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Research paper + literature review on borderline personality disorder
Research paper + literature review on borderline personality disorder
Research paper + literature review on borderline personality disorder
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We sat for two and a half hours with the sister and the treatment team trying to decide if he was independent enough to live in a housing residence from MHA. When I left my internship, it was decided that the director of MHA housing would have multiple dinner meetings with this young man and decide if he would qualify for housing with MHA and be capable of living on his own for the most part. His violence was a concern for the other residents as well. It was amazing to watch as the community come together to help this man and his sister. Using the local services, therapy approaches, and compassion towards this family, decisions were made and help was on its way. One of the most exciting experiences for me on this internship was the Mental …show more content…
I can properly ask what they are experiencing with communication tools I have been taught, I can calm someone in panic, I can work through delusions, and I can guide them to help. Mental Health First Aid training involves many different activities. The role playing exercises were the most educational in my opinion. Our trainer would simulate a panic attack and a trainee would have to assess the situation, listen nonjudgmental, give reassurance, encourage professional help and encourage self help. This information was taught with the acronym ALGEE which is the foundation of the class. My Youth Mental Health First Aid is aimed at assisting adolescents and young adults which was a 2 day training from eight o’clock to one o’clock each day while the Adult Mental Health First Aid which included the elderly was from eight o’clock to four o’clock all in one day. It was an amazing experience. My favorite and most impactful …show more content…
I learned quite a bit about Borderline Personality Disorder. An illness I never looked into in depth before. Borderline Personality Disorder is as described by Janine Ogden and Jean Prokott a disorder characterized by persistent patterns of insole moods and interpersonal relationships. Fear of abandonment and chronic instability often occur with BPD and it is estimate that 2 to 4 percent of the population is affected. With the Montgomery County Mental Health department’s office bing located in the mental health unit of our largest provider, St. Mary’s Hospital, I learned much from the therapists and social workers that often dropped by the office. Susan Ninan, a social worker that works with patients in the county jail has been dealing with a difficult case. This case eventually ends up being a part of Sara’s responsibility which will be talked about later. Susan’s case was with a young man who had attempted suicide. Because of his attempt, half of his face is missing. He had been a part of multiple crimes which I’m not knowledgable, but either way has ended up in the jail. He was diagnosed with Borderline Personality Disorder. His largest fear was not having his 30 minutes a day to talk with Susan. She was as he called it “the only one that he could talk to” she was “his only friend”. My ignorance showed when I
Many personality disorders may experience spiritual distress, in particular, clients who have borderline personalities. Lack of spirituality causes clients with borderline personalities to have instability with their emotions and their actions. This makes them at risk for spiritual distress as evidence by challenged beliefs and no value system. As nurses, we must help clients who have borderline personality disorders understand how important spirituality is and how it has an effect on their lives. Nurses must display an understanding and accepting attitude, and encourage the client to verbalize any feelings including those of anger or loneliness. Expected outcomes that nurses would like to see in clients with borderline personality disorder facing spiritual distress would be that these clients would express hope and value in their belief system, and express a sense of well-being. (Gulanick & Myers, 2007). Before we can help clients who have borderline personalities, we as nurses must understand our own value and belief system and never impose these values on our clients. By understanding our own values and beliefs, we are more equipped to help clients with borderline personalities who encounter spiritually distress.
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)
Borderline personality disorder (BPD) is a disorder in which individuals display overall instability, major shifts in mood, unstable self-images or relationships, and impulsivity
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,
Borderline Personality Disorder (BPD) affects about 4% of the general population, and at least 20% of the clinical psychiatric population. (Kernberg and Michels, 2009) In the clinical psychiatric population, about 75% of those with the disorder are women. BPD is also significantly heritable, with 42-68% of the variance associated with genetic factors, similar to that of hypertension. BPD can also develop due to environmental factors such as childhood neglect and/or trauma, insecure attachment, and exposure to marital, family, and psychiatric issues. (Gunderson, 2011)
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
Linehan addressed the need for effective and empirically supported psychotherapeutic treatment for borderline personality disorder. She discovered important shortcomings in standard cognitive and behavioral (CBT) treatments (Chapman & Robins, 2004). DBT was developed to address difficulties faced when implementing standard CBT to ...
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.
These experiences often result in impulsive actions and unstable relationships. A person with BPD may experience intense episodes of anger, depression, and anxiety that may last from only a few hours to days”. (https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml) I read that studies show that people with Borderline Personality Disorder have “structural and functional changes in the brain, especially in the areas that control impulses and emotional regulation”. (https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml) People who suffer from BPD tend to have unstable moods which could last from anywhere from a few hours to even days. People with BPD also go through periods where they try to avoid real or imagined abandonment. People with this disorder are often impulsive and exhibit dangerous behaviors. These behaviors consist of going on shopping sprees having unsafe sex with people the use of various drugs and even as dangerous as reckless driving. People with BPD also have dangerous suicidal behaviors, and may also exhibit self-harming
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
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
Winston, Anthony P. Recent developments in borderline personality disorders. Advances in Psychiatric Treatment, 2000, 211-217
...the borderline client’s dependency and anger and challenging his or her on way of thinking. The wild attitudes of these clients can also make it difficult for therapists to establish productive working relationships. Over the past two decades, theorists have begun to use a treatment called dialectical behavior therapy (DBT). It has gained growing research and support and now considered the treatment of choice. DBT includes behavioral and cognitive techniques that are applied to other disorders reinforcing appropriate behaviors and social skills. Finally, antianxiety, antipsychotic, antidepressants and mood stabilizers have helped calm the emotional and aggressive actions of some people with borderline personality disorder. Many clinicians believe that a combination of psychotropic drug treatment and psychotherapy is more successful than with therapy or drugs alone.
The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes from the therapeutic relationship. The health care provider should ensure that they communicate effectively to the patient/client. The skills explained in the above essay are the relevant skills that nurses in the contemporary hospital environment should adhere to and respect.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.