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Showing posts with label Borderline Personality Disorder. Show all posts
Showing posts with label Borderline Personality Disorder. Show all posts

Monday, March 15, 2010

.Understanding Borderline Personality Disorder

Understanding Borderline Personality Disorder
Learn more about the symptoms and associated features of borderline personality disorder, including emotional and relationship instability, impulsivity, suicidality, self-harm, and more.
..Coping with Symptoms - Challenges in Coping with Symptoms
All the symptoms of borderline personality disorder are difficult to deal with, but most people with BPD have one or two symptoms that they can identify as the most disruptive to their lives. For some, the chronic feelings of emptiness can seem unbearable. For others, the constant struggle with self-harm is the hardest burden to bear. What symptom is most difficult for you to manage?
Impulsive Behavior - How to Tame Impulsive Behavior
Many people with borderline personality disorder struggle with impulsive behavior, including acts like reckless driving, unsafe or promiscuous sex, going on spending sprees, and others. Do you struggle with impulsive behavior? What things do you do that get you in trouble? How have you been able to tame your impulsive behavior?

What Does Dissociation Feel Like - What Does Dissociation Fee…
Dissociation is difficult to define, and many people experience dissociation differently. What does dissociation feel like for you? How do you know if you are dissociating?
Do You Tell Lies - Why and When Do You Tell Lies
Do you tell lies? While there is no good research on the connection between BPD and lying, lots of people with BPD will tell you that they find themselves telling lies even when they don't mean to. What do you lie about? What triggers your lying? Do think there is a connection between BPD symptoms and lying?
Is It Time for a Borderline Personality Disorder Name Change - Border…
Many experts are now calling for a borderline personality disorder name change, because the term "borderline" is outdated and because, unfortunately, the name has been used in a stigmatizing way in the past. What do you think? Should BPD be renamed? What are the advantages of renaming the disorder? Do you see any potential drawbacks of renaming BPD?
Borderline Personality Disorder Axis II - Should We Keep Borderline P…
Borderline personality disorder and other personality disorders are on a separate axis, axis II, in the Diagnostic and Statistical Manual of Mental Disorders multi-axial diagnostic system. But, does BPD belong on Axis II? Or is it actually better captured if it is recognized as an Axis I clinical disorder? What do you think - is BPD a "personality disorder" or is it a disorder that deserves recog…
Suicide Risk Factors
Is there a way to predict who is at greatest risk for attempting or committing suicide? This article covers two different kinds of suicide risk factors: distal and proximal risk factors.
Suicide Risk Factors - When Are You Most at Risk
Many people with BPD have suicidal ideation from time to time. But there are some critical periods when you are at the greatest risk of a suicide attempt. Have you learned what risk factors signal that you might make an attempt? How do you know that you are becoming unsafe? What do you do when you realize you may make an attempt to keep yourself safe?
Who Am I? Borderline Personality Disorder and Identity Problems
Do you ever find yourself asking, who am I? What do I believe in? What is my place in this world? If you do, you are not alone. Many people with borderline personality disorder (BPD) struggle with identity issues – it is one of the core symptoms of the disorder.
Who Am I - Struggling with Identity Problems
Do you often ask yourself "who am i?" What is my place in the world? Do I even exist? If you do, you are not alone. Many people with borderline personality disorder (BPD) struggle with identity problems.
Borderline Personality Symptoms - Describing Your Borderline Personal…
The symptoms of BPD can be very hard to understand for someone who has not experienced them. How do you let other people know what it feels like to have BPD? Do you have a particular way of explaining your symptoms to let others know what it is like to have the disorder?
Understanding Borderline Anger
Anger is a key feature of borderline personality disorder. Learn more about borderline anger and how to get help.
Deliberate Self-Harm
What is deliberate self harm and why does it occur? Learn more about self harming behaviors, why self harm happens, and how self harm is treated.
What is Borderline Personality Disorder?
What is BPD? What are the symptoms? How is it treated? Learn more about the basics of BPD.
Understand Dissociation
What is dissociation? Is dissociation a disorder? How is dissociation treated? Learn more about dissociation in BPD.
Suicidality in Borderline Personality Disorder
Suicidality is an unfortunately common occurrence in borderline personality disorder. Learn more about the link between suicide and BPD, and what you can do to keep yourself or your loved one safe.
Impulsive Behavior and BPD
Are you someone who tends to take action without thinking through the consequences? Do hasty decisions often get you into trouble? Do you often act based on your feelings in the moment rather than on a long-term plan? You may be struggling with impulsive behavior, one of the symptoms of BPD.
NIMH: National Survey Tracks Prevalence of Personality Disorders
A study by researchers at the State University of New York Binghamton and Harvard University explores the prevalence of personality disorders in the U.S.
Research Report: Self-Harm is Prevalent in Children
This BBC report on research performed by Britain's National Health Service shows that self-harm is very prevalent (and on the rise) in children.
NIMH: Evidence of Emotional Reactivity in BPD
Research has demonstrated that the strong emotional reactivity described by people with BPD is evident in laboratory tests.

