Understanding Borderline Personality DisorderMar 11, 2022
This is Dr. Christy Webb, a psychologist from Chapel Hill, North Carolina. The diagnosis of
disorderstrikes fear into the hearts of many psychotherapists and patients. This group of people have a reputation for being manipulative. They seek attention. Suicidal. I often fear that I will be exhausted. I love working with people with bpd. They are usually very intelligent, sensitive and funny people who suffer a lot when others see manipulation. I see someone who doesn't know how to effectively meet their needs. I don't see the suicidal gestures as attention seeking, but they indicate how desperate my patient is.
disorder. What causes it and what can be done to treat someone with this complex diagnosis. The hallmark feature of borderline personality disorder is frenzy. attempts to avoid real or imagined abandonment person with bpd who is usually, but not always a woman, might threaten if you leave me i will kill myself or buy expensive gifts for people in order to keep them as friends plus she has relationships unstable and intense where the person can go from hero to zero in a matter of instance your best friend doesn't call back right away and boom she's out of your life there's an emptiness inside and the person doesn't know what's coming to him likes or dislikes feels lonely sad and hollow there is a lot of impulsiveness in areas that have a high potential for harm such as unsafe sex binge spending and substance use there may be threats or recurrent suicidal behaviors and/or non-suicidal self-injurious behaviors such as getting cut or burned there may be mood swings so this diagnosis is often confused with bipolar disorder the person is often depressed or anxious, anger is especially likely to It can break out suddenly and unexpectedly and when it gets angry there can even be momentary paranoia or dissociation, that feeling we sometimes have of letting go of having our body, in fact, that's why it's called borderline: the person is always on the borderline between neurosis normal, which is what we all have, and psychosis, seeing things other people can't see, hearing things other people can't hear, and insufficient stress. will fall into psychosis to get the diagnosis a person must have at least five of the nine characteristics I mentioned so just having mood swings is not enough to get the label as all personality disorders borderline personality disorder are not it can be diagnosed before the age of 18 but the seeds of the disorder are sown in early childhood we are learning that the brains of people with bpd are different from those without it for some reason the child seems to have been born with little emotional sensitivity or no ability to control his emotions something that most people would take in stride it is very difficult for him to tolerate without being scared these children do not learn that nothing and nobody is all good or all bad they see things in red light green light or all or nothing the terms add to this emotional sensitivity an invalidating environment and you have a recipe for bpd so what is a good invalidating environment , that is one in which the child is told that what he is experiencing cannot be true.
He says I'm hungry and tells him no you're not. You just ate. You can't be hungry. have something to grieve about not everyone with vpd has a history of abuse but many do and this makes sense because abuse is the ultimate disabling environment not even your body is yours and when you say no it is ignored or contradictory alcoholic homes are also a breeding ground for borderline personality disorder the gold standard of treatment for bpd is dialectical behavior therapy dbt dbt teaches this group of people skills they were never taught in the first place they learned to tolerate ingenuity anguish Without making the situation worse and without harming themselves or others, they learn to regulate their own emotions.
The treatment approach that is receiving the most attention recently is mentalization-based therapy. It teaches people with BPD to distinguish between their own thoughts and feelings and those of the people around them so that they can understand the effect of their behavior on others. This helps them understand. that they are unlikely to get what they want e.g. having angry outbursts probably the best known example of bpd in movies is glenn close's character in fatal attraction now sadly this has given audiences a one sided view and frankly terrifying of the diagnosis i often suggest people think of marilyn monroe or princess diana for other examples and marsha linehan n the creator of dialectical behavior therapy has very bravely revealed herself to have the diagnosis herself the important thing here is that one can have a rich, full and fulfilled life, a life worth living along with borderline personality disorder, it is totally possible, although therapy is usually necessary to be able to achieve that goal thanks for joining me
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