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I have searched it and what not but found nothing useful or understandable. If anyone can explain it in layman terms I would be greatful.
What kinds of problems can it cause?
Does anyone who has it (or knows about it) know of ways to manage it?

2007-03-10 20:18:44 · 8 answers · asked by Anonymous in Health Mental Health

8 answers

I am not an armchair psychologist so I will not try to be. There are some good factual answers already. Here is my personal take and it comes from my experience with a relationship with a woman affected by this disorder. This woman was an "actress" from the get go. Her demeanor and behavior was shaped toward my desires. She was breathtakingly beautiful and any man's dream physically. Since her behavior was tailored to me, I was hooked emotionally. Then all hell broke loose and life with this woman became the most chaotic, convoluted and unpredictable existence possible. The ups and downs that accompanied her overwhelming feelings of alternating engulfment and abandonment were the ongoing impetus of dangerous and self-destructive behaviors that only became worse with time. Financial irresponsibility, sexual promiscuity, reckless behavior, drug and alcohol abuse, occasional delusions, hopelessness were the norm in this woman's life. She worshiped Marilyn Monroe who she had some perceived bond with because their lives were so alike. Had she known who Anna Nicole Smith was she would have worshiped her too because having seen the story of Anna Nicole I am certain she was a borderline as well. I knew that my friend was not long for this world by her ever increasing dangerous behaviors and my predictions held true when she drove a BMW off of a 40 foot embankment in to a marsh at 120 mph and flipped end-over -end three times while playing "New York Minute" on her tape player. If your question relates to a relationship with a BPD, be careful as in DONT GET INVOLVED. Too unhealthy. I usually do not ramble so much but this one struck a nerve. Unfortunatley, I do not feel that the moderate to severe cases of this disorder can be helped and life is either out of control or doomed by medication, inpatient or prisoner status. Perhaps milder cases can be controlled through medication and psycho therapy.

2007-03-11 06:24:59 · answer #1 · answered by Mon-chu' 7 · 0 0

This Site Might Help You.

RE:
What is borderline personality disorder?
I have searched it and what not but found nothing useful or understandable. If anyone can explain it in layman terms I would be greatful.
What kinds of problems can it cause?
Does anyone who has it (or knows about it) know of ways to manage it?

2015-08-24 07:21:41 · answer #2 · answered by ? 1 · 0 0

Intense unstable relationships in which the borderline always ends up getting hurt. Gunderson admits that this symptom is somewhat general, but considers it so central to BPD that he says he would hesitate to diagnose a patient as BPD without its presence.
Repetitive self-destructive behavior, often designed to prompt rescue.
Chronic fear of abandonment and panic when forced to be alone.
Distorted thoughts/perceptions, particularly in terms of relationships and interactions with others.
Hypersensitivity, meaning an unusual sensitivity to nonverbal communication. Gunderson notes that this can be confused with distortion if practitioners are not careful (somewhat similar to Herman's statement that, while survivors of intense long-term trauma may have unrealistic notions of the power realities of the situation they were in, their notions are likely to be closer to reality than the therapist might think).
Impulsive behaviors that often embarrass the borderline later.
Poor social adaptation: in a way, borderlines tend not to know or understand the rules regarding performance in job and academic settings.

2007-03-10 20:22:43 · answer #3 · answered by inked_2007 2 · 1 0

This answer is not going to be diagnostic, or clinical, but rather comes from my experience from working with patients in the psych hospital setting. It seems that primarily women suffer from BPD. Bipolar disorder was a personality disorder rather than a mental diagnosis in the DSMIV up until just several years ago. Patients often report feeling like they have an "empty hole" inside that cannot be filled up. Many of them cut themselves and report that this is a way to get the pain on the inside out so it can be seen. (Hope that makes sense) and yes many of them seemed to have been sexually abused or have suffered some sort of early childhood trauma.
The self harm seems not to be intended as a suicidal gesture, but more to release the pain. However, I have known many patients that have died as a result of seemingly miscalculating the severity of their self harm.

