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Case study for borderline personality disorder
Borderline personality disorder review of the literature
Case study for borderline personality disorder
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According to the American Psychiatric Association (2013), it is estimated that nearly 1.6 percent of adults in the United States has borderline personality disorder (BPD), although rates may be as high as 5.9 percent of the United States’ adults, making BPD the most prevalent personality disorder (NAMI, 2016). Borderline personality disorder is a condition characterized by difficulties regulating emotion, or a long-lasting pattern of instability in one’s mood and interpersonal relationships (American Psychiatric Association [APA], 2013). Personality characteristics, like in BPD, are maladaptive in nature and individuals suffering from BPD often have extreme difficulties maintaining stable interpersonal relationships and experience severe mood swings that cause the individual to be oversensitive, impulsive, and hostile (Sanders-Dewer, Neva, Dewey, & Seth, 2016). Additionally, these individuals also tend to suffer from periods of emotional or behavioral instability along with continuous feelings of emptiness, which increases their propensity to abuse substances or engage in behaviors that are self-harming (Sanders-Dewer, Neva, Dewey, & Seth, 2016). Individuals with BPD are also more inclined to experience symptoms of additional psychopathological symptoms, and often times have comorbid diagnoses of depression, anxiety, substance use disorders, or other personality disorders like narcissistic personality disorder or antisocial personality disorder (Sanders-Dewer, Neva, Dewey, & Seth, 2016).
Furthermore, individuals with borderline personality disorder tend to be overrepresented within the prison population, which is likely related to the high risk individuals with borderline personality disorder have to engage in criminal or antisoci...
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... al., 2014). Moreover, it is not advised that anyone suffering from BPD should see their family physician or general practitioner, as they are generally not particularly well-equipper to make this type of psychological diagnosis, although it may be useful to get their opinion, or make a mental health recommendation (Bresset, 2016). An individual with borderline personality disorder will be diagnosed after a mental health professional conducts a comprehensive psychiatric interview, which may include speaking with previous clinicians, conducting medical evaluations, and holding interviews with friends and family members, if appropriate. Finally, the clinician will also need to determine whether the client’s symptoms meet the necessary criteria for a personality disorder diagnosis, and meet at least 5 of the 9 BPD symptoms listed in the DSM-5 (APA, 2013; Bresset, 2016).
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)
This paper looks at a person that exhibits the symptoms of Borderline Personality Disorder (BPD). In the paper, examples are given of symptoms that the person exhibits. These symptoms are then evaluated using the DSM-V criteria for BPD. The six-different psychological theoretical models are discussed, and it is shown how these models have been used to explain the symptoms of BPD. Assessment of
In order for someone to be diagnosed with Borderline Personality Disorder, they must experience at least five of the following symptoms: 1) fear of abandonment, 2) a history of intense and unstable relationships with family, friends, and loved ones, which often go back and forth between idealization (which includes love and extreme closeness) to devaluation (which includes extreme hatred or anger), 3) a disto...
According to the DSM-5, Personality Disorders are characterized by “impairments in personality functioning and the presence of pathological personality traits”. Borderline Personality Disorder is one of ten personality disorders listed in the DSM-5. The DSM-5 lists several criteria that must be met in order for someone to be diagnosed with Borderline Personality Disorder. They are quoted as follows:
In the past, BPD was believed to be a set of symptoms between problems associated with mood and schizophrenia. These symptoms were believed to be comprised of distortions of reality and mood problems. A closer look at this disorder has resulted in the realization that even though the symptoms of this disorder reveal emotional complexity, this disorder is more closer to other personality disorders, on the basis of the manner in which it develops and occurs in families, than to schizophrenia (Hoffman, Fruzzetti, Buteau &ump; Neiditch, 2005). The use of the term borderline has however, resulted in a heated controversy between the health care fraternity and patients. Patients argue that this term appears to be somehow discriminatory and that it should be removed and the disorder renamed. Patients point out that an alternative name, such as emotionally unstable personality disorder, should be adopted instead of borderline personality disorder. Clinicians, on the other hand, argue that there is nothing wrong with the use of the term borderline. Opponents of this term argue that the terms used to describe persons suffering from this disorder, such as demanding, treatment resistant, and difficult among others, are discriminatory. These terms may create a negative feeling of health professionals towards patients, an aspect that may lead to adoption of negative responses that may trigger self-destructive behavior (Giesen-Bloo et al, 2006). The fact however, is that the term borderline has been misunderstood and misused so much that any attempt to redefine it is pointless leaving scrapping the term as the only option.
