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Found 6 results

  1. Borderline Personality Disorder Borderline personality disorder is a chronic condition that may include mood instability, difficulty with interpersonal relationships, and high rates of self-injury and suicidal behavior. Borderline personality disorder (BPD) is characterized by pervasive instability in moods, interpersonal relationships, self-image, and behavior. This instability often disrupts family and work life, long-term planning, and an individual's sense of identity. People with BPD, originally thought to be at the "border" of psychosis and neurosis, suffer from difficulties with emotion regulation. While less well known than schizophrenia or bipolar disorder, BPD affects 2 percent of adults. People with BPD exhibit high rates of self-injurious behavior, such as cutting and elevated rates of attempted and completed suicide. Impairment from BPD and suicide risk are greatest in the young-adult years and tend to decrease with age. BPD is more common in women than in men, with 75 percent of cases diagnosed among women. People with borderline personality disorder often need extensive mental health services and account for 20 percent of psychiatric hospitalizations. Yet, with help, the majority stabilize and lead productive lives. Symptoms According to the DSM-5, individuals with BPD exhibit some or all of the following symptoms: Efforts to avoid real or imagined abandonment. Intense bouts of anger, depression, or anxiety that may last only hours or, at most, a few days. These may be associated with episodes of impulsive aggression, self-injury, and drug or alcohol abuse. Distortions in thoughts and sense of self can lead to frequent changes in long-term goals, career plans, jobs, friendships, identity, and values. Sometimes people with BPD view themselves as fundamentally bad or unworthy. They may feel bored, empty, or unfairly misunderstood or mistreated, and they have little idea who they are. Recurrent suicidal behavior. Transient, stress-related paranoid thinking, or dissociation ("losing touch" with reality). People with BPD often have highly unstable patterns of social relationships. While they can develop intense but stormy attachments, their attitudes toward family, friends, and loved ones may suddenly shift from idealization (great admiration and love) to devaluation (intense anger and dislike). Thus, they may form an immediate attachment and idealize another person, but when a slight separation or conflict occurs, switch unexpectedly to the other extreme and angrily accuse the other person of not caring for them at all. Most people can tolerate the ambivalence of experiencing two contradictory states at one time. People with BPD, however, must shift back and forth between good and bad states. If they are in a bad state, for example, they have no awareness of the good state. Individuals with BPD are highly sensitive to rejection, reacting with anger and distress to mild separations. Even a vacation, a business trip, or a sudden change in plans can spur negative thoughts. These fears of abandonment seem to be related to difficulties feeling emotionally connected to important people when they are physically absent, leaving the individual with BPD feeling lost or worthless. Suicide threats and attempts may occur along with anger at perceived abandonment and disappointments. Read More A Compelling New Framework for BPD Research: The Promise of Neuropeptides Three Factors to Understand in the Borderline Personality Why Borderline Personality Is Tough to Diagnose from Afar Causes Although the cause of BPD is unknown, both environmental and genetic factors are thought to play a role in predisposing people to BPD. The disorder is approximately five times more common among people with close biological relatives with BPD. Studies show that many individuals with BPD report a history of abuse, neglect, or separation as young children. Forty to 71 percent of BPD patients report having been sexually abused, usually by a non caregiver. Researchers believe that BPD results from a combination of individual vulnerability to environmental stress, neglect, or abuse as young children, and a series of events that trigger the onset of the disorder as young adults. Adults with BPD are also considerably more likely to be the victims of violence, including rape and other crimes. These incidents may result from harmful environments as well as the victims' impulsivity and poor judgment in choosing partners and lifestyles. Neuroscience is revealing brain mechanisms underlying the impulsivity, mood instability, aggression, anger, and negative emotion seen in BPD. Studies suggest that people predisposed to impulsive aggression have impaired regulation of the neural circuits that modulate emotion. The brain's amygdala, a small almond-shaped structure, is an important component of the circuit that regulates negative emotion. In response to signals from other brain centers indicating a perceived threat, it marshals fear and arousal, which may be more pronounced under the influence of stress or drugs like alcohol. Areas in the front of the brain, in the prefrontal cortex, act to dampen the activity of this circuit. Recent brain-imaging studies show that individual differences in the ability to activate regions of the prefrontal cortex thought to be involved in inhibitory activity predict the ability to suppress negative emotion. Serotonin, norepinephrine, and acetylcholine are among the chemical messengers in these circuits that play a role in the regulation of emotions, including sadness, anger, anxiety, and irritability. Drugs that enhance brain serotonin function may improve emotional symptoms in BPD. Likewise, mood-stabilizing drugs that are known to enhance the activity of GABA, the brain's major inhibitory neurotransmitter, may help people who experience BPD-like mood swings. Such brain-based vulnerabilities can be managed with help from behavioral interventions and medications, much as people manage susceptibility to diabetes or high blood pressure. Treatment The recommended treatment for BPD includes psychotherapy, medication, and group, peer, and family support. Group and individual psychotherapy have been shown to be effective forms of treatment for many patients. Psychotherapy is the first line treatment for BPD, and several forms of therapy, such as dialectical behavioral therapy (DBT), mentalization based therapy (MBT), cognitive behavioral therapy (CBT), and psychodynamic psychotherapy, have been studied and proven to be effective ways to alleviate symptoms. Pharmacological treatments are often prescribed based on specific target symptoms shown by the individual patient. Antidepressant drugs and mood stabilizers may be helpful for depressed and/or labile mood. Antipsychotic drugs may also be used when there are distortions in thinking. References Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition National Institute of Mental Health US Department of Health and Human Services National Alliance on Mental Illness Last updated: 02/22/2019
  2. The paragraph below was givn to me by my 20 yr. old granddaughter, Syd. She is doing DBT Therapy, Dialectical behavior therapy, (which I will explain somewhat below after this post). Here is Syd explaining how she is trying to cope with her feelings having BPD after 3 yrs. More stories loaded.
  3. My husband and I are estranged. We have a 16 month old daughter together, but he's been kicked out and living with his mom since December of 2010. He is a cronic alcohol abuser and has been diagnosed with Borderline Personality Disorder. He hasn't been cooperative about seeking treatment or finding a job either. Two days ago he was drunk and told his mother he'd **** her in her sleep. She called the cops and they found a knife under his bed. He's now in jail charged with a felony. I don't know what to think, how to feel, or what to do. I never thought he was dangerous before, but now I think he might be. Any advice or people in similar situations? Please and thank you.
  4. Hi I'm Andra, aged 21. I was diagnosed with Borderline Personality Disorder and Major Depression in April of 2011, though I have known something was wrong with me since I was 5. I currently take Lexapro (Esitalopram) 20 MG, and Abilify (Aripiprazole) 2 MG I waited on a waiting list for DBT 6 months and finally got in in October. It's going great. I love it. I can't speek highly enough of DBT Therapy. I like people and helping people so if anyone ever needs support or a chat buddy I'm here. and I guess that's a bout it :)
  5. D3vo

