One type of therapy that can be used to treat the symptoms of BPD is dialectical behaviour therapy (DBT). DBT was designed specifically for BPD patients by Marsha Linehan at the University of Washington in Seattle. DBT specifically includes techniques of acceptance and validation. It also involves problem-solving to help the patient adapt in new situations and to strategically deal with their difficulties in a healthy way. The main aspect of this treatment revolves around reducing extreme and rigid thinking. Some assumptions about the patients to receive this treatment includes; wanting to change and that they are trying harder to improve. DBT is intended for life enhancement which can lead to less suicidal behaviours and the lessening of …show more content…
They found that in majority, DBT is the most efficient at reducing symptoms, being cost-efficient and long-term aid for the patients. They also found that there was a smaller number of dropouts from the treatment compared to the amount of dropouts from other treatments. In a study composed of a year of a randomized controlled trial with follow up therapy for BPD for a year. This took place in the university outpatient clinic and community practise. The sample composed of 101 patients with recent suicidal and harmful behaviours. They went through one year of DBT. It resulted in a decreased rate of 50% likely to make a suicide attempt and self-harmful acts. This also included patients being less likely to dropout of treatment and received fewer psychiatric hospitalizations or emergency visits (Lois et al., 2017). This study suggests that DBT can successfully inhibit symptoms of BPD. Without this treatment, these patients who suffer from BPD are more likely to perform impulsive actions which could harm themself or others. Patients with BPD tend to quit treatment if they find the actions the therapist performs do not facilitate their needs. The trial’s results were found that the acts of self-harming in the first year to be 50% in the treatment group and DBT to be able to reduce this risk to 25%, a relative risk reduction of 50%. (Andreasson, K.,et al.,2014). This treatment has shown direct changes of behaviour in the patient. DBT proves that these patients stay for treatment. This continual treatment allows the patients to improve more than if they lacked the therapy
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)
I support the diagnostic conclusions associated with Disco Di because the symptomatology matched the research regarding MDD and BPD. Gunderson (2011) found that 6% of the population are diagnosed with BPD and of that 75% are females. He further states that most of these patients receive treatment after a suicide attempt. To be diagnosed with BPD the patient needs to display a minimum of five symptoms (Gunderson, 2011). Seven symptoms that Disco Di experienced are consistent with the clinical diagnosis of BPD which in Disco Di’s case includes: impulsive behaviour around substance use and sex, recurrent suicidal behaviours, feeling of abandonment, identity disturb...
Psychotherapy integration is best explained as an attempt to look beyond and across the dimensions of a single therapy approach, to examine what one can learn from other perspectives, and how one’s client’s can benefit from various ways of administering therapy (Corey, 2013). Research has shown that a variety of treatments are equally effective when administered by therapist who believe in them and client’s that accept them (Corey, 2013). Therefore, one of the best aspects of utilizing an integrative approach is that, in most cases, if a therapist understands how and when to incorporate therapeutic interventions, they usually can’t go wrong. While integrating different approaches can be beneficial for the client, it is also important for the
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.
Some of the key components of BPD include self-harm, or suicidal thoughts and actions, dichotomous thinking, and low emotional granularity. People that present with reoccurring suicidal thoughts and actions, combined with a fear of abandonment, are commonly diagnosed with BPD. These two characteristics make BPD easily recognizable, but this diagnoses is often not used. The emotional volatility, recurrent crises, and self-injurious behaviors of those with BPD are often seen as willfully manipulative episodes, and not a sign of illness. (Gunderson, 2011) Yet, it is important to take these thoughts and actions seriously, as one never knows when someone may actually decide to end their life.
CBT has been known to cure a variety of disorders both in clinical environments and non-clinical environments. This type of therapy technique has been tested for efficacy and has proven to be highly effective. Furthermore, the future for CBT looks very positive as well. Researchers and theorist are now working on making this type of therapy available for suicide prevention, schizophrenia, and other psychopathologies.