Borderline personality disorder is the most common personality disorder. By creating relationships and better understanding BPD, mental health professionals can effectively aid those who suffer from BPD. With proper support from the healthcare team, family members, and the community, borderline personality disorder can be effectively controlled and treated. TIE IN ACUTE PORTION AS WELL!
Lewis, John. "Mental Illness and the Criminal Justice System."Pathways2promise.org. N.p., n.d. Web. 07 May 2014.
Some of the most common actions or responses for individuals with borderline personality disorder are suicidal. Incorporating the teaching of problem-solving skills will hopefully, again, reduce the number of suicidal thoughts or behaviors an individual has that could result in serious self-injury (Van Goethem, A., et al.). Lastly, arguably the most important component of the dialectical behavior therapy is allowing those who have undergone the treatment to test what they have learned. The final stage of this therapy involves having the patients visualize themselves in certain scenarios and creating a response to what they are envisioning. The most important part of this process is having patients trust their responses without utilizing the help and opinions of other individuals (Van Goethem, A., et al.). Though there are several different components that make up the dialectical behavioral therapy, they are each crucial to the treatment for individuals with, not only borderline personality disorder, but many other psychological disorders as well. Some of the effects of how this treatment has worked can be observed in a couple of different
Diagnosis is extremely hard with borderline personality disorder because so many of the symptoms overlap into other mental illnesses. The DSM-IV has distinct criteria. The National Institute of Health lists the following as the criteria for Borderline Personality Disorder: a pervasive pattern of instability of interpersonal relationships, self image, and affects and marked impulsivity beginning by early adulthood and present in a variety of contexts as indicated by five or more of the following:
Borderline Personality Disorder (BPD) is a mental illness characterized by patterns of ongoing instability in moods, behavior, self-image, and functioning. An individual suffering from this disorder may act impulsively and experience unstable relationships (The National Institute of Mental Health, 2016). The term Borderline Personality Disorder stems from the idea that the characteristics of this disorder fall between anxiety and psychosis (Cacioppo & Freberg, 2016). According to the National Alliance on Mental Illness (2017), “1.6% of the adult U.S. population have BPD but it may be as high as 5.9%. Nearly 75% of people diagnosed with BPD are women, but recent research suggests that men may be almost as frequently
Prehn, K., Schulze, L., Rossmann, S., Berger, C., Vohs, K., Fleischer, M., . . . Herpertz, S. C. (2013). Effects of emotional stimuli on working memory processes in male criminal offenders with borderline and antisocial personality disorder. The World Journal of Biological Psychiatry, 14(1), 71-78. doi:10.3109/15622975.2011.584906
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
Attention-Deficit Hyperactivity Disorder (ADHD), once called hyperkinesis or minimal brain dysfunction, is one of the most common mental disorders among children. (Elia, Ambrosini, Rapoport, 1999) It affects 3 to 5 percent of all children, with approximately 60% to 80% of these children experiencing persistence of symptoms into adolescence and adulthood, causing a lifetime of frustrated dreams and emotional pain. There are two types of attention deficit hyperactivity disorder: an inattentive type and a combined type. The symptoms of ADHD can be classified into three categories: inattention, hyperactivity, and impulsivity. This behaviour stops ADHD sufferers from focussing deliberately on organising and completing a specific task that they may not enjoy, learning new skills or information is proved to be impossible. An example of such behaviour is recognised by the report written by the National Institute of Mental Health where one of the subjects under study was unable to pass schooling examinations due to her inattentive behaviour. Such behaviour can damage the person's relationships with others in addition to disrupting their daily life, consuming energy, and diminishing self-esteem. (National Institute of Mental Health 1999) There are also secondary symptoms which are associated with ADHD, such as learning disorders, anxiety, depression and other mood disorders, tic disorders, and conduct disorders. (Spencer, Biederman, and Wilens 1999 in Monastra V, Monastra D, George, 2002)
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)
The history of BPD can be traced back to 1938 when Adolph Stern first described the symptoms of the disorder as neither being psychotic nor psychoneurotic; hence, the term ‘borderline’ was introduced (National Collaborating Centre for Mental Health, 2009, p. 15). Then in 1960, Otto Kernberg coined the term ‘borderline personality organization’ to describe persistent patterns of behavior and functioning consisting of instability, and distressed psychological self-organization (National Collaborating Centre for Mental Health, 2009, p. 15).