We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byAmir Orrell
Modified about 1 year ago
Borderline Personality Disorder (BPD) Kathi Pauncz registered counselling psychologist RGF Conference Practice Forum Date: April 2012
© Kathi Pauncz 2 Content Areas covered in this 1 hour 40 minute forum include: What is personality What is a personality disorder What is Borderline Personality Disorder (BPD)? Causes of BPD Course and prognosis of BPD Managing some difficult behaviours Treatment options
© Kathi Pauncz 3 Objectives The aim of this forum is to: Introduce participants to BPD Help prevent or minimise problems that can arise from this difficult personality type
© Kathi Pauncz 4 Borderline Personality Disorder (BPD) Exercise Discuss your personal objectives for attending this forum.
© Kathi Pauncz 5 What is Personality? Personality is composed of the enduring individual traits, characteristics, attitudes and habits that are constantly displayed by a person across diverse situations.
© Kathi Pauncz 6 Evolution of the Borderline Syndrome The concept of the borderline personality has evolved primarily through the theoretical formulations of psychoanalysts who followed Freud. Adolph Stern (1938) coined the term borderline to describe a group of patients who did not fit into the primary diagnostic classifications of “neuroses” and “psychoses”. These patients were originally (and sometimes still are) said to be on the borderline between neurosis and psychosis (between mad & bad).
© Kathi Pauncz 7 What is a “Personality Disorder”? A personality disorder represents an extreme deviation from the way an average person in a particular culture perceives, thinks, feels and relates to others. The disorder involves deeply ingrained and enduring patterns of behaviour that are manifest as inflexible responses to a wide range of social and personal situations. The disorder may cause distress to the individual ands create problems in social functioning or performance. (WHO, 1997, p.512)
© Kathi Pauncz 8 What is BPD? “Trying to define BPD is like staring into a lava lamp: what you see is constantly changing. The illness not only causes instability but symbolises it.” (Mason, P.T. & Kreger, R., 1998, p.25)
© Kathi Pauncz 9 Criteria for BPD (DSM-IV, p. 654) A pervasive pattern of instability of interpersonal relationships, moods and self image, and marked impulsivity beginning in early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: Frantic efforts to avoid real or imagined abandonment. A pattern of unstable or intense interpersonal relationships characterised by alternating between extremes of idealisation and devaluation. Identity disturbance: markedly and persistently unstable self image or sense of self. Impulsivity in at least two areas that are potentially self damaging (eg spending, sex, substance abuse, reckless driving, binge eating) Recurrent suicidal behaviour, gestures or threats, or self mutilating behaviour. Affective instability due to a marked reactivity of mood (eg intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more that a few days). Chronic feelings of emptiness. Inappropriate, intense anger or difficulty controlling anger (eg frequent displays of temper, constant anger, recurrent physical fights). Transient, stress related paranoid ideation or severe dissociate symptoms..
© Kathi Pauncz Borderline Mnemonic (Senger 1997) Impulsiveness Moodiness Paranoia or dissociation under stress Unstable self Image Labile intense relationships Suicidal gestures Inappropriate anger Vulnerability to abandonment Emptiness
© Kathi Pauncz 11 Additional Traits Common to BPD Pervasive shame Undefined boundaries Control issues Lack of Object Constancy Interpersonal sensitivity Situational competence Narcissistic Demands Feel worthless and unlovable Come up with facts with no basis in reality Make decisions based on emotions Thinking is black and white Believe they are the victim of everyone else’s behaviour
© Kathi Pauncz 12
© Kathi Pauncz 13 BPD DVD
© Kathi Pauncz 14 Causes of BPD Nature or nurture? Developmental theories Trauma history Attachment issues Linehan’s socio biological theory
© Kathi Pauncz 15 Why Single Out BPD? BPD is the most prevalent PD. These clients are “high maintenance”. “The percentage who eventually commit suicide is estimated at 5-10%.” (cited in Linehan, M.M., 1995) Counsellors are often idealised by these clients, however they may switch quickly from idealising to devaluing them. Borderlines may experience sudden despair in reaction to a counsellor announcing the end of their session, panic or fury if the counsellor is a few minutes late or must cancel an appointment.
© Kathi Pauncz 16 Managing Some Difficult Behaviours Visualisation Practise mindfulness Set clear boundaries BP’s rages Be a “rock” Responding to self mutilation Empathise with the BP Suicidal threats
© Kathi Pauncz 17 Treatment Approaches Dialectical Behaviour Therapy (DBT) Cognitive Behaviour Therapy (CBT) Acceptance and Commitment Therapy (ACT) Interpersonal Therapy (IPT) Pharmacotherapy Hospitalisation Supportive Psychotherapy The mainstay of treatment of BPD is psychotherapy. However because of their impulsivity, two thirds drop out of treatment within a few months.
