There remains controversy surrounding the nature of the relationship between borderline personality disorder and posttraumatic stress disorder, with strong arguments that it would be more accurate and less stigmatizing for the former to be considered a trauma spectrum disorderA spectrum disorder is a mental disorder that includes a range of linked conditions, sometimes also extending to include singular symptoms and traits. The different elements of a spectrum either have a similar appearance or are thought to be caused by the same underlying mechanism.https://en.wikipedia.org › wiki › Spectrum_disorder
Since its conception, borderline personality disorder has been controversial because of the stigma associated with the diagnosis and the therapeutic nihilism held by practitioners who encounter people with this high prevalence problem in acute settings.
Issues that promote stigma and, thus, further the BPD misunderstanding include: 1) theories on the development of the disorder, with a suspect position placed on parents similar to the erstwhile schizophrenogenic-mother concept; 2) frequent refusal by mental health professionals to treat BPD patients; 3) negative and ...
Dissociative identity disorder (DID) is the most controversial of the dissociative disorders and is disputed and debated among mental health professionals. Previously called multiple personality disorder, this is the most severe kind of dissociative disorder.
If you have BPD, you may experience a variety of forms of stigma such as people avoiding you because they think you might be unstable, or people blaming you for your condition and telling you to grow up or change your behavior.
This finding suggests that people with BPD are viewed harshly due to their apparent lack of control over their behavior and emotions. People with schizophrenia, by contrast, suffer from hallucinations and delusions that, by virtue of their seriousness, would seem less controllable.
Explains borderline personality disorder (BPD), also known as emotionally unstable personality disorder (EUPD). Includes what it feels like, causes, treatment, support and self-care, as well as tips for friends and family.
Gender is another factor in misdiagnosis. The epidemiological rates of BPD in males and females are roughly equal. However, females are over-diagnosed and males are underdiagnosed significantly. This happens in part because women are overrepresented in most studies and treatment.
Borderline personality disorder is a mental health disorder that impacts the way you think and feel about yourself and others, causing problems functioning in everyday life. It includes self-image issues, difficulty managing emotions and behavior, and a pattern of unstable relationships.
The Social Security Administration placed borderline personality disorder as one of the mental health disorders on its disabilities list. However, you'll have to meet specific criteria for an official disability finding. For example, you must prove that you have the symptoms of the condition.
Often, the borderline person is unaware of how they feel when their feelings surface, so they displace their feelings onto others as causing them. They may not realise that their feelings belong within them, so they think that their partner is responsible for hurting them and causing them to feel this way.
There's still a huge stigma surrounding BPD. Many people still believe that those living with it can be manipulative or dangerous due to their symptoms. While this can be the case in a very small minority of people, most people with BPD are just struggling with their sense of self and their relationships.
Only remorse leads to a real apology and change. One of the hallmarks of people with Borderline Personality Disorder or Narcissistic Personality Disorder (BP/NP) is that they often do not feel truly sorry. Even though a BP/NP may say he or she is sorry, there is often something lacking.
Environmental factors
being a victim of emotional, physical or sexual abuse. being exposed to long-term fear or distress as a child. being neglected by 1 or both parents. growing up with another family member who had a serious mental health condition, such as bipolar disorder or a drink or drug misuse problem.
One study cited that almost 40% of people who were diagnosed with BPD were provided with a misdiagnosis of BD at some point in their lifetime in comparison to only 10% of people in the general population receiving a misdiagnosis of BD. The exact reasoning for this high rate of misdiagnosis is debated among researchers.
People with BPD score low on cognitive empathy but high on emotional empathy. This suggests that they do not easily understand other peoples' perspectives, but their own emotions are very sensitive. This is important because it could align BPD with other neurodiverse conditions.
Additionally, relationship instability is a feature of BPD, and clinicians may be wary of patients with whom establishing a therapeutic bond could be difficult. They may also hold the mistaken belief that treatment is ineffective for BPD patients.
Borderline personality disorder (BPD) is a slow moving disorder. Most patients with BPD improve over time. The reasons for this change are unclear. Both therapy as usual and the reparations that adult life offers can facilitate these changes.
Finally, during this period, treatment for BPD was almost exclusively psychoanalytic psychotherapy. However, negative therapeutic reactions were common with the use of psychoanalytic psychotherapy for patients with BPD. At the time, these negative reactions were explained as the pernicious motives of the patient group.
BPD in adulthood
Studies found that most patients with BPD improve with time. After 2 years, 1/4 of patients experience a remission (less than 2 symptoms for a period of 2 months or longer) of BPD diagnosis. After 10 years, 91% achieved remission of at least 2 months and 85% achieving remission for 12 months or longer.
BPD is a very different diagnosis than schizophrenia, though the two can co-exist. While BPD is characterized by a pattern of instability in interpersonal relationships; schizophrenia is characterized by a range of cognitive, behavioral, and emotional dysfunctions.
It is now clear that DSM-IV-defined BPD is a heterogeneous construct that includes patients on the mood disorder spectrum and the impulsivity spectrum (Siever and Davis, 1991), in contrast to the original speculation that these patients might be near neighbors of patients with schizophrenia or other psychoses.
Those diagnosed with Borderline Personality Disorder (BPD) or those with BPD who may not even know they have it, are more likely than the general population to be verbally, emotionally/psychologically, physically abusive.