An individual's capacity to control their emotions is substantially compromised by borderline personality disorder, a mental condition. This breakdown in emotional regulation can make a person more impulsive, have a negative impact on how they feel about themselves, and damage their relationships with other people.
Borderline personality disorder symptoms
Affective dysregulation, a psychological term describing emotional instability, altered thought or perception patterns, sometimes known as cognitive or perceptual errors, and impulsive behaviour.
strong but unstable interpersonal interactions.
Borderline personality disorder's primary trigger
external variables
being a target of sexual, physical, or emotional abuse. being a child who experienced ongoing dread or distress. being ignored by one or both of their parents. growing up with a family member who suffered from a severe mental illness, such as bipolar disorder or a problem with alcohol or drugs.
Borderline personality disorder among the causes
Borderline personality disorder (BPD) has multiple potential causes and has no single known cause.
Genetics
You can be more prone to BPD if you acquire certain genes from your parents.
According to a study, there is a 2-in-3 risk that the other identical twin will also have BPD if one identical twin has it.
The absence of a gene for BPD necessitates caution in the interpretation of these findings, nevertheless.
A chemical imbalance in the brain.
Many BPD sufferers are known to have issues with their brain's neurotransmitters, especially serotonin.Your brain uses neurotransmitters, often known as "messenger chemicals," to send signals between brain cells. Serotonin imbalances have been linked to sadness, violence, and difficulties in resisting urges to do harm.
Environmental factors
A number of environmental factors seem to be common and widespread among people with BPD. These include:
· 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
Gowing up with another family member who had a serious mental health condition, such as bipolar disorder or a drink or drug misuse problem
Borderline personality disorder treatment
Many sufferers of borderline personality disorder (BPD) eventually get better and overcome their symptoms. Those whose symptoms reoccur are advised to seek additional treatment.
Individual or group psychotherapy provided by experts on a community mental health team may be used as part of BPD treatment (CMHT).
A CMHT's mission is to offer day-to-day support and care while promoting your maximum level of freedom.
Social workers, community mental health nurses, and others can comprise a CMHT (who have specialist training in mental health conditions)
counsellors, psychotherapists, and pharmacists
specialists in psychology and medicine (the psychiatrist is usually the senior clinician in the team)occupational therapy, etc.
Psychotherapy
Psychotherapy, commonly referred to as psychological therapy, is frequently used in the treatment of BPD. Psychotherapy comes in a wide variety of forms, but they all focus on giving you the time to examine your thoughts and feelings.
In addition to listening and talking with you about critical difficulties, the psychotherapist can offer solutions and, if required, support you in changing your views and behaviour. The goal of BPD therapy is to give patients more mental and emotional self-control.
Only a skilled expert should conduct psychotherapy for BPD patients. Most frequently, they will be a psychiatrist, psychologist, or other qualified mental health specialist. Never be reluctant to inquire about their experience.
Your choice of psychotherapy may be influenced by a combination of personal preferences and the accessibility of particular therapies in your area. Depending on your needs and how you live your life, BPD treatment may last a year or longer.
Cognitive behavioural treatment (DBT)
BPD patients can benefit from dialectical behaviour therapy (DBT), a particular type of therapy.
DBT is predicated on the notion that BPD is influenced by two key factors:
You grew up in a setting where your emotions were disregarded by those around you, for example, a parent may have said that you had no right to feel sad or that you were just "being silly" if you complained of feelings of anxiety or stress. As a result, you are particularly emotionally vulnerable; for example, low levels of stress make you feel extremely anxious.
These two elements could send you into a downward spiral in which you feel worthless and ashamed for feeling strong, upsetting emotions. You believe that being affected by these emotions makes you a horrible person because of your background. These ideas then trigger more distressing feelings.
DBT seeks to end this loop by proposing two key ideas:
Accepting that your feelings are real, true, and acceptable dialectics: a school of thought that contends that most issues in life are rarely "black or white" and that it's crucial to be receptive to ideas and viewpoints that differ from your own.
For instance, the therapist might acknowledge (affirm) that you self-harm when you're experiencing great sadness and that doing so does not make you a bad or useless person.
The therapist would then make an effort to refute the notion that the only way to deal with depressive feelings is to injure oneself.
The ultimate aim of DBT is to assist you in "breaking free" from having a very limited, rigid perspective on the world, your relationships, and your life, which causes you to engage in harmful and self-destructive behaviour.
Weekly individual and group sessions are typical for DBT, and you'll also be given an after-hours phone number to call if your symptoms worsen.
DBT is built on cooperation. In your group sessions, you'll be required to collaborate with your therapist and the other participants. The therapists in turn collaborate as a team.
Treatment for BPD in women who have a history of self-harming and suicidal behaviour has shown that DBT is particularly effective. The National Institute for Health and Care Excellence (NICE) advises these women to attempt it as their initial course of treatment.
Treatment based on mental imagery (MBT)
Mentalization-based treatment is an additional form of long-term psychotherapy that can be used to treat BPD (MBT).
The foundation of MBT is the idea that those with BPD have weak mentalization skills.
Mentalization is the capacity to consider thought itself. This entails appraising the usefulness, realism, and reality-basedness of your own thoughts and views.
For instance, many individuals with BPD will experience an unexpected want to injure themselves and act on that urge without hesitation. The capacity to "step back" from that temptation and tell oneself, "That's not a healthy way of thinking and I'm only thinking this way because I'm irritated," is something they lack.
Recognizing that other people have their own thoughts, emotions, beliefs, wishes, and needs, and that your perception of their mental states may not always be accurate, is another crucial aspect of mentalisation. Also, you should be conscious of how your behaviour may affect the mental health of others.
The purpose of MBT is to help you get better at recognising your own and other people's mental states. You'll also learn to "step back" from your own and other people's thoughts and evaluate them to see if they're true.
MBT may first be given in a hospital, where you would remain as an inpatient. Daily individual therapy sessions with a therapist and BPD support group meetings are the norm for the treatment.
Therapeutic communities (TCs)
People with a variety of complicated psychological needs and circumstances can come together in therapeutic communities (TCs), structured environments where they can communicate and engage in therapy.
TCs are intended to assist individuals with chronic emotional issues and a history of self-harm by giving them the social interaction skills they require.
The majority of TCs are residential, like those found in
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