Borderline Personality Disorder

Borderline personality disorder (BPD) is a serious mental disorder that. By pervasive instability in moods, interpersonal relationships, self-image and behavior This instability often disrupts family and work life, long-term planning, and the sense of identity of the individual. Originally thought to be at the "borderline" of psychosis, people with BPD suffer from a disorder of emotion regulation. Although less well known than schizophrenia or bipolar disorder (manic depression) is BPD frequently and affects two percent of adults, mostly young women. (1) There is a high degree of self-injury without intent suicide rates and a high rate of suicide attempts and suicide in severe cases. (2), (3) Patients often need extensive mental health and are responsible for 20 percent of psychiatric hospitalizations. (4) However, with help, many improve over time and are eventually able to lead productive lives.

Symptoms

While a person with depression or bipolar disorder typically takes the same mood weeks, may experience intense bouts of anger, depression and anxiety that may last a few hours or up to one day a person is borderline. (5) This may be associated with episodes of impulsive aggression, abuse, self-injury, and drug or alcohol. Distortions in perception and self-esteem can lead to frequent changes in long-term goals, career plans, jobs, friendships, gender identity and values. Sometimes people with BPD view themselves as fundamentally bad, or unworthy. You feel wronged or misunderstood, bored, empty, and have little idea what they are. These symptoms are most acute when people with BPD feel isolated and little social support and can in frantic efforts to avoid, to lead alone.

People with bipolar disorder often have highly unstable patterns of social relationships. While they can develop intense but stormy attachments, their attitudes towards family, friends and loved ones may suddenly shift from idealization (admiration and love) to devaluation (intense anger and dislike). Thus, they may form an immediate attachment and idealize the other person, but when a slight separation or conflict, the unexpected change to the other extreme and angrily accuse the other person does not occur to employ. Even with family members, individuals with BPD are very sensitive to rejection and reacts with rage and despair, such separations mild as a vacation, a business trip or a sudden change of plans. These fears of abandonment seem to difficulties feeling emotionally connected to important persons when they are not physically present, so that the BPD feeling lost and perhaps worthless related individual. The threats and suicide attempts and can get along with anger at perceived abandonment and disappointments.

People with bipolar disorder have other impulsive behaviors, such as excessive spending, binge eating and risky sexual behavior. BPD often occurs with other psychiatric disorders, including bipolar disorder, depression, anxiety disorders, addictions and other personality disorders.

Treatment

Treatments for BPD have improved in recent years. Group and individual psychotherapy are at least partially effective for many patients. In the last 15 years, a new psychosocial treatment called dialectical behavior therapy (DBT) that are designed specifically to treat BPD, and this technique looked promising studies in treatment. (6) Pharmacological treatments are often prescribed based on specific symptoms shown by the individual patient. Antidepressants and mood stabilizers may be helpful for depressed mood labile and / or. Neuroleptics can also be used when there distortions in thinking. (7)

Recent research results

Although it is known that both environmental and genetic causes of BPD factors seem to play a role in predisposing patients to BPD symptoms and traits play. Studies show that many, but not all people with BPD report a history of abuse, neglect, or separation of small children. (8) Forty to 71 percent of BPD patients report having been sexually abused, usually by a non-caregiver. (9) Researchers believe that BPD from a combination of individual vulnerability to environmental stress, neglect or abuse of children, and a series of events that trigger the onset of the disease as young adults. Adults with BPD are also much more often victims of violence, including rape and other crimes. This can be both harmful environments as well as impulsivity and poor judgment in choosing partners and lifestyles.