BORDELINE PERSONALITY DISORDER(BPD)Zitlaly Ortega

Period 6

WHAT ID BPD? Borderline Personality

Disorder: Characterized by a

pervasive pattern of instability, most evident in relationships, mood, and sense of identity.

What does it mean to have BPD?

ASSOCIATED FEATURES Need for intense emotional

experiences Mood swings Boredom

This causes the person to engage in impulsive behaviors.

ASSOCIATED FEATURES

Might go to the extreme of self mutilation

Anxiety when someone is not present.

Suicidal thoughts

Sexual orientation confusion

ASSOCIATE FEATURES Shifts in goals,

dreams, or expectations.

Identity confusion

ETIOLOGY: SOCIAL/ ENVIORNMENTAL

Abandonment in Childhood

Parent Neglect/rejection (87%)

Sexual Abuse (40-71%)

Physical Abuse (25-71%)

PREVALENCE

2% of the general Population 10% among individuals seen in outpatient

mental health clinics 20% among psychiatric inpatients 30% to 60% among clinical populations with

Personality Disorders. More prevalent in Women

BPD: DMS IV CRITERIA

1. frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating 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., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. 

DMS IV CONTINUED…

5. recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 

  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, intense anger or difficulty

controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 

  9. transient, stress-related paranoid ideation or severe dissociative symptoms

BPD QUIZ 1. I nearly always feel "empty." 

Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree2. I find that I often do one or more of the following: drive recklessly, engage in unsafe sex,abuse alcohol or drugs, binge eat, gamble or spend money recklessly. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree3. Sometimes when I'm stressed out -- especially if someone has abandoned me -- I can get very paranoid, feel myself "spacing out" or dissociate. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

4. I often idealize others, especially when I first meet them, and feel comfortable in sharing the most intimate details with them. But I often feel that these same people don't care enough and aren't there enough for me. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree5. I'm sometimes very angry, extremely sarcastic and bitter, and feel like I have a hard time controlling this anger. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree6. I've engaged in self-mutilating, self-harm, or suicidal behaviors, gestures or threats. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

7. I often experience a sudden shift in the way I look at myself and my life, and completely change my goals, values and career focus. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree8. I'm often afraid that others will abandon or leave me -- so I'll make frantic efforts to avoid this abandonment (even when it's not real). Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree9. My mood can shift between extreme periods of anxiety, depression or irritability in just a few hours or days. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

7. I often experience a sudden shift in the way I look at myself and my life, and completely change my goals, values and career focus. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree8. I'm often afraid that others will abandon or leave me -- so I'll make frantic efforts to avoid this abandonment (even when it's not real). Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree9. My mood can shift between extreme periods of anxiety, depression or irritability in just a few hours or days. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

TREATMENT

Dialectical behaviour therapyWeekly sessionsDecreases:

Self-harm behaviorTime spent in hospital

1 year later…

TREATMENT

Psychoanalytic psychotherapy(30% or more)

Therapeutic communities

Interpersonal therapies

Cognitive–analytic therapy

LONG-TERM PROGNOSIS 53 % of patients

7 years patients diagnosed with BPD after no longer meet the BPD criteria

REFRENCES:

Halgin, R.P. & Whitbourne, S.K. (2005). Abnormal psychology: clinical perspectives on psychological disorders. New York, NY:

Worth Publishers.

M, John.(1992-2012). Borderline personality disorder. http://

psychcentral.com/lib/2007/symptoms-of-borderline-personality-disorder/

(2011). What is borderline personality disorder?. http://www.nimh.nih.gov/health/publications/borderline-personality-disorder/how-is-borderline-personality-disorder-treated.shtml

VIDEO: BORDERLINE PERSONALITY DISORDER

http://www.youtube.com/watch?v=G33FIOY28zQ

DISCUSSION QUESTIONS:

How is the term “emo” related to BPD?

How does the lack of information cause society to stigmatize certain people, especially those with BPD?