BORDERLINE PERSONALITY DISORDER

By: Brenda Vazquez, Doua Xiong, Dominique

Yang

EXPLANATION

Pattern of instability in interpersonal

relationships, self-image, and emotions-usually

impulsive behavior

Beginning by early adulthood

DIAGNOSTIC CRITERIA

Frantic efforts to avoid real/imagined abandonment

Identity disturbance-unstable self-image/sense of self

Pattern of unstable & intense interpersonal relationships

Impulsivity in at least 2 areas that are self self-damaging

(ex. Spending, sex, substance abuse, binge eating)

DIAGNOSTIC CRITERIA C O N T I N U E D …

Suicidal behavior

Emotional instability

Feelings of emptiness

Intense anger/Difficulty controlling anger

Stress related, paranoid thoughts

DIAGNOSTIC FEATURES

Abandonment fears & inappropriate anger when

faced with realistic time separation/unavoidable

changes in plans• May believe the “abandonment” implies they’re “bad”• A need to have other people with them

Empathize with & nurture others, but only when

expectation that the other person will be there in

return to meet their demands• Sudden, dramatic shifts in view of others

DIAGNOSTIC FEATURES C O N T I N U E D …

Sudden and dramatic shifts in self-image,

characterized by shifting goals, values, & vocational

aspirations

Self-damaging impulsive behavior & recurrent

suicidal behavior

PREVALENCE

Median population: 1.6% but may be as high

as 5.9%

6% in primary care settings, about 10%

among individuals and 20% among psychiatric

inpatient

Although it may decrease in older age groups

DEVELOPMENT AND COURSE

Borderline Personality Disorder generally starts in early

adulthood.

It could start with episodes of serious affective and impulsive

dyscontrol, leading to risk of suicide. These episodes are could be

life long.

Impairment & suicide greatest in young adult years

Although during their 30’s and 40’s majority of the patients no

longer have the pattern of behavior that meets the criteria.

This disorder usually

appears in adolescents

and young adults.

Gender related:

about 75%

of patients are females

CULTURE-RELATED DIAGNOSTIC ISSUES

RISK & PROGNOSTIC FACTORS

Five times more common in first-degree biological

relatives w/ the disorder than in a general

population.

Meaning: It fades away with every generation.

Risks: generally leads to other disorders such as

Bipolar disorder and substance abuse.

DIFFERENTIAL DIAGNOSIS

Borderline Personality Disorder generally occurs with

depressive and bipolar disorders.

Other personality disorders are often confused with BPD

because of similar features. If a patient meets the criteria for

multiple personality disorders all may be diagnosed

Must be distinguished from: substance use disorders,

personality changes due to medical conditions, & identity

problems

CASE STUDY

Case study: Brandon Marshall

http://www.youtube.com/watch?v=

YsjcyV_Kvp8

GROUP’S PERSPECTIVE

Psychodynamic:

This particular disorder could stem as a

result of an individuals past. This certain

individual could have experienced a large amount

of neglect and insecurity growing up resulting in a

fear of abandonment and lost of self image.

SOLVING

Humanistic:

To solve Borderline Personality Disorder,

we would recommend taking a Humanistic

approach. The reason being, the Humanistic

perspective emphasizes on changing thought

and behavior with no use of drugs.