Wednesday, November 19, 2014

Borderline Personality Dirsorder

Borderline personality disorder (BPD) is a psychological condition characterized by oversensitivity, fear of abandonment, and chronic instability in mood and interpersonal relationships. This disorder is the result of permanent traits and requires sustained treatment. The term “borderline” was used to refer to people who displayed behaviors that fell on the borderline between neurosisand psychosis. The term has come to refer to a collection of symptoms that constitute an unstable personality structure. BPD is characterized by a longstanding pattern of instability in mood and relationships. A patient must exhibit at least 5 diagnostic criteria to be classified as having a borderline personality disorder: efforts to avoid abandonment, problem with self-image, self-injurious actions or suicidal threats or attempts, unsteady mood based on environmental factors, constant feelings of worthlessness, chronic instability with anger and temperament, and paranoia due to environmental factors. Although legitimate causes are still the source of research, there are certain predetermined factors that make someone more susceptible to BPD. Frequently, Axis I disorders coincide with BPD. In their stressful states, people with BPD can also be classified as having paranoid schizophrenia. The most prominent predetermining factor of BPD is gender. 75% of people with this condition are women. The diathesis-stress model examines how the effects of stress, combined with a diathesis, or genetic vulnerability to develop a psychological disorder, may instigate the development of BPD. Certain hereditary genes, such as those that lead to mood instability, could imply that the disorder is genetic. An irregular level of the neurotransmitter serotonin has also been found in those with BPD. The “cure” requires extended treatment and involves a significant change in behavior for the patient. People who have personality disorders such as BPD lack the insight that the dysfunction of their personality is the source of impairment. therefore, many with BPD may never seek treatment.

Ogden, Janine T. "Borderline personality disorder." Psychology and Mental 
     Health. Ed. A. Piotrowski Nancy, 3d ed. 5 vols. Pasadena, Calif.: Salem 
     Press, 2009. Salem Health Web. 13 Nov. 2014. 

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