Alice Klieg: Alice Klieg is a 43 year-old female who recently won $86 million in the California Sweepstakes lottery. She is unemployed, divorced from her husband, and now lives on her own. Diagnosis: After my assessment of Alice Klieg, I am diagnosing her with Borderline Personality Disorder. Symptoms of Borderline Personality Disorder and DSM-V Criteria: Must show 5 of the following criteria: Frantic efforts to avoid real or imagined abandonment A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation • Identity disturbance: markedly and persistently unstable self-image or sense of self Impulsivity in at least two areas that are potentially self-damaging (spending, sex) • Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior Affective instability due to a marked reactivity of mood (intense episodes of irritability or anxiety usually lasting a few hours, rarely a few days) Chronic feelings of emptiness Inappropriate, intense anger or difficulty controlling anger (frequent displays of temper, constant anger) • Transient, stress-related paranoid ideation or sever dissociative symptoms Symptoms of Borderline Personality Disorder (BPD) include a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and is marked impulsivity. BPD begins in early adulthood and is present in a variety of contexts. Alice Klieg displays 6 of
What is Borderline Personality Disorder? Defined by the website www.borderlinepersonalitydisorder.com, “Borderline personality disorder (BPD) is a serious mental illness that causes unstable moods, behavior, and relationships. It usually begins during adolescence or early adulthood.” One may wonder what can be the cause of this disorder. BPD can be detected by an in-person interview about the symptoms that are occurring. The input from family and close friends of the individual that is being treated can also help detect the symptoms. The causes for BPD are not fully
Borderline Personality Disorder (BPD) can be described in simple terms as a condition in which sufferers experience long periods of emotional instability and troubled feelings about themselves and other people. These troubled feelings allow individuals to take impulsive measures and have trouble in their relationships (Bouchard, Sabourin, Lussier & Villeneuve, 2009). BPD basically comprises of unusual intensities of instability in mood and irrational thinking also referred to as splitting. Splitting in BPD involves a switch between negative perception of others and idealization (Sperry, 2003). This usually occurs along with irregular mood swings and can negatively impact on the existing relationships such as family,
A personality disorder is characterized by a distinct pattern of behavior that does not meet normal standards of behavior within one’s culture. This pattern is ingrained as the norm to the person affected, and the characteristics of the affected person deviate markedly from societal standards (Hebblethwaite, 2009). The two main features that help to identify a personality disorder are chronic interpersonal difficulties and persons with one’s identity or sense of self (Livesly, 2001). Within this set of mental health disorders lie several other subsets, including one of the most prominent personality disorders - Borderline Personality Disorder (BPD). BPD is a severe, long-lasting disorder that has an incidence of occurrence approximately equal to that of bipolar disorder and schizophrenia combined (Grant, Chou, Goldstein et al., 2008). BPD also puts those affected at risk for damage in many areas of their life if not properly diagnosed and treated, including personal relationships, school, work, and self-imagine. Furthermore, this disorder has a high co-morbidity with other disorders such as depression, substance abuse, eating disorders, and social phobia, among many more (Hebblethwaite, 2009). Misdiagnosis of borderline personality disorder can have serious clinical implications. This paper looks to identify the risk factors associated with BPD, the affects on various aspects of the person’s life, treatments, and give recommendations as to how to properly identify and
Borderline personality disorder (BPD) is a serious psychiatric illness. People that are diagnosed with this disorder suffer from an intense pattern of affective instability, extreme difficulties in interpersonal relationships, problems with behavioral or impulse control, and disrupted cognitive processes. The estimated prevalence of BPD in the general adult population is about 2%, mostly affecting young women.
