Bordeline Personality Disorder (BPD)

1. Bordeline Personality Disorder(BPD) Zitlaly Ortega Period 6

2. What id BPD? • Borderline Personality Disorder: • Characterized by a pervasive pattern of instability, most evident in relationships, mood, and sense of identity. • What does it mean to have BPD?

3. Associated Features • Need for intense emotional experiences • Mood swings • Boredom • This causes the person to engage in impulsive behaviors.

4. Associated Features • Might go to the extreme of self mutilation • Anxiety when someone is not present. • Suicidal thoughts • Sexual orientation confusion

5. Associate Features • Shifts in goals, dreams, or expectations. • Identity confusion

6. Etiology: Social/ Enviornmental • Abandonment in Childhood • Parent Neglect/rejection (87%) • Sexual Abuse (40-71%) • Physical Abuse (25-71%)

7. Prevalence • 2% of the general Population • 10% among individuals seen in outpatient mental health clinics • 20% among psychiatric inpatients • 30% to 60% among clinical populations with Personality Disorders. • More prevalent in Women

8. BPD: DMS IV Criteria • 1. frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. • 2. a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.  • 3. identity disturbance: markedly and persistently unstable self-image or sense of self.  • 4. impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. 

9. DMS IV continued… • 5. recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior  • 6. affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).  • 7. chronic feelings of emptiness  • 8. inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)  • 9. transient, stress-related paranoid ideation or severe dissociative symptoms

10. BPD Quiz • 1. I nearly always feel "empty." Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree2. I find that I often do one or more of the following: drive recklessly, engage in unsafe sex,abuse alcohol or drugs, binge eat, gamble or spend money recklessly. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree3. Sometimes when I'm stressed out -- especially if someone has abandoned me -- I can get very paranoid, feel myself "spacing out" or dissociate. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

11. 4. I often idealize others, especially when I first meet them, and feel comfortable in sharing the most intimate details with them. But I often feel that these same people don't care enough and aren't there enough for me. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree5. I'm sometimes very angry, extremely sarcastic and bitter, and feel like I have a hard time controlling this anger. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree6. I've engaged in self-mutilating, self-harm, or suicidal behaviors, gestures or threats. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

12. 7. I often experience a sudden shift in the way I look at myself and my life, and completely change my goals, values and career focus. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree8. I'm often afraid that others will abandon or leave me -- so I'll make frantic efforts to avoid this abandonment (even when it's not real). Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree9. My mood can shift between extreme periods of anxiety, depression or irritability in just a few hours or days. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

13. 7. I often experience a sudden shift in the way I look at myself and my life, and completely change my goals, values and career focus. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree8. I'm often afraid that others will abandon or leave me -- so I'll make frantic efforts to avoid this abandonment (even when it's not real). Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree9. My mood can shift between extreme periods of anxiety, depression or irritability in just a few hours or days. Strongly disagreeDisagreeNeutral / mixed feelingAgreeStrongly agree

14. Treatment • Dialectical behaviour therapy • Weekly sessions • Decreases: • Self-harm behavior • Time spent in hospital • 1 year later…

15. Treatment • Psychoanalytic psychotherapy (30% or more) • Therapeutic communities • Interpersonal therapies • Cognitive–analytic therapy

16. Long-Term Prognosis • 53 % of patients • 7 years patients diagnosed with BPD after no longer meet the BPD criteria

17. Refrences: • Halgin, R.P. & Whitbourne, S.K. (2005). Abnormal psychology: clinical perspectives on psychological disorders. New York, NY: Worth Publishers. • M, John.(1992-2012). Borderline personality disorder. http://psychcentral.com/lib/2007/symptom s-of- borderline-personality-disorder/ • (2011). What is borderline personality disorder?.http://www.nimh.nih.gov/health/publications/ borderline-personality-disorder/how-is- borderline-personality-disorder-treated.shtml

18. Video: Borderline personality DISORDER • http://www.youtube.com/watch?v=G33FIOY28zQ

19. Discussion questions: • How is the term “emo” related to BPD? • How does the lack of information cause society to stigmatize certain people, especially those with BPD?