Friday, April 21, 2017

BPD (BORDERLINE PERSONALITY DISORDER) : understanding, symptom, Cause, diagnosis, Treatment and complication

Understanding BPD (Borderline Personality Disorder)

Borderline personality disorder (BPD) or personality disorder threshold is a condition that arises due to disruption of one's mental health. This condition affects the way of thinking and feelings towards self and others, and the existence of patterns of abnormal behavior.
BPD (BORDERLINE PERSONALITY DISORDER) : understanding, symptom, Cause, diagnosis, Treatment and complication

BPD can cause impaired function of someone running daily life and interpersonal relationship with its surroundings. This disorder generally appears in the period before adulthood, but can also improve with age.
BPD sufferers can have feelings of fear of being abandoned, rejected, anxious, angry, feeling insignificant, and a tendency to harm themselves and others. Impulsive actions, frequent mood changes, and low self-image make it difficult for a person to maintain a committed and lasting relationship.

Causes of BPD ( Borderline Personality Disorder )

The exact cause of BPD is not clearly known. It is estimated that the history of abuse or torture experienced in childhood has been linked to the occurrence of BPD.
Another thing that is also associated with BPD is the genetic factor. According to some studies, a history of personality disorders possessed by a family member may be passed on through genes to other family members.
Some studies also show changes in some areas of the brain, especially those that play a role in regulating one's emotional, aggression, and impulsiveness, can be attributed to the emergence of BPD conditions. In addition, decreased function of brain chemicals, such as serotonin, is also associated with BPD. Serotonin serves to control mood (mood).
Certain personality traits can also be a risk factor for the development of BPD. For example someone with an aggressive and impulsive personality.

Symptoms of BPD ( Borderline Personality Disorder )

Bo rderline personality disorder (BPD) can affect one's thinking and behavior. Symptoms that can arise include:
  • Feeling fear is ignored so as to make the sufferer avoid separation, criticism, or rejection.
  • The rapidly changing image and identity that affect the values and goals it knows. Patients with BPD can see themselves as a bad figure, resembling the antagonist figure in a film.
  • Experiencing a period of stress that triggers paranoia, as well as loss of connection with reality that can last up to several hours.
  • Experiencing mood swings that last for days.
  • Having impulsive behaviors that are risky and sometimes dangerous, such as gambling, unsafe sexual relations, careless driving, or wasteful. A person with a BPD can quit his job for no apparent reason or end a basically good romance.
  • Easily lose patience and get very angry to trigger quarrels or fights.
  • At a moment can respect or care for someone, but then change and consider the person as a bad person.
  • Feel the psychological void that goes on and on.
  • Can behave in self-harm to suicide in response to anger, self-punishment, fear of abandonment, or rejection.
Patients with BPD tend to behave impulsively when hurt because after doing it comes a feeling of relief. Over time, BPD sufferers increasingly triggered to behave impulsively when hurt. This unhealthy cycle can begin and continue when the BPD sufferers feel embarrassed and guilty of their actions, then again performs impulsive actions in order to feel better. This action can develop into a habit that is done to avoid pain emotionally.
Immediately see a doctor if you are aware of the presence of symptoms of this condition, either to yourself or to friends and family. Talk with friends or family members about getting information or help from professional medical personnel in a good and coercive manner.

Diagnosis of BPD ( Borderline Personality Disorder )

The physician's effort to recognize and diagnose borderline personality disorder (BPD) begins by observing the behavior that corresponds to the above symptoms. Given the history of traumatic events, past physical and mental health conditions, as well as any medication ever taken may help doctors, psychologists, or psychiatrists in diagnosing.
Usually the doctor will do an interview to ask these things while looking at your health record. In addition, your doctor will perform a psychological evaluation, including instructing you to fill out a questionnaire. Generally the diagnosis of BPD is found in adult patients, this is because the condition of BPD can decrease as the child ages.

