Borderline Personality Disorder:
May 1, 2011
Approximately 2% of Americans are diagnosed with borderline personality disorder (BPD). A concrete cause for the disorder has not been identified; however, genetics and environmental factors are known to play large roles in BPD. BPD is characterized by intense mood swings, a marked inability to maintain stable relationships, idolizing another individual just to tear them down to nothing, and impulsivity. The age of onset appears to be getting younger, but the consensus is that BPD symptoms start occurring around adolescence. BPD is usually diagnosed in the context of other multiple comorbidities, including components of additional personality disorders, depression, anxiety, obsessive-compulsive disorder, eating disorders, to name just a few. Management of BPD can include a special treatment called dialectical behavior therapy (DBT) which was created specifically for BPD, transference-focused psychotherapy, in addition to medications which can help some of the above-mentioned comorbid conditions.
1.Borderline Personality Disorder: Treatment. (2006) Harvard Mental Health Letter, 23(1), 3-5. Retrieved from EBSCOhost. This article states that the individual with BPD does not seek mental health care to have their personality transformed; rather, they want help for their depression, family and work lives. The article points out that the individual with BPD is hard to treat because they can misinterpret neutral comments made by the therapist as hostile. What does help the therapist treat the borderline individual is to set clear rules and boundaries, and perhaps have an informal agreement set up with goals and plans. The therapist must guide the client towards taking more responsibility for his or her behavior, especially when it comes to the suicidal client. The article does talk about dialectical behavior therapy (DBT) which teaches the client behavioral and cognitive techniques, mindful meditation. The therapist also must recognize that the feelings of the client with BPD are legitimate and acceptable, yet needs to insist that they assume more responsibility. In addition, the therapist must not reward the individual’s unacceptable behavior with attention. I thought this article was helpful in terms of what a therapist can possibly expect in terms of having a client with BPD. In terms of treatment, it did not go into very much detail as far as what it entails, mainly skimming over DBT and transference-focused psychotherapy. 2. (2003, May 19). New Program Offers Hope for Borderline Personalities; Renowned Psychiatrist to Head Treatment Center for Borderline Personality Disorder. Ascribe Newswire Health. Pp. 15-17. Retrieved from EBSCOhost. This was a very short article, talking about a therapist (John Gunderson, MD) from McLean Hospital in Massachusetts who is examining how the illness of BPD responds to treatments – why do some get better and some do not. I did not use much of this article, but did find John Gunderson, MD to be very devoted to helping those with borderline personality disorder. 3. National Institute of Mental Health (August 2010). Borderline Personality Disorder Fact Sheet. NIH Health Publications. Retrieved from www.NIMH.nih.gov/health/publications/borderline-personality-disorder-fact-sheet/index.shtml. This is a very useful website with many facts regarding borderline personality disorder. 4. Mayo Clinic. (2011). Borderline Personality Disorder: Causes. Retrieved April 27, 2011, from http://www.mayoclinic.com/health/borderline-personality-disorder The Mayo website has basic information on the disease. It is definitely a credible website with experts weighing in, and in that aspect I feel it is a good go-to site to get the fundamentals on BPD. 5. Kreger, R (2005). Borderline Personality Disorder Information and...