 1997) and explain how each individual makes sense of the world around them (Gabriel, 1998). It may also give us an understanding into individual thought processes in relation to individual decision making practices (O’Connor, 1997). It is evident from studies such as Heider and Simmel (1944), that there appears to be an instinctive nature in people to introduce plots structures and narratives into all situations, with an intention to construct meaning to all aspects of life in its entirety. The value of narrative is that it is a tool that allows us to understand what it means to be human and gives us an insight into a person’s lived experience whilst still acknowledging their cultural and social contexts. Narrative is thought to be significance as it is ‘a fruitful organizing principle to help understand the complex conduct of human beings (p.49)’ (Sarbin, 1990) The construction of a person’s narrative is thought to be dependent on each person’s individual awareness of themselves and the circumstances that surround them. However, a debate to whether a person is able to formulate a valid narrative in the face of a mental illness such as schizophrenia has emerged. Sufferer’s symptoms are often thought to interfere with their abilities to perceive within a level deemed acceptable to their society’s norms and therefore the validity ...
Borderline Personality Disorder, commonly referred to as BPD, refers to certain problems that affect a person’s ability to form healthy relationships with others, express a positive self-image, and regulate emotions and behaviors in a rational manner. Borderline Personality Disorder’s wide-range of symptoms and conditions can affects individuals from early in life, which impairs one’s ability to engage in healthy social interactions and meaningful relationships that work to benefit their social development. Despite the variety of serious effects caused by BPD, this psychological disorder remains treatable. One dominating symptom for Borderline Personality Disorder affects one’s ability to cultivate societally acceptable relationships with
I am sentimental, out-going, indecisive, understanding, curious, naive, lazy, and young. I want to be ... , well a lot of things, and growing is discovering what they are. I feel people cannot see the potential within, although there is no one to blame but myself. I look to others for approval instead of to myself. I aim to please; it leads to approval. I don’t like to discuss my faults; I pity myself.