“The essential feature of borderline personality disorder is a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts” (APA, 2013; p. 663). The DSM-5 further elucidates this definition with nine criteria, five or more of which must be present for an individual to receive a diagnosis of BPD. These nine criteria can effectively be grouped into symptoms relating to affect, impulsivity, suicidality, interpersonal relationships, and cognition (Cartwright,
What is Borderline Personality Disorder? Is heredity the cause or is it a person’s surrounding environment? What are its effects? Are there any treatments available for it? Borderline Personality Disorder or BPD is a serious illness that causes a person to experience instability in moods, exhibit impulsive, quite often aggressive, behavior and creates severe self-worth issues. BPD is usually not a “stand alone” illness and typically is accompanied by other disorders such as Dysthymia, Bipolar Disorder and Substance Abuse. Although BPD can be extremely dangerous to those affected by it and those surrounded by them, it is quite often not given enough attention or taken as serious as it should be. As well, BPD is commonly misdiagnosed as
Self- destructiveness is the main symptom of borderline personality disorder. Because people with BPD feel rejection and negative criticism more easily, they are more sensitive and untrustworthy to those around them and they feel like lashing out is the only option. This impulsivity accompanied by anger and anxiety is very common in people with BPD because it gives them immediate gratification from their emotional pain. The most common impulsive behaviours are promiscuity, alcohol abuse, substance abuse, and reckless spending. Slowly, the shame and guilt eats up at them. A cycle often begins in which people with BPD feel emotional pain, engage in impulsive behavior to relieve that pain, feel shame and guilt over their actions, feel emotional pain from the shame and guilt, and then experience stronger urges to engage in impulsive behavior to relieve the new pain. As time goes on, impulsive behavior may become an automatic response
Borderline Personality disorder is one of the most commonly diagnosed and functionally disabling mental disorders. The central characteristic of this disorder is impulsivity and instability in mood, relationships and self-image. People who suffer with borderline personality disorder usually experience severe feelings of depression, emptiness, and intense fear of abandonment. They also engage in destructive behaviors such as sexual promiscuity, drinking, gambling, and eating sprees. These people may also attempt suicide and sometimes engage in self-mutilation. Those with Borderline personality disorder seek approval and acceptance where ever they go; they might also irrupt in anger at any sign or disapproval. This disorder is usually marked by a long
The main feature of borderline personality disorder (BPD) is a pervasive pattern of instability in interpersonal relationships, self-image and emotions. People with borderline personality disorder are also usually very impulsive.
“Personality disorders have been documented in approximately 9 percent of the general U.S. population” (Angstman, Rasmussen, 2011). Emotional dysregulation disorder or its common name borderline personality disorder is a very serious and chronic disorder. The Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) describes borderline personality disorder as “a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts” (Gardner, 2006). Within the last 20 years, psychologists and other mental health professionals have made tremendous strides in research on what exactly borderline personality disorder, some of its triggers and possible effective treatment options. Borderline personality disorder is defined as a disorder that generates severe emotional instability which can be a springboard that can lead to other stress induced mental and behavioral problems.
This disorder occurs most often in early adulthood following a period of unstable interactions with others. This often stems from self-image issues and faulty early social interactions. The awkwardness is at an extreme level and shown in a variety of different settings over time. Most people will first notice the rapid fluctuation of emotions during interactions. To be diagnosed with a personality disorder one must have an enduring pattern of inner experience that deviates from the cultural norm in at least two of the following areas: affect, cognition, interpersonal functioning, and/or impulse
Likewise, the author read that Borderline Personality Disorder (BPD) is described as instability in interpersonal relationship, self-image and mood, a fast fluctuation between emotional states, impulsive behaviour and an inclination towards self-harm and suicidal thinking (NICE 2009).
Mood disorders- these are where there are changes in a persons feelings. This will cause them feel high moments and low moments in their life. According to the DSM/ICD, it states unbalance in a person mood is thought to be underlying feature of the changes.
Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days).
Borderline Personality Disorder (BPD) is characterized by fluctuation of self-image, lack of stable interpersonal relationships and pronounced and unpredictable impulsivity. The Diagnostic and Statistical Manual of Mental Disorders 5 (2013) also lists fear of abandonment, suicidal or self-harming behaviors, intense or inappropriate anger that is difficult to control as well as paranoid ideation or dissociative symptoms. Morcos and Morcos (2016) wrote that patients with BPD are often misdiagnosed with other trauma related disorders, such as PTSD, depression or bipolar disorder. According to Beatson, et al. (2016) there are additional issues in diagnosing older patients, as the criteria indicates that symptoms would have been seen early in the patient’s life, not later. Beatson, et al. (2016) also noted that there is a considerable lack of studies and literature concerning BPD in older patients, making the diagnostic process more difficult. In this case study we will be working with an older patient, one that was well into midlife before Borderline Personality Disorder was included in the DSM, to see if she fits the criteria for BPD and what treatment options might be available.