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Case study for borderline personality disorder
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Borderline Personality Disorder (BPD or Borderline) is a severe, complex psychiatric disorder characterised by a pervasive instability in moods, impulsive and self-destructive behaviour, outbursts of anger and violence, distorted self-image, and an instability in interpersonal relationships. This disorder distorts one’s thinking and perceptions of self and others, which causes ongoing emotional distress and misunderstandings in their daily life. Many people with BPD frequently come to medical attention because of suicidal threats and acts of self-harm. The first description of individuals demonstrating the symptoms of Borderline was in medical literature almost three thousand years ago, says Robert O. Friedel, M.D. on his website, Borderline …show more content…
People with close family members with the disorder may be at higher risk for developing it. Structural and functional changes in certain areas of the brain that deal with impulse control and emotional regulation, such as the limbic system, are shown in people with BPD. The amygdala is an important component of the limbic system; it deals with fear and arousal in response to signals from other parts of the brain that perceive threat. The prefrontal cortex acts to dampen the activity of the circuit that regulates negative emotion. However, it is not known whether brain abnormalities in these areas are risk factors for developing Borderline or if they are caused by the disorder. Personality traits, such as impulsivity and aggression may play a role in the development of the disorder, heightening its severity. Many people with Borderline report having experience with trauma — such as abuse, abandonment, or adversity during childhood — exposure to unstable, invalidating relationships, and hostile conflicts, says NIMH, however, exposure to these risk factors does not mean a person will develop …show more content…
Once these books were published, greater public awareness emerged. However, because the treatment of Borderline Personality Disorder has only recently begun to work and improve the lives of those affected, most people don’t realise how different those with BPD have begun acting. Previously, patients with Borderline were considered problem patients who never improved and were avoided by clinicians. References to BPD in movies, TV, and other fictional media often portrayed those affected as wild, suicidal, and dangerous. Borderline was, and still is, often grouped with Schizophrenia, and Bipolar disorder to explain their erratic behaviour. Although, at one point in time this might have been true, quite a bit has changed since people first started hearing about
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 stigma and negative associations that go with mental illness have been around as long as mental illness itself has been recognized. As society has advanced, little changes have been made to the deep-rooted ideas that go along with psychological disorders. It is clearly seen throughout history that people with mental illness are discriminated against, cast out of society, and deemed “damaged”. They are unable to escape the stigma that goes along with their illness, and are often left to defend themselves in a world that is not accepting of differences in people. Society needs to realize what it is doing, and how it is affecting these people who are affected with mental illness. If we continue to not help them, and to foster their illness, it will only get worse.
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.
...n fear and arousal (Schmahl, Berne, Krause, Kleindienst, Valerius, Vermetten &ump; Bohus, 2009). The work of dampening this arousal is carried out by the pre-frontal region of the brain. Brain imaging has revealed that personal differences in the capacity to activate areas of the prefrontal cerebral cortex, which is believed to activate inhibitory responses, predict the capacity to repress negative feelings (Williams Sidis, Gordon &ump; Meares, 2006). Acetylcholine and norepinephrine in addition to serotonin are the main neurotransmitters in the circuit involved in the regulation of emotions. Imbalance of these neurotransmitters in conjunction with increased GABA activity is believed to have the capacity to result in intense mood swings similar to those of borderline personality disorder (Schmahl, Berne, Krause, Kleindienst, Valerius, Vermetten &ump; Bohus, 2009).
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 (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)
- Sexual abuse, which is common in childhood histories of borderline patients, happens more often to women than men.
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).
...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.
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
For a very long time, mental health was a disease people would not dare speak about. The stigma associated with mental health meant that it was viewed as a curse or simply poor upbringing. Crazy, right? (Pardon the pun). Although it’s not seen as a curse by us in this generation any more, many people with mental health issues still have to face ignorance, prejudice and discrimination from our society just because of their lack of understanding or reluctance to try and understand. Be that as it may, these attitudes directly impact upon how and if people choose to seek help, making the negative and ignorant opinions and attitudes of others potentially dangerous to many individuals and the people around them.
Why is there a cloud of judgment and misunderstanding still surrounding the subject? People with a mental disorder or with a history of mental health issues are continually ostracized by society. This results in it being more difficult than it already is for the mentally ill to admit their symptoms to others and to seek treatment. To towards understanding mental illness is to finally lift the stigma, and to finally let sufferers feel safe and accepted within today’s society. There are many ways in which the mentally ill are degraded and shamed.