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BORDERLINE PERSONALITY DISORDER
By: Brenda Vazquez, Doua Xiong, Dominique
Yang
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EXPLANATION
Pattern of instability in interpersonal
relationships, self-image, and emotions-usually
impulsive behavior
Beginning by early adulthood
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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)
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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
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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
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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
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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
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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.
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This disorder usually
appears in adolescents
and young adults.
Gender related:
about 75%
of patients are females
CULTURE-RELATED DIAGNOSTIC ISSUES
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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.
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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
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CASE STUDY
Case study: Brandon Marshall
http://www.youtube.com/watch?v=
YsjcyV_Kvp8
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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.
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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.