scholarly journals How to understand and help a person with borderline personality. Case report and literature review on the therapeutic possibilities

2020 ◽  
Vol 21 (2) ◽  
pp. 70-83
Author(s):  
Elżbieta Sitarz ◽  
Iga Dudek ◽  
Kaja Karakuła ◽  
Alicja Forma ◽  
Dariusz Juchnowicz
Keyword(s):  
Case Report ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Attempted Suicide ◽  
Web Of Science ◽  
Therapeutic Process ◽  
Treatment Strategies ◽  
Borderline Personality ◽  
Psychotic Symptoms ◽  
Psychiatric Problems

AbstractIntroduction: The study aims to present 1) a case report of an 18-year-old female patient with borderline personality disorder (BPD) 2) the diagnostic and treatment difficulties in BPD patients.Materials and methods: The review of the literature from the years 1953-2020 searched from PubMed, Google Scholar, and Web of Science databases.Discussion: Patient, 18-years old, hospitalized five times for psychiatric care, presenting self-injurious behaviours, hurting herself within forearms. A patient attempted suicide eight times. She is living with her divorced parents. The patient’s father has a new partner with whom he has children. The patient used marijuana and she was experiencing psychotic symptoms under its influence. She smokes 10 cigarettes per day and drinks alcohol once a week since she was 16 years old. Psychiatric problems appeared when the patient started learning in high school.Conclusions:1. Borderline personality disorder (BPD) is a serious psychiatric condition of a difficult diagnosis that should be differentiated with many other psychiatric disorders such as an atypical or subclinical course of psychosis, affective disorders, or dissocial personality.2. A therapeutic process of a person with BPD is based on psychotherapy and personalized treatment strategies, whereas, pharmacological treatment plays only a supporting role during BPD treatment.

Psychotic symptoms in borderline personality disorder

2019 ◽  
Vol 32 (1) ◽  
pp. 22-26 ◽  
Author(s):  
Alessandra D’Agostino ◽  
Mario Rossi Monti ◽  
Vladan Starcevic
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Psychotic Symptoms

scholarly journals Engagement Complications of Adolescents with Borderline Personality Disorder: Navigating Through a Zone of Turbulence

2020 ◽  
Author(s):  
Lyne Desrosiers ◽  
Micheline St-Jean ◽  
Lise Laporte ◽  
Marie-Michèle Lord
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychosocial Functioning ◽  
Health Care Services ◽  
Subjective Experience ◽  
Therapeutic Process ◽  
Borderline Personality ◽  
Warning Signs ◽  
Constructivist Grounded Theory ◽  
Grounded Theory Method

Abstract Objective: Premature treatment discontinuation is a widespread phenomenon in child and adolescent mental health services that impacts treatment benefits and costs of care. Adolescents with borderline personality disorder (BPD) are heavy users of health care services and notoriously difficult to engage in treatment. However, there is hardly any data regarding this phenomenon with these youths. Considering that BPD treatment is associated with intense and chaotic therapeutic processes, exploring barriers emerging in the course of treatment could be relevant. Thus, conceptualizing treatment dropout as a process evolving from engagement to progressive disengagement, and ultimately to dropout, could highlight the mechanisms involved. The aim of this study was to describe the process of treatment disengagement and identify warning signs that foreshadow dropouts of adolescents with BPD. Method: A constructivist grounded theory method was used. This method has been favoured based on the assumption that the behaviours and decisions leading to disengagement may be better informed by the subjective experience of treatment. Thirty-three interviews were conducted to document 11 treatment trajectories with 3 groups of informants (9 adolescents with BPD 13-17 of age, 11 parents, and 13 clinicians). Results: Well before dropout occurs, different phenomena identified as “engagement complications” characterize the disengagement process. These unfold according to a three-step sequence starting with negative emotions associated with the appropriateness of treatment, the therapeutic relationship or the vicissitudes of treatment. These emotions will then generate treatment interfering attitudes that eventually evolve into openly disengaged behaviours. These complications, which may sometimes go unnoticed, punctuate the progression from treatment engagement to disengagement leading the way towards the development of a “zone of turbulence” which creates a vulnerable and unstable therapeutic process presenting risk for late dropout. Conclusion: Engagement of adolescents with BPD is neither static nor certain, but on the contrary, subject to their fluctuating perceptions. Therefore, it can never be taken for granted. Clinicians must constantly pay attention to emergent signs of engagement complications. Maintaining the engagement of adolescents with BPD should be a therapeutic objective akin to reducing symptomatology or improving psychosocial functioning, and should therefore be given the same attention.

Suicidal and Nonsuicidal Self-Injury in Borderline Personality Disorder

2017 ◽  
Author(s):  
Margaret S. Andover ◽  
Heather T. Schatten ◽  
Blair W. Morris
Keyword(s):  
Risk Factors ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Attempted Suicide ◽  
Borderline Personality ◽  
Modifiable Risk Factors ◽  
Self Injury ◽  
Increased Risk ◽  
Suicide Attempted ◽  
Nonsuicidal Self Injury

Individuals diagnosed with borderline personality disorder (BPD) are at an elevated risk for engaging in self-injurious behaviors, including suicide, attempted suicide, and nonsuicidal self-injury (NSSI). The purpose of this chapter is to provide an overview of research on self-injurious behaviors among individuals with BPD. Definitions and prevalence rates are provided for NSSI, suicide, and attempted suicide. Clinical correlates of and risk factors for the behaviors, as well as associations between specific BPD criteria and self-injurious behaviors, are discussed, and a brief overview of treatments focused on reducing self-injurious behaviors among BPD patients is provided. By understanding risk factors for attempted suicide and NSSI in BPD, we can better identify patients who are at increased risk and focus treatment efforts on addressing modifiable risk factors.