Sunday, March 14, 2010

Living With Borderline Personality Disorder Video

Living With Borderline Personality Disorder Video
Lauren | March 14, 2010 at 5:14 pm | Tags: borderline, borderline personality disorder, bpd, creativity, expression, happiness, mental health, mental illness, music, ronald paul corbin, video | Categories: borderline personality disorder | URL: http://wp.me/pNiLP-57

This video was made by Ronald Paul Corbin (a supporter of On The Borderline), also known as MrOntheborder on YouTube. The song in the video is "Happiness," and was written and performed by Ronald Paul Corbin.

http://ontheborderlineblog.wordpress.com/2010/03/14/living-with-borderline-personality-disorder-video/

Saturday, March 13, 2010

Stigma and Borderline Personality Disorder

Stigma and Borderline Personality Disorder
How Stigma Impacts People With BPD
By Kristalyn Salters-Pedneault, PhD, About.com Guide
Updated June 30, 2009

Stigma and borderline personality disorder (BPD) often go hand in hand. But what is stigma, and how can it impact you?

For years, in the United States and abroad, public information campaigns have tried to combat the stigma associated with mental illness. Unfortunately, these campaigns don’t seem to have been successful. In fact, the general public today is as afraid or more afraid of people with mental illness than they were decades ago. And people with BPD are among the most highly stigmatized groups.

How can we combat the stigma faced by people with BPD and other mental illnesses? The first step is to learn more about stigma, its consequences, and how to fight it.

What Is Stigma?
Stigma is a perceived negative attribute that causes someone to devalue or think less of the whole person. People tend to distance themselves from individuals in stigmatized groups, to blame individuals in these groups for the perceived negative attributes, and to discriminate against and diminish the stigmatized individuals.

Many individuals with mental health difficulties are perceived as weak, inhuman, or “less than” because of their psychological symptoms. Of the major mental illnesses, individuals with BPD are perhaps among the most stigmatized. Individuals with BPD are often blamed for their symptoms by both professionals and laypeople.

To give one example of stigma and mental illness, consider public perception of mental illness and violence. Research has shown that the American public is twice a likely to believe that people with mental illness tend to be violent than they were in 1950.

Actually, mental illness alone does not increase the chances that a person will be violent at all. In fact, people with mental illness are actually much more likely to be victims of violence than the general population. Still, the public perception is that people with mental illness are dangerous.

What Are the Consequences of Stigma?
The consequences of stigma are far-reaching. Research has shown that people from stigmatized groups are more likely to distance themselves from others, and they may start to believe what others say about them, thinking of themselves as incompetent, weak, or unreliable. These negative self-beliefs may have worse consequences than the mental illness itself, in some cases.

