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Boarderline Personality

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by

Cindy Kobrin

on 15 October 2012

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Transcript of Boarderline Personality

Works Cited Borderline Personality Disorder "Psychotherapy." Borderline Personality Disorder Demystified. N.p., n.d. Web. 05 Oct. 2012. <http://www.bpddemystified.com/treatments/psychotherapy>. History: Initially overlapped schizophrenia , anxiety and depressive disorders
Commonly believed to be a "wastebasket" diagnosis
Responded poorly to treatment 1. Excessive, unstable and poorly regulated emotional responses.
Affective (emotional) instability including intense, episodic emotional anguish, irritability, and anxiety/ panic attacks
Anger that is inappropriate, intense and difficult to control, and
Chronic feelings of emptiness 2. Impulsive behaviors that are harmful to you or to others.
Self-damaging acts such as excessive spending, unsafe and inappropriate sexual conduct, substance abuse, reckless driving, and binge eating, and
Recurrent suicidal behavior, gestures, threats, or self-injurious behavior 3. You may have an inaccurate view of yourself and others, and experience a high level of suspiciousness and other misperceptions.
A markedly and persistently unstable self-image or sense of your self (your identity), and
Paranoid ideation or severe dissociative episodes (transient and stress related) 4. Finally, you may experience tumultuous and very unstable relationships.
You may engage in frantic efforts to avoid real or imagined abandonment, and
Your relationships may be very intense, unstable, and alternate between the extremes of over idealizing and undervaluing people who are important to you Symptoms: Treatments
Low doses of antipsychotics
Low doses of high potency neuroleptics(haloperidol) "Borderline Personality Disorder Treatment | Psych Central." Psych Central.com. N.p., n.d. Web. 11 Oct. 2012. <http://psychcentral.com/lib/2007/borderline-personality-disorder-treatment/>. Psychotherapy :
1.Dialectical Behavior Therapy (DBT)
2.Mentalization-Based Therapy (MBT)
3.Transference Focused Psychotherapy (TFP)
4.Schema-Focused Therapy (SFT)
5.General Psychiatric Management (GPM)
6.Systems Training for Emotional Predictability and Problem Solving (STEPPS; Group) Celebrities with Borderline Personality Disorder
Brandon Marshall
He is an NFL wide receiver for the Miami Dolphins. He announced his struggle with BPD months after a dispute that resulted in a stab wound to his abdomen. He spent three months in treatment for BPD. He allowed a videographer to capture his experience for a documentary called "Borderline Beast." After Marshall announced his struggle with BPD 25% of people who suffer from BPD got the help they needed.
"I've been talking with doctors since i've been in the NFL. No one has ever helped me. I was praying there was a treatment out there for what I suffered from, and there was." Celebrities with BPD
Princess Diana
Princess Diana was not diagnosed with BPD but many psychologists say she had the symptoms of BPD. Those symptoms, as exhibited by the Princess of Wales, included spells of depression, fear of rejection and abandonment, sharp mood swings, impulsive behavior, such as binge eating and self-mutilation, and persistent feelings of loneliness, boredom and emptiness. 1st Hand Account During current case studies the subjects were interviewed and asked questions about what it was like to have BPD.
"My subconscious mind plays tricks on me. I was in a trans. I seemed to be separated from my body. My conscious mind has to pass on everything my subconscious mind does. My subconscious mind tries to do and say things that other people have in their minds. I feel what they think. The words that i can not understand are positive and Negative.' It means that i am trying to be certain about things. I feel like i am hypnotized. Did you hypnotize me? At times i have the feeling as if a voice was telling me to go to sleep and act like a child and be a babied." -Case 3 Current Research:
Columbia University and New York State Psychiatric Institute are conducting a six month randomized clinical trial of Dialectical Behavior Therapy versus fluoxetine medication with clinical management for patients with BPD with a recent history of suicidal or self-injurious behavior. Diagnosis:
A pervasive pattern of instability of interpersonal relationships, self-image and affects, as well as marked impulsivity, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: 1.Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-injuring behavior covered in Criterion 5
2.A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. 3.Identity disturbance: markedly and persistently unstable self-image or sense of self.
4.Impulsivity in at least two areas that are potentially self-damaging (e.g., promiscuous sex, excessive spending, eating disorders, binge eating, substance abuse, reckless driving). Note: Do not include suicidal or self-injuring behavior covered in Criterion 5 5.Recurrent suicidal behavior, gestures, threats or self-injuring behavior such as cutting, interfering with the healing of scars or picking at oneself (excoriation).
6.Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability or anxiety usually lasting a few hours and only rarely more than a few days). 7.Chronic feelings of emptiness
8.Inappropriate anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
9.Transient, stress-related paranoid ideation, delusions or severe dissociative symptoms Pros:
Don't easily get put down
Strong/ independent Cons:
People are afraid to approach them because they don't take criticism very well.
Often deny having BPD.
Self injury
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