Dialectical behavior therapy (DBT) is a form of cognitive behavioral therapy, specifically developed for borderline personality disorder (BPD), in which the clinician attempts to motivate the client towards change in behavior while simultaneously validating existing thoughts and feelings. (DeVylder) The goal of dialectical behavior therapy is to minimize maladaptive behaviors related to impulse control and emotion regulation, especially those that may result in self-injury or death. (DeVylder) The desired outcome of DBT is a resolution of maladaptive behaviors related to impulse control and emotion regulation, especially those behaviors that may result in self-injury or death. (DeVylder)
Prognosis for Borderline Personality Disorder is not easy to determine. This disorder is chronic in nature but the individual can improve with gradual and long-term work. Personality traits are extremely difficult for anyone to change, but the symptoms of BPD can be reduced in intensity when worked on with a therapist. There have been cases of people who have overcome the disorder without any treatment at all. Typically long term treatment is mandatory. It is likely that someone diagnosed with BPD will live with it for the rest of their life. They will most likely live a life consisting of unstable relationships and trouble maintaining a job. It is important for people with BPD to get the diagnosis and treatment they need. This is an important step in improving the life of an individual with BPD.
Dialectical Behavior Therapy (DBT) is a comprehensive cognitive-behavioral treatment developed by Marsha M. Linehan for the treatment of complex, difficult-to-treat mental disorders. Originally, DBT was developed to treat individuals diagnosed with borderline personality disorder (BPD; Carson-Wong, Rizvi, & Steffel, 2013; Scheel, 2000). However, DBT has evolved into a treatment for multi-disordered individuals with BPD. In addition, DBT has been adapted for the treatment of other behavioral disorders involving emotional dysregulation, for example, substance abuse, binge eating, and for settings, such as inpatient and partial hospitalization. Dimeff and Linehan (2001) described five functions involved in comprehensive DBT treatment. The first function DBT serves is enhancing behavioral capabilities. Secondly, it improves motivation to change by modifying inhibitions and reinforcement. Third, it assures that new capabilities can be generalize to the natural environment. Fourth, DBT structures the treatment environment in the ways essential to support client and therapist capabilities. Finally, DBT enhances therapist capabilities and motivation to treat clients effectively. In standard DBT, these functions are divided into modes for treatment (Dimeff & Linehan, Dialectical behavior therapy in a nutshell, 2001).
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
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)
According to our textbook, BPD has been a major focus of interest for many reasons including; being very common in clinical settings, very hard to treat, and associated with suicidality. The DSM-5 diagnoses BPD in the presence of five of more of the following criteria: 1) frantic efforts to avoid abandonment 2) unstable interpersonal relationships in which others are either idealized or devalued 3) unstable sense of self 4) self-damaging impulsive behaviors in at least two areas (such as sex, substance abuse, reckless driving, and binge eating) 5) recurrent suicidal behavior, gestures, or self injurious behavior 6) marked mood reactivity, 7) chronic feelings of emptiness 8) recurrent bouts of intense or poorly contr...
DBT is effective when working with clients experiencing anxiety disorder and depression. Individuals in DBT therapy are taught to notice, rather than react to thoughts and behaviors. DBT teaches clients to accept their emotional reactions and learn to tolerate distress while being mindful of their present experiences. DBT has four stages for therapy. In stage one the pre-commitment stage is where the therapist explains what types of treatment the client will receive. In this stage the client must agree to stop all self harm behavior and work toward developing other coping skills. In stage two the goal is to assist the client into controlling her emotions. Stage three and four involve assisting the client to gain the ability to develop self respect (Waltz, 2003).
It is a form of CBT, it was developed by Marsha Linehan, Ph. D. it was initially used to treat people with suicidal thoughts or behavior. As it stands now, it is used a great deal for clients with borderline personality disorder (BPD). BPD is an illness when the client has suicidal thoughts and behaviors, and are more common. The therapist assures the client that their behavior and feelings are legitimate and understandable. The therapists roll in this kind of treatment is a coaching style, the therapist coaches the client to understand that it is up to the client to change their unhealthy or disruptive
CBT is the treatment option for some mental disorders, such as depression, dissociative identity disorder, eating disorders, generalized anxiety disorder, hypochondriasis, insomnia, obsessive-compulsive disorder (OCD), and panic disorder without agoraphobia (Clark, 1986). In contrast, as Flannery-Schroeder & Kendall (2000) describe, CBT is an inappropriate treatment option for some patients. Patients with significant cognitive impairments (for example patients with traumatic brain injury or organic brain disease) and individuals who are not willing to take an active role in the therapy and treatment process are not desirable candidates.