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Mobile Mental HealthMobile Mental Health
Mobile Mental Health

 

Borderline Personality

Symptoms of BPD are:

  • Mood swings

  • Periods of intense depression, irritability, and/or anxiety lasting from a few hours to a few days

  • Inappropriate, intense or uncontrolled anger

  • Impulsiveness in spending, sex, substance use, shoplifting, reckless driving, or binge eating

  • Recurring suicidal threats or self-injurious behavior

  • Unstable, intense personal relationships

  • Extreme black and white views of people and experiences, sometimes alternating between “all good” idealization and “all bad” devaluation

  • Persistent uncertainly about self-image, long term goals, friendships and values

  • Chronic boredom or feelings of emptiness

  • Frantic efforts to avoid real or imagined abandonment

Treatment for BPD

Medication

  • Reduces anxiety, depression and impulsivity

  • Helps one deal with harmful patterns of thinking and interacting

  • Fails to correct ingrained character difficulties

  • Antidepressants

  • Anticonvulsants

  • Neuroleptics

Psychotherapy

  • Short-term hospitalization when necessary during times of extreme stress, impulsivity, or substance abuse

  • Generally difficult and long term

  • BPD symptoms often interfere with therapy

  • Usually effective

What is BPD?

  • Fairly common biologically based disorder

  • Characterized by impulsivity and instability in mood, self-image and personal relationships

  • Diagnosed more often in females than in males

Causes of BPD

  • Unclear, but psychological and biological factors may be involved

  • Originally thought to border on schizophrenia

  • Related to serious depressive illness

  • Associated with neurological and attention deficit disorders

  • Difficulties in psychological development during childhood due to such things as abuse or neglect may create identity and personality problems

  • More research is needed

Simultaneously present disorders

  • Serious depressive illness, including bipolar disorder

  • Eating disorders

  • Alcohol/drug abuse

  • Sleep disorder