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Case studies of Borderline personality disorder
Borderline personality disorder literature review
Case studies of Borderline personality disorder
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On average, there are 117 suicides per day in the USA (https://afsp.org). The rate of suicide among people with borderline personality is 10 times greater than in general population (Chesney, Goodwin, & Fazel, 2014). Borderline personality disorder is one of the most common and the most complex personality disorder diagnosed in clinical settings. Borderline Personality Disorder is found in up to 5% percent of the general population, most of whom are young women. The prevalence in in outpatient mental health clinics is about 10%, and may be as high as 20% in among psychiatric inpatients (American Psychiatric Association, 2013). This disorder is characterized by problems with affectivity, cognition, impulse control, interpersonal functioning, …show more content…
It is designed to treat patients at any level or severity of pathology, and focuses on helping clients develop healthy strategies for managing emotions, decrease self-destructive behaviors, develop skills to support balanced functioning. and improve interpersonal relationships. DBT has also been effective with individuals who struggle with depression, PTSD, anxiety, and substance use disorders. The treatment components include weekly individual therapy (with the elements of psychodynamic approach), weekly group skills training, telephone consultations, and therapist consultation. All participants must commit to twelve months of treatment. A dedicated treatment team will be assign to providing dialectical behavior therapy. Each clinician will have 10 individual clients. In the initial stage of treatment, the goal is to stabilize the client by targeting behaviors such as self-cutting, suicidal attempts, manipulation, impulsivity, and anger. In the remaining stages, the clients learn the concepts of acceptance and change, validation, problem solving, and stress tolerance. Clients are taught to practice mindfulness, learn skills of effective communication, and expression of feelings. The techniques used in DBT are rooted in a dialectical philosophy, that recommends finding the balance between acceptance and …show more content…
Because the self-harm behaviors are common feature among many patients with substance use disorders, depressive disorders, or borderline personality disorder, the evaluation of the suicide risk will be given the priority, and the psychiatrists should determine if the client needs inpatient treatment, and if pharmacotherapy needs to be implemented. The clinical nurse will assist the psychiatrist and collaborate with the team to provide comprehensive treatment for every patient. Licensed Professional Counselors will work with patients upon principles of Cognitive-Behavioral Therapy, Adlerian, Solution-Focused Therapy, Dialectical Behavioral Therapy, and Brief Psychodynamic Therapy. They will work with children, adolescents, and adults, providing treatment for PTSD, grief, depression, anxiety, trauma, eating and substance use disorders, BPD, family problems, marital conflict, and parenting issues. Additionally, the program will provide Eye Movement Desensitization Reprocessing (EMDR) applications for alleviating PTSD, anxiety, and phobias. The Program Director will provide oversight of services provided to the patients, as well as individual and group clinical supervision to
With effective treatment, most individuals with borderline personality disorder can improve and even sometimes even eliminate their symptoms. Sadly emotional dysfunction can be the best predictor for suicide and 6% of people with Borderline Personality Order report that.
Borderline personality disorder is a hard-mental disease to diagnose, according to The National Institute of Mental health the definition of borderline personality disorder is: “… a serious mental disorder marked by a pattern of ongoing instability in moods, behavior, self-image, and functioning. These experiences often result in impulsive actions and unstable relationships” (pg 1). When we look at that definition alone this is a very vague description of the disorder that anyone that is experiencing just a rough time in life, can be diagnosed with this mental disorder. Roughly about 3 million Americans are diagnosed with borderline personality disorder a year. To find out who really has this mental disorder we should look at case studies,
...were fewer in individuals who received DBT compared to those in the control group. Additionally, individuals who received DBT retained individual therapy and had an attrition rate of 16.7 percent compared to the control group, who had an attrition rate of 50 percent. DBT varies from CBT because it seeks a balance between changing and accepting behaviors and beliefs (NIMH, n.d, para 23).
The term borderline personality disorder (BPD) was termed by Adolph Stern in the 1930s to describe a group of people on a “borderline” between neurosis and psychosis (SITE). Today, BPD is described by the Diagnostic and Statistical Manual of Mental Disorders as “a pervasive patt...
Borderline Personality Disorder is diagnosed predominantly in females. There is approximately a 3:1 female to male gender ratio for this disorder.
The main goal of this type of treatment is finding what might be causing an individual stress and helping them cope with it. Learning how to cope with these stressors is important because they often lead individuals to have suicidal behaviors and other dysfunctional behaviors. This treatment can often be used for individuals with personality disorders, especially those with borderline personality disorders. Dialectical behavioral therapy focuses on personality disorder because many symptoms of personality disorders include unstable emotions. This treatment, however, has also been used to treat individuals with bulimia nervous and other binge-eating disorders. Lastly, the dialectical behavior therapy can be used for individuals in both their adolescent years and adult
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).
Borderline Personality disorder is a commonly misdiagnosed mental illness. The symptoms of borderline personality disorder are so closely related to other mental illnesses, that it is most often under diagnosed or misdiagnosed altogether. This illness can be completely debilitating to effected person. They do not understand that it is their mental illness that is making them feel the way that they do. They feel hopeless, like their lives will never improve from this point. Which is a major factor into why borderline personality disorder has one of the highest rates of suicidal ideation and suicide attempts.
Borderline personality disorder (BPD) is a very common personality disorder that is often confused with Bipolar disorder. Unlike Bipolar disorder which is when a person’s mood changes from depression to manic, borderline personality disorder is when a person suffers from unstable emotions, behavior and relationships with others and themselves. Individuals who suffer from severe BPD often have manic/ psychotic encounters. This disorder is very common in young adults, especially in women of every race and ethnicity. BPD was first added to the addition of DSM-III in 1980. Borderline Personality disorder can be linked to many other disorders such as depression, eating disorders, bipolar depression, schizophrenia and/or attempted or completed suicides. According to National Institute of Mental Health: about 85 percent of people with BPD also meet the diagnostic criteria for another mental illness. Medical Professionals take interest in this disorder because it is deep rooted and irregular unlike many other disorders. 1 in every 25 individual’s live with this disorder
This therapy assists the individual and finding what the needs are of the person. This makes the therapy unique by finding what is occurring with the person and what they can do to help regulate positive thoughts and emotions. As shown in the article, it mentioned how “some primary skills taught may include mood monitoring, behavioral activation, cognitive restructuring, and the development of problem-solving and social skills” (Mahoney, Kennard, & Mayes, 2011). The purpose of this therapy is to assist the client to create appropriate goals and work towards improving their symptoms. At first, this can be done by having the client monitor their mood and plan in activities they can become engaged in (Mahoney, Kennard, & Mayes, 2011). Therefore, this can play a significant role with my client due to finding what interests she has and if this can help her while handling her depression. The best way to monitor my client’s results would be working with my client and using CBT each time we meet. That way my client has spent enough time understanding her thoughts or emotions and how they have been impacting her
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)
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).
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.
Adolescence: a transition from children to adults, a time that we learn about ourselves, develop a sense of self and gain control of our emotions. However, individuals that are not able to associate with their feelings and build their self-esteem can be diagnosed with Borderline Personality Disorder. Borderline Personality Disorder is a mental illness that can be found in a number of adolescents and they are more likely to suffer from unstable identity, instability of emotions and fear of abandonment than adolescents without BPD. Also, it affects other aspect of individual 's life such as relationships with others, and decision making because of their impulsiveness and instability. However, BPD is a treatable psychological disorder, through