2007-03-10 22:09:42 · answer #4 · answered by coopersmima 3 · 0 0

Anna Nicole Smith Personality

2017-01-17 03:52:09 · answer #5 · answered by ? 4 · 0 0

Borderline personality disorder can be found in the DSM-IV.
It's a mental condition that affects your behaviors, thoughts and personality.
A sign that someone is bordeline is that they typically try to learn things about others that they can use against them. The slighest thing triggers them to hate you. One day they will admire you and sing your praises.. another day you will be their sworn enemy.
go to google and type in DSM IV

2007-03-10 23:48:26 · answer #6 · answered by WORLD FAMOUS 3 · 0 0

http://www.nimh.nih.gov/publicat/bpd.cfm
http://psychcentral.com/disorders/sx10.htm

2007-03-10 20:22:48 · answer #7 · answered by ? 3 · 0 0

Borderline personality disorder (BPD) is a serious mental illness characterized by pervasive instability in moods, interpersonal relationships, self-image, and behavior. This instability often disrupts family and work life, long-term planning, and the individual's sense of self-identity. Originally thought to be at the "borderline" of psychosis, people with BPD suffer from a disorder of emotion regulation. While less well known than schizophrenia or bipolar disorder (manic-depressive illness), BPD is more common, affecting 2 percent of adults, mostly young women.1 There is a high rate of self-injury without suicide intent, as well as a significant rate of suicide attempts and completed suicide in severe cases.2,3 Patients often need extensive mental health services, and account for 20 percent of psychiatric hospitalizations.4 Yet, with help, many improve over time and are eventually able to lead productive lives.

Symptoms
While a person with depression or bipolar disorder typically endures the same mood for weeks, a person with BPD may experience intense bouts of anger, depression, and anxiety that may last only hours, or at most a day.5 These may be associated with episodes of impulsive aggression, self-injury, and drug or alcohol abuse. Distortions in cognition and sense of self can lead to frequent changes in long-term goals, career plans, jobs, friendships, gender identity, and values. Sometimes people with BPD view themselves as fundamentally bad, or unworthy. They may feel unfairly misunderstood or mistreated, bored, empty, and have little idea who they are. Such symptoms are most acute when people with BPD feel isolated and lacking in social support, and may result in frantic efforts to avoid being alone.

People with BPD often have highly unstable patterns of social relationships. While they can develop intense but stormy attachments, their attitudes towards family, friends, and loved ones may suddenly shift from idealization (great admiration and love) to devaluation (intense anger and dislike). Thus, they may form an immediate attachment and idealize the other person, but when a slight separation or conflict occurs, they switch unexpectedly to the other extreme and angrily accuse the other person of not caring for them at all. Even with family members, individuals with BPD are highly sensitive to rejection, reacting with anger and distress to such mild separations as a vacation, a business trip, or a sudden change in plans. These fears of abandonment seem to be related to difficulties feeling emotionally connected to important persons when they are physically absent, leaving the individual with BPD feeling lost and perhaps worthless. Suicide threats and attempts may occur along with anger at perceived abandonment and disappointments.

People with BPD exhibit other impulsive behaviors, such as excessive spending, binge eating and risky sex. BPD often occurs together with other psychiatric problems, particularly bipolar disorder, depression, anxiety disorders, substance abuse, and other personality disorders.

Treatment
Treatments for BPD have improved in recent years. Group and individual psychotherapy are at least partially effective for many patients. Within the past 15 years, a new psychosocial treatment termed dialectical behavior therapy (DBT) was developed specifically to treat BPD, and this technique has looked promising in treatment studies.6 Pharmacological treatments are often prescribed based on specific target symptoms shown by the individual patient. Antidepressant drugs and mood stabilizers may be helpful for depressed and/or labile mood. Antipsychotic drugs may also be used when there are distortions in thinking.7

Recent Research Findings
Although the cause of BPD is unknown, both environmental and genetic factors are thought to play a role in predisposing patients to BPD symptoms and traits. Studies show that many, but not all individuals with BPD report a history of abuse, neglect, or separation as young children.8 Forty to 71 percent of BPD patients report having been sexually abused, usually by a non-caregiver.9 Researchers believe that BPD results from a combination of individual vulnerability to environmental stress, neglect or abuse as young children, and a series of events that trigger the onset of the disorder as young adults. Adults with BPD are also considerably more likely to be the victim of violence, including rape and other crimes. This may result from both harmful environments as well as impulsivity and poor judgement in choosing partners and lifestyles.