A Study of Psychotic Symptoms in Borderline Personality Disorder

2014 ◽  
Vol 202 (5) ◽  
pp. 368-371 ◽  
Author(s):  
Laura J. Pearse ◽  
Claire Dibben ◽  
Hisham Ziauddeen ◽  
Chess Denman ◽  
Peter J. McKenna
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Psychotic Symptoms

scholarly journals Body Image in Borderline Personality Disorder: A Systematic Review of the Emerging Empirical Literature

2021 ◽  
Vol 10 (18) ◽  
pp. 4264
Author(s):  
Magdalena Wayda-Zalewska ◽  
Barbara Kostecka ◽  
Katarzyna Kucharska
Keyword(s):  
Systematic Review ◽  
Body Image ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Empirical Literature ◽  
Psychotic Symptoms ◽  
Future Research ◽  
Eligibility Criteria ◽  
Body Image Disturbances

As an element of distorted self-image, body image disturbances may be relevant to borderline personality disorder (BPD). Therefore, this systematic review aims to critically discuss and summarize empirical findings in this matter. Based on the available theoretical models, three body image components were identified: (a) perception, (b) affect and cognition, and (c) general body dissatisfaction. We conducted a systematic search of the empirical literature published in English in the MEDLINE, PsycINFO, and Scopus databases until June 2021 using a priori eligibility criteria (BPD; BPD symptoms or features in nonclinical groups; quasipsychotic or psychotic symptoms were not considered). We included k = 10 records meeting the criteria. Compared with other analyzed groups, individuals diagnosed with BPD obtained higher scores in the three components of body image disturbances. The issue of body image in BPD is relatively understudied, although current research findings clearly indicate disturbances in all of the abovementioned body image components in individuals with BPD or significant relationships of these components with BPD traits or symptoms both in clinical and nonclinical samples. Eventually, possible practical implications and future research directions are also discussed.

Current Clinical Psychopharmacology in Borderline Personality Disorder

2021 ◽  
Vol 19 ◽  
Author(s):  
Antonio Del Casale ◽  
Luca Bonanni ◽  
Paride Bargagna ◽  
Francesco Novelli ◽  
Federica Fiaschè ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Clinical Psychopharmacology ◽  
Treatment Strategies ◽  
Borderline Personality ◽  
Global Functioning ◽  
Comprehensive Overview ◽  
Pubmed Database ◽  
Second Generation Antipsychotics ◽  
Core Symptoms

Background: Patients with Borderline Personality Disorder (BPD) manifest affective and behavioural symptoms causing personal distress, relationship difficulties, and reduced quality of life with global functioning impairment, mainly when the disease takes an unfavourable course. A substantial amount of healthcare costs is dedicated to addressing these issues. Many BPD patients receive medications, mostly those who do not respond to psychological interventions. Objective: Our aim was to assess the efficacy of the most used strategies of pharmacological interventions in BPD with a comprehensive overview of the field. Methods: We searched the PubMed database for papers focused on the most used psychotropic drugs for BPD. We included randomized controlled trials and open studies in adult patients with BPD, focusing on the efficacy and tolerability of single classes of drugs with respect to specific clinical presentations that may occur during the course of BPD. Results: Specific second-generation antipsychotics (SGAs) and/or serotonergic antidepressants can be effective for different core symptoms of BPD, mainly including mood symptoms, anxiety, and impulse dyscontrol. Some atypical antipsychotics can also be effective for psychotic and dissociative symptoms. Specific antiepileptics can be useful in some cases in treating specific BPD symptoms, mainly including mood instability, impulsiveness, and anger. Conclusions: No medication is currently approved for BPD, and clinicians should carefully assess the benefits and risks of drug treatment. Further studies are needed to identify specific personalized treatment strategies, also considering the clinical heterogeneity and possible comorbidities of BPD.

Dialectical Behavior Therapy: A Review and Call to Research

2004 ◽  
Vol 26 (1) ◽  
pp. 25-38 ◽  
Author(s):  
Lisa D. Smith ◽  
Patrick L. Peck
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Therapeutic Process ◽  
Empirical Support ◽  
Borderline Personality ◽  
Mental Health Counselors ◽  
Current Article

Dialectical behavior therapy (DBT; Linehan, 1993a) is a systematic and integrative orientation to treating borderline personality disorder. Borderline personality disorder, or BPD, may present a myriad of challenges and difficulties for the beginning as well as the seasoned mental health professional. Although some empirical support exists for DBT, more is needed. The current article is, in essence, a call for research, but is also an effort at introducing DBT and its foundations and stages of individual and group therapy. The goal is to give the reader a clearer understanding of DBT through a review of the empirical evidence, the therapeutic process, and the implications for mental health counselors.

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