In addition, people from stigmatized groups may be less likely to seek treatment because of the possible consequences of being labeled with a disorder. Many people will not seek treatment for fear that getting a diagnosis will interfere with their ability to get a job in the future.

Stigma also makes it difficult for people with mental illnesses to find the social support they need to successfully manage their illness. There is evidence that social support is one of the key factors in successful recovery from mental illness, but individuals from stigmatized groups may have trouble finding that social support.

How Can I Fight Stigma?
Perhaps the most important way to fight stigma in your own life is to engage in educating others about BPD. There is evidence that when people learn about the symptoms, causes, and treatments for BPD, their attitudes tend to change. Share your knowledge about BPD with people around you, and you can be a major force for change in their beliefs.

Another way to fight stigma is to volunteer your time for organizations that seek to change public attitudes about mental illness. For example, the National Alliance for Mental Illness StigmaBusters campaign accesses the talents and resources of thousands of volunteers to identity and confront stigma wherever it occurs.

Sources:

Aviram RB, Brodsky BS, Stanley B. “Borderline Personality Disorder, Stigma, and Treatment Implications.” Harvard Review of Psychiatry. 14(5):249-256, 2006.

Dingfelder, S. F. “Stigma: Alive and Well.” APA Monitor on Psychology, 40(6): 56-60, 2009.

Krawitz R. “Borderline Personality Disorder: Attitudinal Change Following Training.” Australian and New Zealand Journal of Psychiatry. 38(7):554-559, 2004.

Why is it Called Borderline Personality Disorder?

Why is it Called Borderline Personality Disorder?
By Kristalyn Salters-Pedneault, PhD, About.com Guide
Created: October 18, 2009

Question: Why is it Called Borderline Personality Disorder?
Where did the term "borderline" come from, and what does it mean?

Answer:
The term "borderline" was first used by early psychiatrists to describe people who were thought to be on the "border" between diagnoses. At the time, the system for diagnosing mental illness was far less sophisticated than it is today, and "borderline" referred to individuals who did not fit neatly into the two broad categories of mental disorder: psychosis or neurosis.

Today, far more is known about BPD, and it is no longer thought of as being related to psychotic disorders (and the term "neurosis" is no longer used in our diagnostic system). Instead, BPD is recognized as a disorder characterized by intense emotional experiences and instability in relationships and behavior.

Many experts are now calling for BPD to be renamed, because the term "borderline" is outdated and because, unfortunately, the name has been used in a stigmatizing way in the past. Suggestions for the new name have included: "Emotion Dysregulation Disorder," Unstable Personality Disorder," and "Complex Posttraumatic Stress Disorder."

Source:

Bernstein, PhD, David P., Iscan, MD, Cuneyt, Maser, PhD, Jack, Board of Directors, Association for Research in Personality Disorder, & Board of Directors, International Society for the Study of Personality Disorders. "Opinions of personality disorder experts regarding the DSM-IV Personality Disorders classification system." Journal of Personality Disorders, 21: 536-551, October 2007.

Borderline Personality Disorder Diagnosis

Borderline Personality Disorder Diagnosis
How Is BPD Diagnosed?
By Kristalyn Salters-Pedneault, PhD, About.com Guide
Updated April 04, 2009

If you think you or a loved one may have borderline personality disorder (BPD), it can be very helpful to educate yourself about borderline personality disorder diagnosis. Being armed with some information can help you to take the next important step: making an appointment for an assessment with a mental health professional.

The Diagnostic and Statistical Manual of Mental Disorders (DSM)
The DSM, which is published by the American Psychiatric Association, is the official source of diagnostic information for psychiatric disorders, including BPD and related conditions. For each disorder, the DSM provides a list of symptoms and specifies how many symptoms are needed (and how severe the symptoms must be) to warrant a particular diagnosis.

The current DSM criteria for a BPD diagnosis are summarized below.

