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BPD

BPD

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Published by Mary
Boarderline Personality Disorder
Boarderline Personality Disorder

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Categories:Types, Research, Science
Published by: Mary on Aug 23, 2009
Copyright:Attribution Non-commercial

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02/07/2013

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BPDDefinitionBorderline personality disorder (BPD) is a serious mental illness characterized by pervasiveinstability in moods, interpersonal relationships, self-image, and behavior. This instability oftendisrupts family and work life, long-term planning, and the individual's sense of identity. Originallythought to be at the "borderline" of psychosis, people with BPD suffer from emotion regulation. Whileless well known than schizophrenia or bipolar disorder, BPD is more common, affecting 2 percent of adults, mostly young women. There is a high rate of self-injury without suicide intent, as well as asignificant rate of suicide attempts and completed suicide in severe cases. Patients often needextensive mental health services, and account for 20 percent of psychiatric hospitalizations. Yet, withhelp, many improve over time and are eventually able to lead productive livesSymptomsWhile a person with depression or bipolar disorder typically endures the same mood for weeks, aperson with BPD may experience intense bouts of anger, depression, or anxiety that may last onlyhours, or at most a day. These may be associated with episodes of impulsive aggression, self-injury,and drug or alcohol abuse. Distortions in cognition and sense of self can lead to frequent changes inlong-term goals, career plans, jobs, friendships, gender identity, and values. Sometimes people withBPD view themselves as fundamentally bad or unworthy. They may feel unfairly misunderstood or mistreated, bored, empty, and have little idea who they are. Such symptoms are most acute whenpeople with BPD feel isolated and lacking in social support and may result in frantic efforts to avoidbeing alone.People with BPD often have highly unstable patterns of social relationships. While they can developintense but stormy attachments, their attitudes toward family, friends, and loved ones may suddenlyshift from idealization (great admiration and love) to devaluation (intense anger and dislike). Thus,they may form an immediate attachment and idealize the other person, but when a slight separationor conflict occurs, they switch unexpectedly to the other extreme and angrily accuse the other person of not caring for them at all.Most people can tolerate ambivalence where they experience two contradictory states at one time.People with BPD, however, shift back and forth to a good or a bad state. If they are in a bad state,for example, they have no awareness of the good state.Even with family members, individuals with BPD are highly sensitive to rejection, reacting with anger and distress to mild separations. Even a vacation, a business trip, or a sudden change in plans canspur negative thoughts. These fears of abandonment seem to be related to difficulties feelingemotionally connected to important persons when they are physically absent, leaving the individualwith BPD feeling lost and perhaps worthless. Suicide threats and attempts may occur along withanger at perceived abandonment and disappointments.People with BPD exhibit other impulsive behaviors, such as excessive spending, binge eating, andrisky sex. BPD often occurs with other psychiatric problems, particularly bipolar disorder, depression,anxiety disorders, substance abuse, and other personality disorders.Causes

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