© Kathi Pauncz 18 Media Examples Exercise Borderline characters often fill the roles of boyfriend/girlfriend/room mate from hell or spurned lover who often seek revenge because of rejection, perceived or real. Exercise Can you provide examples of media characters with BPD characteristics?
© Kathi Pauncz 19 REFERENCES American Psychiatric Association, (1994), DSM IV, Washington, DC. Arnold, L. & Magill, A., (1998), The Self Harm Help Book, Abergavenny: The Basement Project. Arnold, L. & Magill, A., (1996), Working with Self Injury, Bristol: The Basement Project. Beck, A.T., Freeman, A. and Associates, (1990), Cognitive Therapy of Personality Disorders, Guilford Press, New York. Bockian, N.R., Porr, V. & Villagran, N.A., (2002), New Hope for People with Borderline Personality Disorder, Prima Publishing, division of Random House, New York. Chapman, A.L. & Gratz, K.L., (2007), The Personality Disorder Survival Guide. Everything You Need to Know about Living with BPD. New Harbinger Publications, USA. Davies, J., (2000), A Manual of Mental Health Care in General Practice. Commonwealth Department of Health & Aged Care, ACT. Herman, J., (1994), Trauma and Recovery. From Domestic Abuse to Political Terror. Harper Collins Publishers, USA.
© Kathi Pauncz 20 REFERENCES Kreger, R. & Shirley J.P., (2002), The Stop Walking on Eggshells Workbook. Practical Strategies for Living with Someone who has Borderline Personality Disorder, New Harbinger Publications Inc., New Jersey. Kreisman, J.J. & Straus, H., (1989), I Hate You - Don’t Leave Me. Understanding the Borderline Personality, Avon Books, New York. Krawitz, R. & Watson, C. (2000), Borderline Personality Disorder - Foundations of Treatment, Seaview Press, South Australia. Linehan, M.M., (1993), Cognitive Behavioural Treatment of Borderline Personality Disorder, Guilford Press, New York. Linehan, M.M., (1993), Skills Training Manual for Treating Borderline Personality Disorder, Guilford Press, New York. Linehan, M.M., (1995), Understanding BPD. Guilford Publications, New York, (Video & Program Manual). Linehan, M.M., (1995), Treating BPD, Guilford Publications, New York, (Video & Program Manual).
© Kathi Pauncz 21 REFERENCES McCormack, C.C., (2000), Treating Borderline States in Marriage, Jason Aronson Inc., Northvale, New Jersey. McGrath, H. & Edwards, H., (2000), Difficult Personalities. A Practical Guide to Managing the Hurtful Behaviour of Others, Choice, Australia. McKay, M., Wood, J.C. & Brantley, J., (2007), The Dialectical Behaviour Therapy Skills Workbook. Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation and Distress Tolerance, New Harbinger Publications, USA. Mason, P.T. & Kreger, R., (1998), Stop Walking on Eggshells. Taking Your Life Back When Someone You Care About Has Borderline Personality Disorder, New Harbinger Publications Inc., New Jersey. Morrison, J., (1995), DSM IV Made Easy. The Clinician’s Guide to Diagnosis, Guilford Press, New York. Rockland, L.H., (1992), Supportive Therapy for Borderline Patients, Guilford Press, New York. Santoro, J., (1997), The Angry Heart: Overcoming Borderline and Addictive Disorders, New Harbinger Publications, USA. Stevens, B.A., (2008), Self-care for the Practising Psychologist: Treating Personality Disordered Patients, 4 hour workshop handout for Australian Psychological Society.
Differential Diagnosis: Borderline Personality Disorder DSM IV Diagnostic Criteria –A pervasive pattern of instability of interpersonal relationships,
DSM-5 diagnostic criteria for borderline personality disorder (APA, 2013) A pervasive pattern of instability of interpersonal relationships, self-image.
BORDERLINE PERSONALITY DISORDER BRENDA ORTIZ PERIOD 1 APRIL 14, 2012.
What’s in a name …….. emotional instability in Adolescence Demelza Heneghan CNM 2 St. Josephs Adolescent Day Hospital,Demelza Heneghan CNM 2 St. Josephs.
Dialectical Behaviour Therapy and Borderline Personality Disorder.
Borderline Personality Disorder – Is a condition in which people have long term patterns of unstable or turbulent emotions, such as feelings about themselves.
B ORDELINE P ERSONALITY D ISORDER (BPD) Zitlaly Ortega Period 6.
Ask the Clinician: Borderline Personality Disorder A short discussion of one of our most misunderstood mental health conditions.
Assessing Borderline Personality Disorder in the Primary Care Setting Presented by: Jonathan Betlinski, MD Date: 11/13/2014.
Treating Borderline Personality Disorder in the Primary Care Setting Presented by: Jonathan Betlinski, MD Date: 11/20/2014.
Clare Shaw clareshawconsultancy.co.uk clareshaw.co.uk.
