Borderline Personality Disorder

 

Borderline personality disorder

What is it?

Borderline personality disorder (BPD) It is a type of mental disorder or illness that includes characteristics such as impulsivity and unsteady behavior. It usually appears in adults and it may interfere with everyday life activities. 

Mental illness is to date still a challenge for the medical community, and many treatment options are still under study. Mental disorders are also a challenge in social life, because while physical diseases or injuries are commonly accepted and immediately treated when necessary, mental illnesses usually take longer to be diagnosed, and treated, and even longer to be openly accepted by society.

Signs and symptoms?

The signs and symptoms of borderline personality disorder are very wide, including an unsteady personality, difficult interpersonal relationships, mood swings, impulsivity, and changes in the perception of self-image. All of these manifestations may vary depending on age, gender, and the general context and environment where the patient develops his or her daily activities.

Also, not all manifestations must be present in order to be able to diagnose borderline personality disorder. These basic signs and symptoms may be accompanied by a range of different circumstances such as an exceptional fear of being abandoned, unexplainable anger or a propensity to irritability. These are more accentuated signs that usually make the patient and their family consult a physician or a psychiatry specialist.

The scientific explanation behind these symptoms is yet to be clarified, and they are not easily understood by those surrounding the patient. Which is why diagnosing borderline personality disorder requiers an expert physician.

Other less common signs and symptoms include either glorification or downgrading of others, switching between highly respecting others and being extremely disappointed or even rude. Given the fact that there is an increase in the affectability, force and length of time, with which individuals with borderline personality disorder face feelings.

A cycle regularly starts in which individuals with borderline personality disorder feel emotional torment, engage in impulsive behavior to relieve that pain, then feel shame and guilt over their actions, or  feel emotional pain from the shame and guilt, and then experience stronger urges to engage in impulsive behavior to relieve the new emotional pain.

Even less common symptoms are: self-harm, although this can be present, leading in some cases to a suicidal conduct. And substance abuse, or liquor abuse, and dietary transgressions, other behaviors include unprotected sex, careless spending and careless driving. Imprudent conduct might likewise incorporate leaving employments, fleeing or escaping from home.

It is very important to know that without proper treatment these symptoms might get worse. And the patients suffering from borderline personality disorder can represent a harm to themselves and others.

In some cases these signs and symptoms may build up and patients can feel overpowered by negative feelings like grief, sadness, guilt or mortification, which lead to the situations of self-harm or a self-destructive conduct before the patient can learn to overcome these feelings with adapting mechanisms.

The lifetime danger of suicide among individuals with borderline personality disorder is somewhere around 3% and 10%. Evidence shows men diagnosed with borderline personality disorder are twice more prone to finish suicide than women determined to have borderline personality disorder. There is additional evidence that an extensive rate of men who complete suicide may have undiscovered borderline personality disorder.

In some cases there is non-self-destructive self-damage. The reported purposes behind this behavior differ from the reasons for suicide attempts. Purposes behind non-suicidal self-injury incorporate communicating anger, self-discipline, and distracting from emotional torment or difficult circumstances.

What causes borderline personality disorder?

Most scientists concur that borderline personality disorder causes include: a past filled with adolescence trauma or child trauma. Yet, less consideration has truly been paid to researching the causal parts played by innate variations, hereditary qualities, neurobiological variables, genetics and environmental elements other than trauma.

What determines diagnosis?

Diagnosis is based in various pillars but the three main characteristics the patient will express include: Feeling out of control, feeling betrayed, or feeling like harming themselves. Along with the changes in their interpersonal relationships: Given the fact that their emotions about others frequently move from affection to anger or after a disappointment. Another manifestation may be an apparent fear of losing somebody, or an apparent loss of regard according to somebody they esteem or used to know. This includes forms a process that constantly goes from idealizing other individuals to devaluing them.

Is there a treatment?

When treating borderline personality disorder, prognosis will include how individuals communicate in their initial advancement in treatment, with their family, or companions. This will be the guide to know how well the patient is confronting the disease. Treatment must be multidisciplinary; doctors usually recommend non-pharmacological treatment at first such as psychotherapy along with few medications along the way to make the process more comfortable for patients and their families.

Sources:

http://www.millon.net/taxonomy/borderline.htm

http://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml

http://www.mentalhealth.com/home/dx/borderlinepersonality.html

http://www.dsm5.org/pages/default.aspx