    Dbt Therapy

    Are any of you a part of, or have been a part of DBT therapy? For those who do not know, DBT is Dialectical behavior therapy. It is used to treat Borderline Personality Disorder with a set of skills and with behavior modification. It's been really helpful for me.
  6. Well, into a new month, and am still battling with my emotions, depression, and anxiety. I will start by telling you how my visit to the psychiatrist went, then move on to new symptoms and new insights. My visit with the psychiatrist? It was very straightforward. She said from the beginning that she was going to ask me a lot of questions, and I was to answer them. So, off we went, Q&A. A whole hour of talking about my memories, from as early as I could recall, to as most recently as I could recall. I didn't get the whole story out, just as much as I could in an hour. And that was it. She said very little, but what she did say was comforting. I cried. She said I had a right to my feelings, and they were very valid. It was nice to hear that. She sympathized with me when I talked to her of how afraid I was when I went through my Ideas and Delusions of Reference. At the end of the appointment I asked her if she had anything to tell me. She said just to take care of myself, get excercize, sleep well, and eat properly. I have an appointment with her for next Monday. Since then I have been thinking a lot about my BPD parent, and how her disorder affected my upbringing. I have researched a lot on the internet about BPD and talked to others online who have BPD. The other websites and people make their parent sound like a monster, an awful person. But I don't feel that way about my parent at all. I feel she is a loving heart who has been through some very hard times in her life, and who was very confused. As an adult, I see the black and white thinking come out at times with my BPD parent. But what about as a child? I don't recall seeing anything wrong as a child. I have no idea. My childhood was seemingly idyllic over all. I searched for a reason there in my childhood to explain my deep insecurity, but am tired of looking there at the moment. What do I do about it? Can a psychiatrist or a counsellor really help me? What is wrong with me? And why? How can I get help when I feel invalidated by the very process of Cognitive Behavioural Therapy (CBT). What I mean is, I want somebody to tell me that the pain and insecurity I have felt over my life was valid! I don't want to cover it up with changing my thoughts yet. I would first rather have somebody validate that my pain is very real and I have a right to be angry, confused, and sad about it. I want to understand why I feel the way I do. THEN I will go about changing the way I feel with CBT. CBT is a handy tool. I do use some of the techniques to help me relax, and sometimes it helps me to not catastrophize, and helps me rationalize some of my "I can't do it" thoughts. It's not a cure all, though, and I don't feel I'm ready to zip along through recovery. I keep going a few steps forward, then another step back. My employers want me back at work, but I'm a wreck. I do not want to go back there yet. It fills me with dread just to think about it. I see my physician on Friday. I will tell him about the Psychiatrist lowering the dosage of one of my prescriptions. I wonder what he will say. He wanted to talk to me about an anti-psychotic medication. I am going to refuse to take it. I am handing things okay, and do not want to suffer with sleepiness or weight gain. I need to be coherent and on the ball to participate in my recovery and to look after my daughter. I refuse to take an anti-psychotic. I'll update again soon! Please try to have a good day.
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