Borderline Personality Disorder
Etiology: A history of abuse in the patient’s is very common. Some hypothesize that if, as a child, the patient was separated from their mother they are more likely to develop BPD, therefore developing intense anxiety, hypersensitivity to rejection, and feelings of abandonment. Medications: SSRIs are the preferred medication given to patients with BPD. Common SSRIs are Prozac, Zoloft, Lexapro, Paxil, Luvox. Antipsychotic agents and opiate receptor antagonists may also be considered, such as, Risperdal, Seroquel, Zyprexa. Benzodiazepines are contradicted because they reduce inhibitions and are therefore likely to increase impulsivity. The common characteristics of Borderline Personality Disorder are a marked instability in personal relationships, mood, everyday functioning, affect, mood, and reality. About 2-3% of the general population has borderline Personality disorder. It is five times more common in those with a first-degree relative with the diagnosis. It is the most common personality disorder found in the clinical setting. This disorder is found 3 times more commonly in woman than in men. Between 8-10% of patients with this disorder commit suicide, many suffer from permanent damage due to self-mutilation injuries. Patient’s often ask for help from their disorder one minute, and in the next minute become angry and do not want help. They may attempt to manipulate staff to gain immediate gratification of needs. These patients often express they feel unhappy, and empty, with rare moments of satisfaction or well-being. They often become irritable or angry and complain of periods of anxiety, and are hypersensitive to others emotions as well as slight changes in routine. These patients often use the thought process referred to as splitting, where they tend to adore and idealize someone they have only just met, but the quickly devalue the person if the person does not meet their expectations in some way. Patient’s often have...
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