Psychiatric Impact of Childhood Sexual Abuse: Life on the Borderline Survivors of Abuse – Access to Justice Information Seminar, 14 May 2004 Ian Curtis.
P ERSONALITY DISORDERS. Enduring pattern of inner experience and behavior that differs markedly from the expectations of the individual's culture Behaviour.
A Case study of Borderline Personality Disorder complicated by Intellectual Disability and misdiagnosis.
BORDERLINE PERSONALITY DISORDER By: Brenda Vazquez, Doua Xiong, Dominique Yang.
Sexual Abuse and Borderline Personality Disorder: The Process of Therapy M. Sc. Teja Bandel Psychologist.
HANDOUT: PERSONALITY TRAITS SEEN IN THE HARD-TO-SERVE CLIENT: CHALLENGES FOR THE TREATMENT TEAM Stella L. Blackshaw M.D. FRCPC Professor of Psychiatry.
1 Personality Disorders and Substance Use Disorders “What’s the connection?”
Borderline Personality Disorder Definition. Current trend is to call it “Emotional Intensity Disorder” Better accepted by patients – more meaningful.
By: Stephanie Cervantes Period:3. What is borderline disorder? A serious mental illness characterized by persuasive instability in moods, interpersonal.
BORDERLINE PERSONALITY DISORDER. CAUSES -Genetic factors since twins and families member might inherit them from others in their family or strong associated.
Grace Fellowship Church Pastor/Teacher Jim Rickard Tuesday, March 8, 2011
BoRdErLiNe PERSONALITY DISORDER i HATE you… DON’T LEAVE ME.
Personality Disorders Kimberly Young Clinical Mental Health Counseling Student ’14 MS/EdS Florida State University.
BORDERLINE PERSONALITY DISORDER I HATE YOU, PLEASE DON’T LEAVE ME Tori Collins.
Mental Health. Objectives Define mental health and understand what constitutes both good mental health and poor mental health. Understand the magnitude.
1.Emotional responses, especially anger. 2. impulsive behaviors that harm themselves or others. 3. suspiciousness, poor sense of identity, and an unstable.
Patterns of Attachment Secure (about 65%) –Infants actively seek proximity to caregivers upon reunion –Communicate their feelings of stress and distress.
Module 4 Family Environment Skills Family Environment Skills.
Personality Disorders. What is a Personality disorder? A rigid pattern of inner experience and outward behavior that differs from the expectations of.
What is Borderline Personality Disorder (BPD)? Presentation is often in early adulthood BPD is a cluster B personality trait BPD affects how the individual.
Overview of Research in Lab of Dr. Rosemery Nelson Gray 1 1. Past recent research focused on risk (for psychopathology) and resilience (for coping) produced.
Psychology 100:12 Chapter 13 Disorders of Mind and Body.
July 2008 Presented By: Breena Lehan Lindsey Schaumburg Kathleen Bies-Jaede.
The Community Perspective Dr Linda R Treliving Chair of SPDN.
Borderline Personality Disorder Mallory and Sonia.
1 Psychology 320: Psychology of Gender and Sex Differences March 28 Lecture 61.
DaJuan Ferrell AFFECT AND ALCOHOL USE IN BORDERLINE PERSONALITY DISORDER.
Meanwhile, back at the Borderline…… Psychosis and Borderline Personality Disorder Chris Holman October 2012 ISPS conference.
Hyo Jae Shin. Disruption in functioning of the mind Conscious awareness becomes separated from previous thoughts and feelings Mainly due to traumatic,
Borderline Personality Disorder Pia Torres and Kristine Tran Period 5 Pia Torres and Kristine Tran Period 5.
MNA M osby ’ s Long Term Care Assistant Chapter 43 Mental Health Problems.
Defining the mechanisms of Borderline Personality Disorder J. Clarkin and M. Posner (2005)
Dependent Personality Disorder ESTEFANI RODRIGUEZ PSYCHOLOGY PERIOD 1.
Formulation and Clinical Psychology. Scientific study mind behaviour Psychology Clinical Populations E.g. mental health, cancer, learning disability,
Borderline Personality Disorder. What is borderline personality disorder? Borderline personality disorder (BPD) is a serious mental illness marked by.
Dissociative Disorders Dissociative Amnesia Dissociative Identity Disorder Depersonalization-Derealization Disorder.
Psychological Disorders liudexiang. Overview Perspectives on psychologcal disorders Mood disorders Anxiety disorders Psychosomatic and somatoform disorders.
Borderline Personality Disorder Irving Kuo, M.D. Central Arkansas Veterans Healthcare System.
Personality Disorders Cluster A (Odd-Eccentric Cluster) Paranoid Personality Disorder Schizoid Personality Disorder Cluster B (Dramatic-Impulsive Cluster)
© 2017 SlidePlayer.com Inc. All rights reserved.