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borderline personality disorder

borderline personality disorder



|Views: 2,968|Likes:
Published by Dean Amory
Some of the nicest people I know have a big problem. With themselves in the first place; But also with living and working together with other people.
Some of the nicest people I know have a big problem. With themselves in the first place; But also with living and working together with other people.

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Published by: Dean Amory on May 13, 2008
Copyright:Attribution Non-commercial


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Personality Disorder
(Painting : Fabio Perez)
21 Sep 2007
Borderline Personality Disorder Treatment
by John M. Grohol, Psy.D. - June 22, 2007
Table of Contents
Borderline Personality Disorder is experiencedin individuals in many different ways. Often, people with this disorder will find it moredifficult to distinguish between reality fromtheir own misperceptions of the world andtheir surrounding environment.
While thismay seem like a type of delusion disorder tosome, it is actually related to their emotionsoverwhelming regular cognitive functioning.
People with this disorder
often see othersin “black-and-white” terms.
Dependingupon the circumstances and situation, forinstance, a therapist can be seen as beingvery helpful and caring toward the client.But if some sort of difficulty arises in thetherapy, or in the patient’s life, the personmight then begin characterizing thetherapist as “bad” and not caring about theclient at all. Clinicians should always beaware of this “all-or-nothing” lability mostoften found in individuals with this disorderand be careful not to validate it.Therapists and doctors should
learn to belike a rock
when dealing with a person whohas this disorder. That is, the doctor should offer his or her stability to contrast theclient’s lability of emotion and thinking. Many professionals are turned-off by workingwith people with this disorder, because it draws on many negative feelings from theclinician. These occur because of the client’s constant demands on a clinician, theconstant suicidal gestures, thoughts, and behaviors, and the possibility of self-mutiliatingbehavior. These are sometimes very difficult items for a therapist to understand and workwith.
Psychotherapy is nearly always the treatment of choice for this disorder
;medications may be used to help stabilize mood swings. Controversy surroundsovermedicating people with this disorder.
Like with all personality disorders, psychotherapy is the treatment of choice in helping peopleovercome this problem. While medications can usually help some symptoms of the disorder,they cannot help the patient learn new coping skills, emotion regulation, or any of the other important changes in a person’s life.An initially important aspect of psychotherapy is usually contracting with the person to ensurethat they do not commit suicide.
Suicidality should be carefully assessed and monitoredthroughout the entire course of treatment
. If suicidal feelings are severe, medication andhospitalization should be seriously considered.The most successful and effective psychotherapeutic approach to date has been
MarshaLinehan’s Dialectical Behavior Therapy
. Research conducted on this treatment have shownit to be more effective than most other psychotherapeutic and medical approaches to helping a person to better cope with this disorder.
 It seeks to teach the client how to learn to better takecontrol of their lives, their emotions, and themselves through self-knowledge, emotionregulation, and cognitive restructuring. It is a comprehensive approach that is most oftenconducted within a group setting. Because the skill set learned is new and complex, it is not an appropriate therapy for those who may have difficulty learning new concepts.
Like all personality disorders, borderline personality disorder is intrinsically difficult to treat.Personality disorders, by definition, are long-standing ways of coping with the world, socialand personal relationships, handling stress and emotions, etc. that often do not work,especially when a person is under increased stress or performance demands in their lives.

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