Borderline Personality Disorder

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  1. yeah, today we will be talking about borderline personality disorder.
  2. So let's start by defining what that is.
  3. Borderline is often characterized by unstable moods and unstable interpersonal
  4. relationships. Um This is often due to a very all
  5. or nothing view on relationships.
  6. Um People with borderline often formed very rapid physical and
  7. emotional bonds with people and if they perceive that someone
  8. is about to abandon them, whether that is accurate or
  9. not, they will often abandon that person before the person
  10. can do the same to them.
  11. People with borderline also experience identity issues, suicide, ideation, chronic
  12. feelings of emptiness, anger issues and often disassociate from their
  13. surroundings to deal with some of the things that they're
  14. going through.
  15. They often engage in manic behavior, including but not limited
  16. to risky sexual behavior, um abuse in the use of
  17. drugs and alcohol and reckless driving.
  18. Let's talk about some popular myths and misconceptions.
  19. A lot of people think that everyone with borderline personality
  20. disorder is manipulative, that there is no treatment for it
  21. and those things are simply not true.
  22. Um Borderline personality disorder and uh bipolar disorder are often
  23. mistaken for each other just because they do have the
  24. same initials, they're both referred to as BPD.
  25. Um however they are quite different.
  26. There's also miss that BPD is only found in women.
  27. Men are just as capable as women as experiencing this
  28. disorder. Um And then another misconception is that people with
  29. BPD or the same.
  30. There's no one particular treatment or one particular shoe that
  31. fits for how you can treat somebody with borderline mm.
  32. Mhm. Let's talk about some harsh realities.
  33. Um borderline percent affects two of adults.
  34. The majority of them are women, but again, men are
  35. just as capable of experiencing this disorder as women.
  36. Um there is a 10 uh suicide rate among people
  37. who have borderline personality disorder.
  38. It's hard to gauge how many people with this disorder
  39. self harm.
  40. Um But those with this disorder at a high risk
  41. for both suicide and self harm.
  42. Borderline is caused by brain structure.
  43. Yes, and genetics, but it is mostly found to be
  44. caused by the environment the person grows up in um
  45. and generally is shaped by things that happen in adolescence
  46. in 10 years.
  47. Having narcissistic parents astronomically increases the odds of having borderline
  48. personality disorder.
  49. So let's talk about a study that was recently done
  50. on borderline personality disorder.
  51. Um The study was done in brazil and they use
  52. transcranial magnetic stimulation um In order to see how it
  53. would affect some of the main symptoms of the disorder.
  54. They did use the sample size of 14.
  55. Um so not, you know, some of the numbers would
  56. be looking for in future studies, but they split that
  57. number into two groups, one control, you know where they
  58. told them that they were getting the transcranial magnetic stimulation
  59. and then one treatment group.
  60. Uh Those in the treatment group did 15 sessions and
  61. then were evaluated using the borderline symptoms list as well
  62. as clinical global impression scale for BPD border line evaluation
  63. of severity over time the Hamilton depression rating scale, Hamilton
  64. anxiety rating scale and barrettes impulsiveness scale.
  65. Um At the end they did find that it did
  66. work and at a statistically significant level um a direct
  67. quote, it lessened the severity of borderline personality disorder.
  68. Symptomology especially that of abandonment.
  69. Effective issues, interpersonal relationships, suicidal behavior, anger and paranoid ideation.
  70. Cognitive improvement was seen in decision making.
  71. So let's talk about why that's important.
  72. One of the hallmark things that creates manic behavior in
  73. people's borderline is perception of abandonment.
  74. That is one of the major things this entire disorder
  75. centers around.
  76. So the fact that magnetic stimulation was able to decrease
  77. that symptom um could potentially lead to more and more
  78. symptoms being decreased, what other treatments are out there.
  79. So the main and thought to be most effective.
  80. One currently is cognitive behavioral therapy.
  81. Um And that is what seems to be most effective.
  82. Uh S.
  83. S. R.
  84. I. S.
  85. And antidepressants can actually make.
  86. People with borderline personality disorder have worse and worse symptoms
  87. um just because it does not always play well with
  88. their brain chemistry.
  89. Um And now as a result of the study we
  90. just discussed, there is also transcranial magnetic stimulation.
  91. This has not ruled out Worldwide yet is not commonly
  92. accepted quite yet.
  93. The study was done in 2021.
  94. So it is rather new uh innovation.
  95. So what are some other current issues that they're trying
  96. to resolve?
  97. So one of the biggest things is identification of risk
  98. factors. Um so, knowing that somebody in a home with
  99. narcissists is more likely than others to develop this.
  100. Um understanding that people who have experienced abandonment are more
  101. likely to develop this order and trying to mitigate those
  102. risk factors or uh begin therapy with individuals who have
  103. those risk factors before they really begin to develop the
  104. disorder. Um so that it's more controllable.
  105. Um there is also talk of medicinal treatment of symptoms,
  106. so maybe things to treat some of the self harm
  107. behavior or some of the anxiety.
  108. Borderline personality disorder is often paired with other disorders as
  109. well. Um It is generally not a one and done.
  110. So that is one of the other things that are
  111. working hard to do here are my lovely, lovely references.
  112. Um The first one listed is where the study came
  113. from, and then the following to just gave some very
  114. general information on borderline personality disorder.