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Borderline Personality Disorder Defined

Borderline personality disorder defined

People living with borderline personality disorder frequently have volatile and turbulent relationships, often viewing others either all good or all bad and moving between idealization, devaluation, anger and hateful acts against others.

Psychotherapy (talk therapy) is the primary form of treatment for BPD. This process can help individuals learn to accept reality and improve their relationships while medication may also provide temporary relief from some symptoms.

Symptoms

BPD causes emotional instability that interferes with one’s self-image, likes and dislikes, goals, relationships and quality of life. Individuals living with BPD experience high levels of distress and anger which may lead to reckless or risky behavior such as cutting, risky sexual practices or dangerous driving and binge drinking; which in turn results in feelings of shame guilt fear and abandonment as well as instability within relationships including family work or social. Suicide risks also increase significantly for these people with BPD compared with people without.

Treating BPD symptoms is key. Psychological treatments – also known as talking therapies – include cognitive behavioral therapy (CBT), mentalization-based treatment and group therapy, while medications may or may not work for everyone affected by it; those who have a family history should discuss it with their doctor to maximize chances for effectiveness. In an emergency situation involving someone living with BPD call 911 or their local emergency number immediately for assistance.

Diagnosis

People living with borderline personality disorder tend not to have an established sense of their identity, with interests, values, and goals often fluctuating drastically from week to week. Furthermore, they may possess an unrealistic understanding of themselves as individuals as well as engaging in risky or reckless behaviors that contradict with what is considered appropriate behavior for a healthy mind.

People suffering from BPD tend to fear abandonment and frequently compare themselves negatively with others, even within relationships. When disappointments in relationships arise, they can become outraged and blame others. People living with BPD tend to engage in self-destructive or reckless behaviors including suicide.

Psychotherapy is the mainstay of treatment for people living with BPD, helping them gain perspective in their relationships and create healthier coping mechanisms. Talk therapy sessions may include individual, group or family sessions. Dialectical behavior therapy and schema-focused therapy may also be employed for treating BPD; medicine may be utilized only temporarily during times of crisis.

Treatment

Many individuals with borderline personality disorder find themselves struggling to manage distressing emotions and thoughts, leading them to deteriorate relationships, work performance and even consider self-destructive acts as ways of coping with them. Seeking professional assistance may provide more effective means of handling these problems while preventing self-destructive acts from taking place.

Psychotherapy (also referred to as talk therapy) is one of the primary treatments for BPD. This may involve individual sessions with a licensed mental health provider and group or family therapy sessions. One particularly successful treatment approach is dialectical behavior therapy which teaches skills designed to boost moods, curb self-destructive behaviors and enhance quality relationships.

Medication may also be prescribed to alleviate depression or anxiety or improve issues surrounding impulse control or aggression. Unfortunately, evidence does not support antidepressants or antipsychotics being helpful in treating BPD; however they could prove beneficial if other disorders exist and a health care provider recommends medication that best matches an individual’s symptoms and condition.

Prevention

BPD cannot be prevented, but early diagnosis and treatment can make a significant difference. People receiving therapy may find it easier to form stable relationships and lead more productive lives. Psychotherapy (talk therapy) is often recommended as treatment; other effective therapies include dialectical behavior therapy, schema-focused therapy and mentalization-based therapy; however medications may also be used as part of therapy regimen.

Studies indicate that certain factors may increase the risk of BPD, including genetics, harmful childhood experiences and history of abuse or trauma; however, no exact cause has yet been pinpointed for the condition.

As an attempt to cope with their intense fear of abandonment, people with Borderline Personality Disorder sometimes self-harm themselves without intending to. They might take drugs such as methadone, attempt suicide or cut themselves. Individuals at high risk should be hospitalized; typically this treatment lasts no more than 24 hours. BPD can have devastating effects on family life and work performance and tends to affect women more.

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