The Criteria for a Borderline Personality Disorder Diagnosis
BPD is a pervasive pattern of instability in interpersonal relationships, self-image, and emotion, as well as marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

•Frantic efforts to avoid real or imagined abandonment


•A pattern of unstable and intense interpersonal relationships characterized by extremes between idealization and devaluation (also known as "splitting")


•Identity disturbance: Markedly or persistently unstable self-image or sense of self


•Impulsive behavior in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating)


•Recurrent suicidal behavior, gestures, or threats, or self-harming behavior


•Emotional instability in reaction to day-to-day events (e.g., intense episodic sadness, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)


•Chronic feelings of emptiness


•Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)


•Transient, stress-related paranoid ideation or severe dissociative symptoms
How Were the Criteria for BPD Established?
A team of psychologists and psychiatrists who are considered experts in BPD developed the DSM symptom criteria. Many of the work group members are considered preeminent BPD researchers, and most also work directly with BPD patients.

The symptom criteria were established based on the best research available. However, it is important to keep in mind that the symptom criteria are always being fine-tuned as new research comes out. Currently, the DSM is in its fourth edition, and has undergone a text revision (this is why you will sometimes see it referred to as the DSM-IV-TR). In the next edition of the DSM (DSM-V), the symptom criteria for BPD may be altered to keep up to date with new research.

The Assessment Process
There are a number of psychological disorders and even medical problems that can cause symptoms very similar to those associated with BPD. For this reason, it is very important to see a licensed clinician (for example, a therapist or doctor) who can listen to your concerns, conduct a thorough assessment, and make an accurate diagnosis.

A complete assessment for BPD may include several components. Your therapist or doctor may ask you to participate in an interview, during which they will ask you questions about your symptoms, physical health, and past and present life situation. He or she may also ask you to fill out a written questionnaire about BPD symptoms. Finally, if you are willing, your clinician may ask to talk to family or loved ones to get complete information on the ways that your symptoms are affecting you.

At the end of the assessment process, your clinician will compile all of the information and make a diagnosis. Then, they will speak with you at length about the diagnosis and treatment options.

What Should I Do if I Think I Have BPD?
If you think you may have BPD, the first step is to find a mental health professional to work with. While they can be hard to find, there are clinicians who are specially trained to treat BPD.

•How to Find a BPD Therapist
•Find a Psychiatrist in Your Area
•Find a Psychologist
If you have health insurance, you may want to talk to the insurance company about clinicians who take your insurance and who have expertise in BPD (you should also ask how many sessions would be covered and how much the co-pay would be). If you do not have insurance, you may qualify for public assistance programs or services through your state or region's department of mental health or social services. You can also ask your primary care physician for a referral, or look into whether medical centers or universities in your area offer psychiatric or psychological services.

In addition to working with a clinician, it may help to educate yourself about the variety of effective treatments available, including medication, psychotherapy, and self-help treatments.

Finally, it is important to know that you are not alone, and that with help, people with BPD lead normal and fulfilling lives.

Sources:

American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed, text revision. Washington, DC: Author, 2007.

Oldham, MD, John. "Launching DSM-V." Journal of Psychiatric Practice, 13: 351, November 2007.

Proposed Revisions to the DSM - Are Big Changes on the Way?

Proposed Revisions to the DSM - Are Big Changes on the Way?
Tuesday February 23, 2010

The American Psychiatric Association (APA) recently posted the proposed changes to the upcoming edition of the Diagnostic and Statistical Manual of Mental Disorders (fifth edition) or DSM-V, scheduled to be published in 2013. While these are only a draft of the revisions, the proposed changes reflect a major change to the way that personality disorders are diagnosed.

You can find the possible changes here. Of note, the APA is proposing that a general diagnosis of "personality disorder" be given to individuals who exhibit extreme deficits in personality functioning. In addition, the APA is advocating that certain subtypes of personality disorders be retained. Borderline personality disorder is reformulated as "borderline type" in this new proposed system.

The potential changes are so sweeping that I haven't fully digested them yet. What are your reactions?

http://glclk.about.com/?zi=8/91QG