NIMH-funded neuroscience research is revealing brain mechanisms underlying the impulsivity, mood instability, aggression, anger, and negative emotion seen in BPD. Studies suggest that people predisposed to impulsive aggression have impaired regulation of the neural circuits that modulate emotion.10 The amygdala, a small almond-shaped structure deep inside the brain, is an important component of the circuit that regulates negative emotion. In response to signals from other brain centers indicating a perceived threat, it marshals fear and arousal. This might be more pronounced under the influence of drugs like alcohol, or stress. Areas in the front of the brain (pre-frontal area) act to dampen the activity of this circuit. Recent brain imaging studies show that individual differences in the ability to activate regions of the prefrontal cerebral cortex thought to be involved in inhibitory activity predict the ability to suppress negative emotion.11

Serotonin, norepinephrine and acetylcholine are among the chemical messengers in these circuits that play a role in the regulation of emotions, including sadness, anger, anxiety, and irritability. Drugs that enhance brain serotonin function may improve emotional symptoms in BPD. Likewise, mood-stabilizing drugs that are known to enhance the activity of GABA, the brain's major inhibitory neurotransmitter, may help people who experience BPD-like mood swings. Such brain-based vulnerabilities can be managed with help from behavioral interventions and medications, much like people manage susceptibility to diabetes or high blood pressure.7

Future Progress
Studies that translate basic findings about the neural basis of temperament, mood regulation, and cognition into clinically relevant insights�which bear directly on BPD�represent a growing area of NIMH-supported research. Research is also underway to test the efficacy of combining medications with behavioral treatments like DBT, and gauging the effect of childhood abuse and other stress in BPD on brain hormones. Data from the first prospective, longitudinal study of BPD, which began in the early 1990s, is expected to reveal how treatment affects the course of the illness. It will also pinpoint specific environmental factors and personality traits that predict a more favorable outcome. The Institute is also collaborating with a private foundation to help attract new researchers to develop a better understanding and better treatment for BPD.

References
1Swartz M, Blazer D, George L, Winfield I. Estimating the prevalence of borderline personality disorder in the community. Journal of Personality Disorders, 1990; 4(3): 257-72.

2Soloff PH, Lis JA, Kelly T, Cornelius J, Ulrich R. Self-mutilation and suicidal behavior in borderline personality disorder. Journal of Personality Disorders, 1994; 8(4): 257-67.

3Gardner DL, Cowdry RW. Suicidal and parasuicidal behavior in borderline personality disorder. Psychiatric Clinics of North America, 1985; 8(2): 389-403.

4Zanarini MC, Frankenburg FR. Treatment histories of borderline inpatients. Comprehensive Psychiatry, in press.

5Zanarini MC, Frankenburg FR, DeLuca CJ, Hennen J, Khera GS, Gunderson JG. The pain of being borderline: dysphoric states specific to borderline personality disorder. Harvard Review of Psychiatry, 1998; 6(4): 201-7.

6Koerner K, Linehan MM. Research on dialectical behavior therapy for patients with borderline personality disorder. Psychiatric Clinics of North America, 2000; 23(1): 151-67.

7Siever LJ, Koenigsberg HW. The frustrating no-mans-land of borderline personality disorder. Cerebrum, The Dana Forum on Brain Science, 2000; 2(4).

8Zanarini MC, Frankenburg. Pathways to the development of borderline personality disorder. Journal of Personality Disorders, 1997; 11(1): 93-104.

9Zanarini MC. Childhood experiences associated with the development of borderline personality disorder. Psychiatric Clinics of North America, 2000; 23(1): 89-101.

10Davidson RJ, Jackson DC, Kalin NH. Emotion, plasticity, context and regulation: perspectives from affective neuroscience. Psychological Bulletin, 2000; 126(6): 873-89.

11Davidson RJ, Putnam KM, Larson CL. Dysfunction in the neural circuitry of emotion regulation - a possible prelude to violence. Science, 2000; 289(5479): 591-4.


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2007-03-10 20:26:53 · answer #8 · answered by greylady 6 · 0 0

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