Treatment of BPD Borderline Personality Disorder )

The main borderline personality disorder (BPD) treatment is through psychotherapy. Drugs and hospital care can also be recommended, according to the patient's condition and safety if necessary. In some cases, people with BPD may be hospitalized to prevent self-injury or suicide.
The handling of BPD through psychotherapy aims to help people have a more stable life and better direct their life aspects. Psychotherapy, also called talk therapy, is a fundamental approach in managing BPD to help people understand this condition and focus on their current abilities. Psychotherapy also aims to help people with BPD in regulating emotional sides that make themselves uncomfortable, recognizing themselves, and controlling their feelings towards themselves and others.
Psychotherapy aims to train sufferers to recognize and analyze their own feelings. Patients are also expected to suppress his feelings are impulsive, such as restrain anger arising from the situation he faced. Thus it can reduce rough behavior and ultimately can improve the quality of social relationships. Therefore, people with BPD will undergo a form of psychological therapy, for example:
  • Dialectical behavior therapy (DBT)
This therapy uses a capability-based approach in teaching BPD sufferers to manage emotions, tolerate psychiatric stress, and improve social relationships. This therapy can be done alone or in a consultation group with a therapist.
  • Mentalization-based therapy (MBT)
This therapy emphasizes the method of thinking before reacting. MBT helps BPD sufferers to recognize their own feelings and thoughts by creating an alternative perspective of the situation at hand.
  • Schema-focused therapy
This therapy helps BPD sufferers to recognize unmet needs in the early period of life that can trigger negative life behavior patterns. Therapy will focus on efforts to meet those needs through a healthier way to build a positive pattern of living behavior. Just like DBT therapy, this therapy can be done individually or in a consultation group.
  • Transference-focused psychotherapy (TFP) or psychodynamic therapy
This therapy helps BPD sufferers understand the emotions and difficulties experienced in developing interpersonal relationships. TFP looks at the relationship developed between BPD sufferers and therapists in understanding this problem. Furthermore, the knowledge the patient gets will be applied to the situation he is experiencing at the moment.
  • General psychiatric management
This therapy uses case management by focusing on creating events that trigger emotional distress to make sense. This approach is done by considering feelings as interpersonal contexts and can be combined with medication, group therapy, family counseling, or even individuals.
  • System training for emotional predictability and problem-solving (STEPPS)
This therapy is a group therapy with family members, friends, spouses, or caregivers as part of a therapeutic group that lasts for 20 weeks. This therapy is also used as an adjunct therapy with other psychotherapy.
The use of drugs in BPD therapy is more aimed at reducing symptoms or complications that may arise, such as depression and anxiety attacks. The types of drugs used still require a doctor's prescription, among others:
  • Antidepressants
  • Antipsychotics
  • Mood stabilizer
The BPD recovery process will likely take a long time and the therapy can last for months and years. Consulting a mental health expert with experience with BPD may help the patient develop his personality in a better direction.

Complications of BPD ( Borderline Personality Disorder )

If not receiving appropriate treatment, borderline personality disorder (BPD) risks interfering with various aspects of the patient's life, such as:
  • Depression
  • Excessive consumption of alcoholic beverages or drug abuse
  • Have anxiety disorder
  • Diet disorders
  • Bipolar disorder
  • Having post-traumatic stress disorder (PTSD)
  • Has a disorder called attention-deficit / hyperactivity disorder (ADHD) or hyperactive disease
  • Have a personality disorder
  • Losing a good relationship with each other or partner, both in friendship and marriage.
  • Being in an unhealthy or violent relationship
  • Losing a job or changing jobs frequently
  • Loss of opportunity in completing education
  • Engage with the law, to go to jail
  • Experiencing physical injury resulting from self-injurious tendencies
  • Having an out-of-date pregnancy, having a sexually transmitted disease, or an accident due to an impulsive and risky behavior
  • Conducting suicide attempts

No comments:

Post a Comment