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Case study for borderline personality disorder
E study on borderline personality disorder
Case study for borderline personality disorder
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“Anger is an acid that can do more harm to the vessel in which it is stored then to anything on which it is poured” –Mark Twain Personality disorders are more defined and recognized in societies today. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is used to provide common language and standards to classify mental disorders. Borderline personality disorder currently effect 2% of the population, this is a mental disorder is not as known as the other disorders (i.e. Bipolar, Schizophrenia, depression)) that we hear about most common. “DSM describes Borderline Personality Disorder (BPD) as a pervasive pattern of instability of interpersonal relationships, self-image, and effects”.(www.nami.org). Having BPD can cause an individual …show more content…
She began experiencing overwhelming sadness that had started a couple of months prior to leaving. Tia was assuming it is because she has never been away from her family and friends for that long, especial having to be in a different state she was a newlywed and knew that being away from her husband for 6 months to a year was going to be hard. He was in school, but she knew he was coming to visit as often as he could. The week before she left for basic training she started asking him every day are you going to wait for me will you keep loving me and his answer was always yes, Tia did not believe him. She states once she was away she started hating him and would get mad for no reason when on the phone with her husband or her parents. What she did not know was that she was experiencing symptoms of Borderline Personality Disorder. A person who is going through changes, that they cannot explain can be overwhelming. Working in the mental health industry, I experience a large group of people who start self-diagnosing (looking on Wikipedia or Web MD). By time they reach out to get the help they need they are in a much worse place and normally needs more testing. We as humans are afraid of what people will think if we ask for help, that was the case with
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
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.
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.
In the future, awareness of borderline personality disorder and other mental illnesses is critical.We need to be rewired to say the least. Our society needs to better informed on mental illness.These clients should not be ashamed of something they cannot choose to change. As healthcare professionals, we need to become more involved and lend a helping hand to those suffering from mental illness.
Borderline Personality Disorder is diagnosed predominantly in females. There is approximately a 3:1 female to male gender ratio for this disorder.
According to Seneca, anger is a bad thing that can destroy the universe, and he argued that one had to be reasonable and get rid of anger in order to achieve a state of mind not subject to emotions (Kim 2). To Rene Descartes anger is the most dangerous emotion, and it is more violent than other emotions(55).
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
I am researching the Borderline Personality disorder disease and what happens to our body while you have it. This disorder is a long-term abnormal behavior characterized by unstable relationships with other people. This disease could be caused by a number of things that have a role in causing borderline personality disorder. Many people believe in tragedies that have happened in your early childhood like physical and sexual abuse, bullying and being neglected. Borderline Personality disorder cannot be treated or cured although the intensity can be reduced by aging. While having this disease you will become very suicidal and also have many urges of burning and cutting your skin. You would also be known to have many hospitalizations with impulsive
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)
Borderline personality disorder affects about 1.6% of the entire u.s. population (Salters-Pedneault). BPD is five times more likely to occur in a person if they have a close family member that already has the disorder (National Institute of Mental Health) . An example of a close family member would be the person’s mother or father. Symptoms of BPD consist of unstable relationships with their family, friends and loved ones. The person will swing from extreme closeness and love to extreme dislike. The person will also experience impulsive behaviors that are not safe. They have intense mood swings and have inappropriate, intense anger that they have a hard time controlling. A person struggling with BPD will also experience stress-related, paranoid thoughts (National Institute of Mental Health). Another mental health disorder is Post Traumatic Stress Disorder. PTSD is a non genetic disorder that affects 7-8% of the u.s. Population (U.S. Department of Veterans Affairs). The disease develops in people who have experienced an immense emotionally shocking or dangerous event. The events can range from near death experiences to sudden, unexpected deaths of loved ones. Symptoms of PTSD usually start within three months of the shocking or dangerous event. PTSD sufferers can experience flashbacks, feelings of guilt or blame, angry outbursts, negative feelings about the world, and a loss of interest in enjoyable activities (National Institute of Mental Health). Another mental health disorder is Schizophrenia. People suffering from this disorder experience hallucinations and delusions that they believe to be real (National Institute of Mental Health). They also experience a reduction in expressed emotions and reduced feelings of pleasure in everyday life, such as increased difficulty to begin and sustain activities and a reduction in the amount of speaking the
In Medea, Medea shows copious traits of an unstable individual, which I believe to be characterized by borderline personality disorder. “Borderline personality disorder is a mental health disorder that impacts the way you think and feel about yourself and others, causing problems functioning in everyday life. It includes a pattern of unstable intense relationships, distorted self-image, extreme emotions and impulsiveness” (Mayo Clinic Staff, 2015, p. 1). Throughout the various actions and emotions displayed by Medea, sorceress and wife of Jason, you can see the relevancy of borderline personality disorder on herself.
Am I to blame for being diagnosed with a Borderline Personality Disorder and PTSD? I am a survivor of child sexual abuse that started in 3rd grade and was perpetuated by others until I was eleven. At twelve-years-old, I became a survivor of rape by my psychopathic brother - a secret, I am now sharing. I am a survivor of my mother's constant verbal and physical abuse in my growing years. And, I survived at thirteen the six months' abandonment in Israel by my mother; she was busy running wild among her people in the promised land.
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).